Pharmacovigilance

Feedback for consumers

Please report any suspected adverse reaction or lack of efficacy for the medicinal product.

Fields marked with * are required

Qualified Person Responsible For Pharmacovigilance
Krasnenkova Tatiana Petrovna
Full name *
Contact number *
Years old *
Gender *
E-mail *

Suspect drug information

Trade name of the medicinal product that you used (see packaging) *
Serial number (see packaging)*

Information on adverse reactions / lack of therapeutic efficacy

Case description *

Feedback for specialists

Please report any suspected adverse reaction or lack of efficacy for the medicinal product.

Fields marked with * are required

Qualified Person Responsible For Pharmacovigilance
Krasnenkova Tatiana Petrovna

Medical or pharmaceutical worker reporting an adverse reaction

Full name *
Country *
Professional affiliation *
Contact number *
E-mail *

Patient information

Full name of the patient *
Years old *
Gender *
Contact number *

Suspect drug information

Trade name of the medicinal product that you used (see packaging) *
Serial number (see packaging) *

Information on adverse reactions / lack of therapeutic efficacy

Case description *