Pharmacovigilance contact form

You are notifying an adverse event/situation involving a medical drug. A person in charge of pharmacovigilance at Pierre Fabre will handle your notification and she/he may contact you.

* Required fields

Contact person
Information on the exposed patient
Prescription drug concerned
Description of adverse reaction(s)

Any information provided will be confidential, respecting the privacy of personal data and medical and professional secrecy.


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