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  • Suspected Adverse Drug Reaction Reporting Form For Voluntary Reporting Of Adverse Drug Reactions By

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SUSPECTED ADVERSE DRUG REACTION REPORTING FORM For VOLUNTARY reporting of Adverse Drug Reactions by healthcare professionals (AMC/ NCC Use only) INDIAN PHARMACOPOEIA COMMISSION (National Coordination.

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What is Voluntary ADR reporting? Reporting of adverse drug experiences with the use of a pharmaceutical medicinal product to national health authority by health care professional or by a patient/patient's care provider. Importance of Voluntary ADR reporting: Each medicine has its own benefits and risks.

➢ Patient initials, age at onset of reaction, reaction term(s), date of onset of reaction, suspected medication(s) and reporter information.

Patient Information: Initials, age at onset of reaction. Suspected Adverse Reaction: Description of the reaction (reaction terms), reaction date. Suspected Medication(s): Name (brand/generic) of the medication. Reporter Details: Name, address, contact details, qualification, and date of the report.

Examples of such adverse drug reactions include rashes, jaundice, anemia, a decrease in the white blood cell count, kidney damage, and nerve injury that may impair vision or hearing. These reactions tend to be more serious but typically occur in a very small number of people.

NATIONAL CENTRE FOR ADVERSE DRUG REACTIONS MONITORING Email: fv@npra.gov.my Website: .npra.gov.my (Please report all suspected adverse drug reactions including those for vaccines, health supplements and traditional products. Do not hesitate to report if some details are not known.

Suspected adverse reaction means any adverse event for which there is a reasonable possibility that the drug caused the adverse event. For the purposes of IND safety reporting, "reasonable possibility" means there is evidence to suggest a causal relationship between the drug and the adverse event.

Patients who suspect they have suffered an unwanted side effect (an adverse drug reaction) to their medicines can report this, as can their carers or parents. The easiest way to report is electronically.

Where to report? Duly filled in Suspected Adverse Drug Reaction Reporting Form can be sent to the nearest Adverse Drug Reaction Monitoring Centre (AMC) or directly to the National Coordination Centre (NCC) for PvPI.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232