Report a Side Effect

Reporting of side effects

Crescent Pharma is committed to continuously monitoring the safety of all our medicines. As the Marketing Authorisation Holder, we collect and evaluate information on suspected adverse reactions to help ensure the ongoing benefit-risk profile of our products throughout their lifecycle. If you suspect that you have experienced a side effect associated with a Crescent Pharma medicine, please complete the reporting form below.

You may be contacted by a member of our Pharmacovigilance team if additional information is required to support the assessment of your report. Any personal information provided will be handled in accordance with applicable data protection legislation and used solely for pharmacovigilance purposes.

Please note that Crescent Pharma cannot provide medical advice or treatment recommendations. If you have concerns about your health or treatment, please contact your doctor, pharmacist or other healthcare professional immediately.

Crescent Pharma Medical Information:

For medical information please contact:
Tel: +44 1217901596
Email: medinfo@crescentpharma.com

Report a side effect

Side effects can be reported to Crescent Pharma:
Telephone: +44 1217901596
Email: safety@crescentpharma.com
Online: via the form below

Reporting of side effects

Use this form to report a suspected side effect or other safety concern involving a Crescent medicine. If your enquiry does not concern a suspected adverse reaction or medicine-safety issue, please contact our Medical Infoormation Team. If you are worried about your health, contact your doctor, pharmacist or NHS 111. In a medical emergency, call 999.

Have you previously contacted Crescent Pharma about this adverse event?

If yes please provide reference number

Has the Product Been Administered?

Who is reporting?

First Name

Last Name

Phone

Address

Patient Age

Patient Gender

Patient Weight

Patient Height

Preferred contact method:

Product Name

Product Strength

Product Pharmaceutical Form

Product Licence/ MA Number

Batch Number

Adverse Event details

Please provide an Image of the product

Privacy and pharmacovigilance

Information submitted through this form will be processed by Crescent Pharma Ltd for pharmacovigilance and medicine-safety purposes, including the assessment, follow-up and reporting of suspected adverse reactions where required by law. Your information may be shared with regulatory authorities and appropriate service providers or Crescent Group companies where necessary for these purposes. Personal information will be handled in accordance with applicable data protection legislation.

For further information about how Crescent processes personal data in connection with pharmacovigilance, including your data protection rights, please read our Pharmacovigilance Privacy Policy.