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SUSPECTED ADVERSE DRUG REACTION (ADR) REPORTING FORMCONFIDENTIALIf you are suspicious that an adverse reaction may be related to a drug or a combination of drugs, PLEASE COMPLETE THIS FORM and send
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Suspected adverse drug reaction is a harmful or unintended response to a medication that occurs at normal doses.
Healthcare professionals, patients, and drug manufacturers are required to file suspected adverse drug reactions to regulatory authorities.
Suspected adverse drug reactions can be filled out using specific forms provided by regulatory authorities or online reporting systems.
The purpose of reporting suspected adverse drug reactions is to monitor the safety and effectiveness of medications and to detect any potential risks.
Information such as the name of the medication, adverse reaction experienced, patient information, and date of occurrence must be reported on suspected adverse drug reactions.
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