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Table 1 The Naranjo scoresheet for assessing the association between a medication and an adverse reaction

From: Drug-induced uveitis

Question

Yes

No

Not known

Score

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

0

 

4. Did the adverse reaction reappear when the drug was readministered?

+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

 

TOTAL

 
  1. The maximal possible score is 13. Naranjo scores of 9 or higher imply a definite association, scores of 5 to 8 a probable association, scores of 1 to 4 a possible association, and scores of 0 make an association doubtful.