Report an adverse event from other drugs

Our pharmacovigilance program monitors the safety of our drugs. To report an adverse event from OTHER MEDICINES, please fill out the form below.

General Information


Reporter Details

Details of the healthcare professional reporting the event


Patient Details

Information about the patient that suffered the adverse event


Pharmacotherapeutic Profile

Medications prescribed to the patient


Sales Record

Traceability Details


Medication Details

Traceability of the product suspected of causing the adverse event


Event Details

Description of the adverse event suffered by the patient