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Version 1.4SUSPECTED ADVERSE DRUG REACTION REPORTING FORM For VOLUNTARY reporting of ADR's by Healthcare Professionals INDIAN PHARMACOPOEIA COMMISSION (National Coordination CentrePharmacovigilance
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How to fill out suspected adverse drug reaction

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To fill out a suspected adverse drug reaction, follow these steps:
02
- Start by gathering all the necessary information, such as the patient's personal details (name, age, gender), medical history, and current medications.
03
- Document the details of the adverse drug reaction, including the symptoms experienced, the date and time it occurred, and the severity.
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- Note the drug or drugs suspected to be the cause of the reaction, and provide information about the dosage and duration of use.
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- Include any relevant laboratory test results or diagnostic findings that support the suspicion of an adverse drug reaction.
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- Provide your contact details and any additional comments or observations related to the reaction.
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- Submit the completed suspected adverse drug reaction report to the appropriate regulatory authorities or the healthcare professional responsible for monitoring drug safety.

Who needs suspected adverse drug reaction?

01
Suspected adverse drug reaction reports are needed by healthcare professionals, such as doctors, nurses, and pharmacists, to monitor and evaluate the safety and efficacy of drugs. Regulatory authorities and pharmaceutical companies also rely on these reports to detect and investigate potential adverse effects of medications. Patients and their caregivers may also fill out suspected adverse drug reaction reports to ensure their experiences are documented and taken into consideration.
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A suspected adverse drug reaction is a possible side effect or harmful reaction that occurs after taking a medication.
Healthcare professionals, pharmacists, and patients are required to file suspected adverse drug reactions with the appropriate regulatory authorities.
To fill out a suspected adverse drug reaction report, one must provide details about the patient, the medication involved, the adverse reaction observed, and any other relevant information.
The purpose of reporting suspected adverse drug reactions is to monitor the safety of medications and identify any potential risks or side effects.
The information that must be reported includes details about the patient, the medication, the adverse reaction, the severity of the reaction, and any other relevant information.
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