Report an adverse effect (France only)

N.B. This procedure is intended to be used by healthcare professionals of the ex Aquitaine region and the over-seas departments of France.

The elements required are:

Information regarding the patient : identification, gender, age, weight, height department of residence, previous medical history, etc.
The medicines taken : name, dose, route of administration, date of initiation and discontinuation of treatment, indication, etc. for both the suspected and any other medicine taken.
Adverse effect : description, date of appearance, evolution, etc. to be accompanied if possible by hospital discharge summaries, medical correspondence, supplementary examinations etc
The reporter : name, address, profession, etc.

Contact: