Notification of suspected Adverse Drug Reaction (ADR).
Dear Madam/Sir, if you are Italian or foreigner in Italian territory, please access:
and follow the instruction.
In all the other cases, if you wish to communicate a disorder that could be linked with a drug of our pharmaceutical companies, please select your profile here below (Healthcare:YES/NO) and follow the further instruction:
See Laws and/or Rules of Your Country.
Download the CIOMS form:
Download CIOMS form.
Specify the type of disorder*
To be able to provide answers or suggestions or if You wish to be contacted, please fill in one or more items in the following questionnaire:
You took together or at a close time
NB: Your data will be handled in full compliance with the applicable privacy legislation in force (95/46/EC - Legislative Decree 196/2003). To receive information on privacy, please provide your e-mail address, telephone number or other contact details.
Insert the following code*:
* Mandatory Fields