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. 2019 Oct 3;28(1):50–52. doi: 10.1136/ejhpharm-2019-002016

Table 1.

Naranjo adverse drug reaction probability scale

QUESTION Yes No Do not know Score
Are there previous conclusive reports on this reaction? +1 0 0 1
Did the adverse event appear after the suspected drug was administered? +2 -1 0 2
Did the adverse reaction improve when the drug was discontinued or a specific antagonist was administered? +1 0 0 1
Did the adverse event reappear when the drug was re-administered? +2 -1 0 2
Are there alternative causes (other than the drug) that could on their own have caused the reaction? -1 +2 0 -1
Did the reaction reappear when a placebo was given? -1 +1 0 0
Was the drug detected in blood (or other fluids) in concentrations known to be toxic? +1 0 0 0
Was the reaction more severe when the dose was increased or less severe when the dose was decreased? +1 0 0 0
Did the patient have a similar reaction to the same or similar drugs in any previous exposure? +1 0 0 0
Was the adverse event confirmed by any objective evidence? +1 0 0 0
Total score 5

Scoring: Definite: >9; Probable: 5–8: Possible: 1–4; Doubtful: 0.