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Avandia - Glossary

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Carbohydrate
One of the three kinds of nutrients found in food. Primarily found in starches, vegetables, fruits, dairy products, and sugars.
Cardiovascular Disease
A variety of conditions that affects the heart of blood vessels.
Cholesterol
A kind of fat that is produced by the liver and is found in the blood. It is a vital part of the cells in the body.
Coronary Heart Disease
Blockage of the supply of blood to the muscles of the heart. It includes many disorders, including myocardial infarction and angina.
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Avandia Case Evaluation Form

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CASE INFORMATION
Why Was Avandia Prescribed?: *
What Dosage, in Milligrams?:
How Frequently Was Avandia Taken?:
Date Patient Began Taking Avandia:

Stopped Taking Avandia:

What Symptoms Were Experienced?: *
Heart Attack
Stroke
Heart Failure

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Other
PPH
If "Other", Please Describe:
How Long Was it From the Last Dose to the Problems Appearing?:
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    More Than 3 Days Don't Know
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YOUR CONTACT INFORMATION
First Name: *
Last Name: *
E-mail Address: *
Address:
City:
State: *
Zipcode:
Phone: -- xtn

CASE INFORMATION
Why Was Avandia Prescribed?: *
What Dosage, in Milligrams?:
How Frequently Was Avandia Taken?:
Date Patient Began Taking Avandia:

Stopped Taking Avandia:

What Symptoms Were Experienced?: *
Heart Attack
Stroke
Heart Failure

 Death
Other
PPH
If "Other", Please Describe:
How Long Was it From the Last Dose to the Problems Appearing?:
    Within 1 Day 2 Days 3 Days
    More Than 3 Days Don't Know
Questions/Comments:
This form is secure and encrypted. More information about secure forms and your privacy here.