For healthcare professionals

Report a drug's adverse effect.

Note: this section is addressed to healthcare professionals. If you are a patient/caregiver, go to the form which was prepared for your needs.

Report an adverse effects:

• With a yellow card form [Yellow card form]  - fill the form in and send it via fax to 698 744 600
• or with the form presented below

Fields marked with a red asterisk (*) are mandatory.
[si-contact-form form='9']