Pharmacovigilance

Adverse Drug Reaction Reporting

If you have experienced a side effect after taking one of our products, report it here. Your report directly improves medicine safety.

۱Patient details
۲The medicine taken

tablet, capsule, syrup…

۳The reaction
۴Other medicines taken at the same time

If another medicine was being taken at the same time, add it here.

۵About the person reporting

Fill this in if you are not the patient.

Attached documents

Up to 5 files, 5 MB each. PDF, JPG, PNG or WebP only.

    Fields marked with a star are required.

    The medical information on this form is confidential and is used only to assess this report.