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. 2019 Mar;7(6):118. doi: 10.21037/atm.2019.01.62

Table S1. The Naranjo scale questions and judgment standard.

Questions Yes No Don’t know
1. Are there previous conclusive reports on this reaction? +1 0 0
2. Did the adverse event appear after the suspected drug was administered? +2 −1 0
3. Did the adverse reaction improve when the drug was discontinued or a specific antagonist was administered? +1 0
4. Did the adverse reaction reappear when the drug was re-administered? +2 −1 0
5. Are there alternative causes (other than the drug) that could on their own have caused the reaction? −1 +2 0
6. Did the reaction reappear when a placebo was given? −1 +1 0
7. Was the drug detected in the blood (or other fluids) in concentrations known to be toxic? +1 0 0
8. Was the reaction more severe when the dose was increased, or less severe when the dose was decreased? +1 0 0
9. Did the patient have a similar reaction to the same or similar drugs in any previous exposure? +1 0 0
10. Was the adverse event confirmed by any objective evidence? +1 0 0

Scoring: ≥9: definite ADR; 5–8: probable ADR; 1–4: possible ADR; 0: doubtful ADR. ADR, adverse drug reaction.