axunio Pharma GmbH, established in 2007, is a pharmaceutical company based in Hamburg, Germany. Being part of the medium-sized, global operating Tiefenbacher Group, we build on an established partner-network and an extensive know-how of the European pharmaceutical business. This enables us to market affordable pharmaceuticals according to German quality standards.



Reporting of Adverse Drug Reactions

What is an adverse drug reaction (side effect)?

An adverse drug reaction/side effect is a response to a medicinal product which is noxious and unintended. It can be every symptom or reaction which occurs in connection with the treatment with a drug.

Why should adverse drug reactions be reported?

Not all adverse drug reactions could have been discovered during the clinical studies when placing the drug on the market. Some very rare adverse drug reactions can be recognized only based on a treatment over a longer period or on the widely used treatment of many patients. As well possible reactions to medication errors like over dosage or possible interactions with other drugs or food supplements can be recognized only after the commercialization of the drug. If you report adverse drug reaction or suspected cases, you will support the high safety standard of axunio’s drugs. It is fundamentally important to continuously collecting and evaluating adverse reactions to guarantee safe treatment and take appropriate actions for our patients’ protection.


Please report as much relevant information as possible about the suspected adverse drug reaction. Please use the following form.

Mandatory fields are marked with an asterisk(*).

Drug(s)

What kind of adverse drug reaction has been observed?*

If known, it is helpful to describe the onset and the period of adverse drug reaction, any given treatment and the outcome of reaction. If possible please provide relevant medical history, including allergies, other drugs taken in the last 3 months prior to the reaction, including over-the-counter (OTC) and herbal medicines as well as relevant test results.*

Name of suspected drug?

Please provide the name of suspected drug(s) as well as route of administration, daily dose, dose frequency and the dates of administration.*

Patient details

Patient sex*

Birthdate or patient age at the time of the reaction

 

Reporter details

First Name*

Surname*

e-mail*

What is the relationship between you and the patient?

I am the patientI am a health care professionalothers

Country, where you (the reporter) reside permanently*

Serious adverse drug reaction (Please select the appropriate one)

Additional information

I consent that I can be contacted by email concerning further information in connection with this report, if needed.
I agree that all personal information will only be processed in accordance with the Privacy Policy of axunio Pharma GmbH and the privacy clause of the form "Reporting of Adverse Drug Reaction".*

Contact


Name*

Email*

Inquiry

Message*

I agree that all personal data provided will be processed and used exclusively according to the privacy statement of axunio Pharma GmbH.*


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