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Personal data

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Medication data

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Enter the name of the medication.
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Indicates the dosage
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Adverse reaction

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Describe here the adverse reaction and other relevant aspects (medications you are taking, if you have a diagnosed disease, etc.)
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Outcome *
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Do you consider the reaction serious? *
Answer the question about the drug reaction.

Basic information on data protection: I declare that I am informed that the data controller of the data collected is Ferrer Internacional, S.A., except in those countries in which Ferrer has a direct presence, in which case the responsible party will be the corresponding local Ferrer entity. The purpose of the processing is to identify, evaluate and prevent the risks arising from the use of our medicines and, where appropriate, to monitor the case. You can exercise your rights by sending an email to the address indicated in the Privacy Policy. You can consult additional and detailed information on data protection in our Privacy Policy.

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Professional data

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Enter your name and/or initials.
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Select the country from which you are contacting us.
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Please select the province from which you are contacting us.

Patient data

Enter an age.
Patient's gender *
Select the patient's gender.

Medication data

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Enter the name of the medication.
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Please enter a valid date
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Adverse reaction

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Introduce the adverse reaction.
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Please enter a valid date.
Outcome *
Enter the outcome.
Has this reaction to the medication caused death, hospitalization of the patient, or prolongation of existing hospitalization, life-threatening, significant disability or disability, or birth defect? *
Answer the question about the drug reaction.

Basic information on data protection: I declare that I am informed that the data controller of the data collected is Ferrer Internacional, S.A., except in those countries in which Ferrer has a direct presence, in which case the responsible party will be the corresponding local Ferrer entity. The purpose of the processing is to identify, evaluate and prevent the risks arising from the use of our medicines and, where appropriate, to monitor the case. You can exercise your rights by sending an email to the address indicated in the Privacy Policy. You can consult additional and detailed information on data protection in our Privacy Policy.

This field is required

Thank you for contacting Ferrer.

We have received your notification, and our Pharmacovigilance team will review the information. We will contact you if we need any additional details.

Return to the home page

We were unable to submit your request.

An error occurred while submitting your request. Please try again in a few minutes. If the problem persists, you can contact us at the following email address: contacto@ferrer.com

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