Postoperative adverse medication-related symptoms for the Comparing Analgesic Regimen Effectiveness and Safety after Surgery trial
| Have you experienced any of these symptoms today? Select all that apply. | |
| ☐ Nausea | ☐ Vomiting |
| ☐ Constipation | ☐ Diarrhoea |
| ☐ Itching (pruritus) | ☐ None |
| Have you experienced any of these symptoms today? Select all that apply. | |
| ☐ Stomach pain | ☐ Difficulty sleeping (insomnia) |
| ☐ Heartburn | ☐ Generalised weakness (asthenia) |
| ☐ Gas | ☐ Tiredness |
| ☐ Headache | ☐ Drowsiness or sleepiness (somnolence) |
| ☐ Lightheadedness | ☐ Sweating |
| ☐ Dizziness | ☐ Flushing |
| ☐ Runny nose | ☐ Rash |
| ☐ Dry mouth | ☐ Fatigue |
| ☐ Confusion | ☐ Difficulty passing urine |
| ☐ Difficulty concentrating | ☐ None |
| Any other symptoms you want to report ___________________________ | |
| Symptoms can be classified as | |
| Mild=you notice symptoms, but they aren’t a problem | |
| Moderate=symptoms that limit of your normal daily activities | |
| Severe=symptoms make normal daily activities difficult or impossible | |
| For each symptom checked, user then selects from the following options: | |
| ☐ Mild ☐ Moderate ☐ Severe | |
Adapted from the Medication Symptom Checklist and Moore et al6 7