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Doc Number: GLFCEMPV06A [Old Doc no. 6.04]ADVERSE DRUG REACTION (ADR)/ PRODUCT QUALITY PROBLEM REPORT FORM (PUBLIC AND PRIVATE SECTOR) (Including Herbal Products)Revision: 3.0Effective date: 11 October
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How to fill out sample filled adr reporting form
How to fill out adverse drug reaction adr
01
Obtain the necessary form for reporting adverse drug reactions (ADR).
02
Fill out the patient information including name, age, sex, and contact details.
03
Provide details of the suspected adverse drug reaction such as the name of the drug, dose, route of administration, and duration of use.
04
Describe the adverse reaction experienced by the patient including symptoms, onset, severity, and outcome.
05
Include any other relevant information such as concomitant medications or medical conditions.
06
Submit the completed ADR form to the appropriate regulatory authority or pharmacovigilance program.
Who needs adverse drug reaction adr?
01
Healthcare professionals such as doctors, nurses, and pharmacists.
02
Patients who have experienced adverse drug reactions.
03
Pharmaceutical companies and drug regulatory authorities.
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What is adverse drug reaction adr?
Adverse drug reaction (ADR) refers to harmful or unintended reactions to medications.
Who is required to file adverse drug reaction adr?
Healthcare professionals, pharmacists, and patients are required to file adverse drug reaction (ADR) reports.
How to fill out adverse drug reaction adr?
Adverse drug reaction (ADR) reports can be filled out online or submitted through paper forms provided by regulatory authorities.
What is the purpose of adverse drug reaction adr?
The purpose of adverse drug reaction (ADR) reporting is to monitor the safety and efficacy of medications after they have been approved for use.
What information must be reported on adverse drug reaction adr?
Information required on adverse drug reaction (ADR) reports includes the name of the medication, details of the reaction, patient information, and the healthcare professional reporting the ADR.
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