Reporting of side effects

Crescent Pharma always scrutinizes the safety of all its medicinal products collecting information about any side effects patients experience. It is essential that the safety of all medicinal products is monitored throughout their marketed life via the pharmacovigilance process.

If a Crescent Pharma product causes a side effect, you can use the form below to inform us of details.

Please note Crescent may contact you to find out more details about your report; however, Crescent will not be able to provide medical advice about your condition. Any questions regarding your treatment should be made via your doctor or healthcare professional.

IMPORTANT

Please note this form is exclusively for use if the drug has
been administered; if the drug has NOT been administered
please use our ‘Contact us form.

URGENT CONTACT

For urgent medical enquiries out of office hours please contact: Tel: +351 21 464 32 25, Fax: +351 21 464 32 29 or via email to: pharmacovigilance@pharsolution.com. Alternatively you can email us at info@crescentpharma.com or send a fax to +44 (0) 1256 772740

Medical Information

Please note this form is exclusively for use if the drug has been administered.
  • This field is for validation purposes and should be left unchanged.

Crescent Privacy Policy
The information provided in this form will be recorded by Crescent as part of its legal obligations related to our products and will be protected and handled confidentially in line with data protection laws and the Crescent Pharma privacy policy.

The information provided may be shared with certain authorities to be evaluated.

If you are not the subject of the report, please ensure that person who is the subject of the report is aware of this submission. This should also include the potential transmission of their personal information.