(b).
| Record of steroid medication capsules | Blinded steroids | Part 1 of the study | |
|
| |||
| Study week number | Wallet number/date wallet started dd/mm/yyyy | Were any capsules missed? | Comments |
|
| |||
| — | Prednisone Wallet Number_________ | No_____ Yes_____ | Please provide the reasons for any capsules missed and any other information about your steroid medication this week. |
| If Yes, please provide the number of capsules that were missed this week. | |||
| Date started ___/___/___ |
___________capsule(s) missed | _____________________________________ _____________________________________ |
|
|
| |||
| — | Prednisone Wallet Number_______________ | No____ Yes____ | Please provide the reasons for any capsules missed and any other information about your steroid medication this week. |
| If Yes, please provide the number of capsules that were missed this week. | |||
| Date started ___/___/___ |
___________capsule(s) missed | _____________________________________ _____________________________________ |
|
|
| |||
| Record of steroid medication tablets | Open label 60 mg steroids/per day | Part 1 of the Study | |
|
| |||
| Study week number | Date weekly tablets started dd/mm/yyyy |
Were any tablets missed? | Comments |
|
| |||
| — | Prednisone Wallet Number_________ | No___ Yes___ | Please provide the reasons for any tablets missed and any other information about your steroid medication this week. |
| If Yes, please provide the number of tablets that were missed this week. | |||
| Date started ___/___/___ |
________tablet(s) missed | ______________________________________ ______________________________________ |
|