We are sorry that you or someone that you know has had a reaction to the medicine they were taking. Information you provide when you report adverse drug reaction (side effect) can improve the safe use of medicines. Please provide your contact details below so we can follow up for further information about your report if necessary. You can report on side effects, drug ineffectiveness, product quality, suspected counterfeit or medical device defect, medication error (i.e. mistake made in the prescription, dosing, dispensing or administration of the medicine).
REPORTER DETAILS
About you the person making the report
This is our confidential reporting channel. Use this form to report concerns such as fraud, harassment, safety issues, or other violations. Your identity will remain protected, and your report will be treated with respect and seriousness.