Report of adverse drug reactions

Report of adverse drug reactions

Information about the reporter

Information about the person who experienced the adverse drug reaction

Adverse drug reaction information

Suspected drug information

Concomitant drugs and medical history

Alkaloid AD Skopje uses the information you provide on this form to give you information about your report of adverse drug reactions. We don’t keep any personal information about you. We only keep general information about adverse drug reactions. By clicking you agree that we may process your information in accordance with these terms.
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