NIX ULTRA LICE TREATMENT KIT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-01 for NIX ULTRA LICE TREATMENT KIT manufactured by Prestige Brands Inc..

Event Text Entries

[122299943] This serious case reported to company refers to a (b)(6) female with a medical history of high blood pressure, treated with metoprolol 25mg once per day. On (b)(6) 2018, a consumer used nix ultra liquid to treat head lice and experienced headache, nausea and increase in blood pressure. Consumer applied product to hair over a sink and the product accidentally "went up her nose": she instantly got a "pounding" headache and was taken for medical evaluation. Blood pressure was reported to be elevated upon arrival to clinic. Exact bp not known. Consumer was treated with clonidine 0. 1mg x2 with no effect on lowering her bp. Consumer was then taken to the emergency department by her son and upon arrival her bp 205/94. She was treated with "iv benadryl and promethazine" then released home. On (b)(6) 2018, consumer returned to emergency department with "pounding headache, high bp and nausea". Ct of the head was negative. Bp 199/99. Consumer was treated with "sodium chloride, diphenhydramine 50mg, dexamethasone 10mg, ketorolac 30mg, and metoclopramide 5mg". It was reported that bp stabilized at 156/77, headache subsided and consumer released home with an increased strength of metoprolol.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3011801804-2018-00002
MDR Report Key7922471
Date Received2018-10-01
Date of Report2018-08-13
Date of Event2018-07-15
Date Mfgr Received2018-07-17
Date Added to Maude2018-10-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactPRESTIGE BRANDS PV & SAFETY
Manufacturer Street4615 MURRAY PLACE
Manufacturer CityLYNCHBURG VA 24502
Manufacturer CountryUS
Manufacturer Postal24502
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameNIX ULTRA LICE TREATMENT KIT
Generic NameLICE REMOVAL KIT
Product CodeLJL
Date Received2018-10-01
OperatorLAY USER/PATIENT
Device Availability*
Device Sequence No1
Device Event Key0
ManufacturerPRESTIGE BRANDS INC.
Manufacturer Address660 WHITE PLAINS ROAD 2ND FLOOR TARRYTOWN NY 10591 US 10591


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Life Threatening; 3. Other 2018-10-01

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