Free Zyprexa Case Review
Free Zyprexa Case Review
 

Free Zyprexa Case Review

Do you have a potential lawsuit case against the manufacturer of Zyprexa? Please complete our no obligation, free consultation form to see if you have a potential Zyprexa lawsuit or claim. Our Zyprexa lawyers are standing by to assist you with your Zyprexa lawsuit questions.

Zyprexa Lawyer Free Consultation
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First Name:
Last Name:
*Email:
 (ex: johndoe@anywhere.com)
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 (ex: 555-555-5555)
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City:
State / Zip:
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For what reason did your doctor prescribe Zyprexa?
Do you suffer from any of the following conditions?
(Please check all that apply)
Depression
Schizophrenia
Schizo-affective disorder
Bi-Polar disorder
Date you began taking Zyprexa?
Date you stopped taking Zyprexa?
Did a doctor say that you or a family member has a health condition caused by using Zyprexa?
Yes
No
Has a doctor diagnosed you or a family member with any of the following?
Diabetes Extreme weight gain
Pancreatitis Diabetic-induced heart attack
Hyperglycemia Diabetic-induced coma
Ketoacidosis Neuroleptic Malignant Syndrome (NMS)
Date of diagnosis?
When did you start noticing these conditions?
Has a family member died from any of the above Zyprexa side effects?
Yes
No
If yes, what date?
As a result of Zyprexa, did you suffer a new onset of diabetes, requiring insulin shots?
Yes
No
As a result of Zyprexa, did you suffer a new onset of diabetes, requiring oral medication?
Yes
No
Please indicate if you have been prescribed to take any of the following medications:
(Check all that apply)
ACTOS (pioglitazone hydrochloride)
Avandia (rosiglitazone)
Acarbose (Precose)
Miglitol
Can your diabetes be controlled by diet alone?
Yes
No
Has hospitalization been required for pancreatitis?
Yes
No
Has ketoacidosis resulted in hospitalization, coma or death?
Yes
No
Has a pre-existing diabetic condition worsened while on Zyprexa, requiring new medication or insulin?
Yes
No


Additional Information:
Please be specific and tell us about your Zyprexa side effects and risks.
Also enter any questions or comments in this space.
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This site is not affiliated or connected with ZYPREXA® or Eli Lilly. Zyprexa® is a registered trademark of Eli Lilly and Company.
For medical information about ZYPREXA® contact your physician.

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Call VanDerGinst Law, P.C. toll free at (877) 786-1529or fill out the form above for a Free Zyprexa Case Review.

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