Report of adverse drug reactions

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IF YOU ARE A PATIENT/ USER OF A MEDICINAL PRODUCT OR CAREGIVER / NON-HEALTH CARE PROFESSIONAL


You can report adverse drug reactions by filling out the form on this page. Your application will be sent to us by pressing the SEND button. Please read the Terms of Use and Privacy Policy for more information before proceeding.

INFORMATION ABOUT THE REPORTER

Name

Surname

Telephone

Email *

Country *

Reporter *