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Pharmacovigilance

Laboratoire Soludia Maghreb > Pharmacovigilance

Reporting Drugs Adverse Reactions

Adverse reactions must be reported via the website of the Moroccan Agency for Medicines and Health Products (AMMPS) and to SOLUDIA MAGHREB using the contact details below:

Pharmacovigilance Unit:

Email: pharmacovigilance@soludia.ma
Tel: +212 537 845 986 / +212 537 844 242
Fax: +212 537 845 987
Dr. Abdellaziz RAZKAOUI (Responsible Pharmacist and Pharmacovigilance Manager)
Email: direction@soludia.ma
Tel: +212 0666277767
Tel: +212 537 845 986 / +212 537 844 242
Fax: +212 537 845 987

By reporting side effects, you help provide more information on the safety of this medicine.

    Patient

    Last name*

    Age* (ans)

    First name*

    Height* (cm)

    City*

    Weight* (kg)

    Gender*

    Hospitalized due to adverse reaction*

    History*

    Drugs(s), suspected or not

    Speciality and presentation*

    INN (active substance)*

    Dosage and route of administration*

    Start date*

    If due, end date

    Indication*

    Adverse Event(s)

    Observed adverse reaction(s)*

    Date of occurence*

    Possible end date

    Development*

    Case Description

    The clinic, chronology of events, possible corrective treatment, differential diagnoses eliminated, recurrence of the disorder in case of a reintroduction of the related drug.

    If applicable, please attach any hospitalization or consultation report and/or any biological report related to the suspected effect.

    Case Description*

    Informant

    Full name*

    Phone*

    Profile*

    City*

    Email*

    Date*

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