From: Dr A. Example (physician, Germany)
Date: 2026-03-18
Subject: Serious reaction, patient on Testamide

Dear Safety Team,

I am writing about my patient, a 67 year old woman (initials B.K.), who was started on
Testamide 20 mg tablets orally once daily on 2026-02-02 for hypertension. Batch number
not known. She also took amlodipine 5 mg daily as a concomitant medicine.

She developed nausea around 2026-02-20, which was mild and resolved without treatment.
On 2026-03-09 she was admitted to hospital with acute liver failure. ALT was reported
as 1450 U/L on 2026-03-10. Testamide was stopped on 2026-03-09. Despite treatment she died
on 2026-03-15. No autopsy was performed. I consider the event possibly related to Testamide.

You may contact me by email for follow-up.

Kind regards,
Dr A. Example
