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SUSPECT ADVERSE DRUG REACTION REPORTING FORM

Fill in a form for the health care professional

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SUSPECT ADVERSE REACTION REPORTING FORM

Fill in a form for non- healthcare professional

If you wish to report to Thame Laboratories any adverse event which you suspect that you or someone you represent has experienced following the use of a Thame Laboratories medicine, please either complete the form below or contact us by email (medinfo@thamelabs.co.uk) or by telephone on the following number 02085153700 selecting option 1.

You should also tell your doctor or pharmacist of what you have experienced

THAME LABORATORIES
Unit 4, Bradfield Road
Ruislip
Middlesex
London / UK
HA4 0NU
Sales: 0808 178 1914
Medical Info: 0208 515 3700
* Required information

Please be advised that the personal data collected in the report will be processed by Syri Ltd.t/a Thame Laboratories (Unit 4, Bradfield Road, Ruislip - Middlesex, HA4 0NU, United Kingdom) and used exclusively for the purposes related to the obligation that is placed by regulatory authorities on companies holding marketing authorisations for medicines to monitor the safety of the medicines they market.

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