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.