Table 2 Naranjo causality scale for adverse drug reactions
Question/ Scoring Yes/No/Do not know or unavailable |
Case 1 |
Case 2 |
Case 3 |
1. Are there previous conclusive reports on this reaction?1/0/0 |
1 |
1 |
1 |
2. Did the adverse event appear after the suspected drug was given? 2/-1/0 |
2 |
2 |
2 |
3. Did the adverse reaction improve when the drug was discontinued or a specific antagonist was given? 1/0/0 |
1 |
1 |
1 |
4. Did the adverse reaction appear when the drug was readministered? 2/-1/0 |
0 |
0 |
0 |
5. Are there alternative causes that could have caused the reaction? -1/2/0 |
0 |
0 |
0 |
6. Did the reaction reappear when a placebo was given?-1/1/0 |
0 |
0 |
0 |
7. Was the drug detected in any body fluid in toxic concentrations? 1/0/0 |
1 |
0 |
0 |
8. Was the reaction more severe when the dose was increased/increasing, or less severe when the dose was decreased? 1/0/0 |
0 |
1 |
1 |
9. Did the patient have a similar reaction to the same or similar drugs in any previous exposure? 1/0/0 |
0 |
0 |
0 |
Total |
5 |
5 |
5 |
Scoring > 9 = definite adverse drug reaction (ADR) 5-8 = probable ADR 1-4 = possible ADR 0 = doubtful ADR