inforMED

FIXODENT CONTROL

Received Feb 2, 2005 · Event occurred Oct 18, 2004

Report MW4003864 · MDR key 570519

Device

Generic name

Denture Adhesive Cream

Manufacturer

*

Model number

*

Catalog number

*

Lot number

T3368/95216424

Product problems

  • Unknown (for use when the device problem is not known)

Patient

63 YR

  • Hives
  • Heart rate, increased
  • Hospitalization required

Narrative

Description of Event or Problem

PT NEVER USED ANY PRODUCT BEFORE ON THEIR DENTURES. UPON VISITING DENTIST FOR A ROUTINE CHECKUP DENTIST PROVIDED THEM WITH A TUBE (NO CHARGE) OF FIXODENT CONTROL DENTURE ADHESIVE CREAM. PT DID NOT USE THIS PRODUCT UNTIL 4 DAYS LATER AT ABOUT 12 NOON. PT AWOKE AT ABOUT 4 AM THE NEXT DAY, WITH A FEELING THAT THEIR HEART "WAS RACING" AND HAD HIVES ON ARMS. THEY CALLED 911, AND WERE TAKEN TO HOSPITAL, WHERE THEY WERE RELEASED 4 OR 5 HOURS LATER. PT HAS NOT RETURNED TO USING THIS PRODUCT; AND HAS NO NEW ADVERSE EVENTS TO REPORT.