Analysis of FDA Data Reveals Further Evidence of Topamax Related Birth Defects according to Hissey Kientz L.L.P.

About Hissey Kientz, LLP Hissey Kientz, LLP ( http://www.hkllp.com/ ) represents patients who received a recalled DePuy hip replacement, as well as those who have suffered side effects from Avandia, victims of mesothelioma and other asbestos-related ...
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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.