Nationwide Darvocet® Lawsuit

 

If you or a loved one used Darvon® or Darvocet® for pain and developed serious heart rhythm abnormalities, please call Steinberg Law Firm.

Toll Free
 888-529-4688

Email
andrewsteinberg@lawyer.com

Houston
3200 Travis : 3rd Floor
Houston, TX 77006
(713) 529-0025
(713) 751-0412 (fax)

Galveston
 (409) 762-9090

Toll Free
 888-529-4688

andrewsteinberg@lawyer.com
www.thesteinberglawfirm.com

Darvocet
Free Case Review
Fill out the form below if you need additional information or want to discuss a potential claim with an attorney. All inquiries are kept strictly confidential.

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Contact Information
* Title:
* First Name:
* Last Name:
* Email Address:
* Phone:
* Phone (Cell):
* Address:
* City:
* State:
* Zip:

How would you prefer to be contacted?
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Case Information

Name of Darvon® or Darvocet® User

Date of birth of Darvon® or Darvocet® patient (mm/dd/yyyy)

Did you take Darvon® or Darvocet® for pain?

Yes No

When did you take the drug?

(mm/dd/yyyy)
End (mm/dd/yyyy)
Still taking

Have you experienced any of the following?

Sudden cardiac death
Heart attack
Heart failure
Heart rhythm abnormalities
Arrhythmia
Irregular heartbeat
Atrial fibrillation (A fib)
Ventricular fibrillation (V fib)
Long QT syndrome
Tachycardia
Heart block
Bradycardia (slow heart rate)

When was the last dose of Darvon® / Darvocet® taken before the injury event?

(mm/dd/yyyy)
Time
Dosage

What test was performed to document your abnormal heart rhythm?

Electrocardiogram
Holter monitor
Event monitor
Stress test
Echocardiogram
Cardiac catheterization
Electrophysiology study
Head-up tilt table test

Did you have a pacemaker, internal cardiac defibrillator (ICD), or any other medical device implanted to monitor and/or regulate the heart and rhythm?

Yes No

Before this event, had you/did you:

Yes No
have a pacemaker, ICD, or some other medical device implanted
to regulate your heartbeat?		 Yes No
previously had cardiac catheterization? Yes No

If you are filing for for someone who is deceased, answer the following questions:

(mm/dd/yyyy)
City
State

Did death occur in the

Was an AUTOPSY performed?
State where performed?

What is the CAUSE OF DEATH listed on the death certificate?