+202 2274 2086 info@esraapharma.net

Pharmacovigilance

We – at ALESRAA – promote drug safety awareness and encourage side effects reporting among Healthcare Practioners and Patients.

WHAT IS PHARMACOVIGILANCE (PV)?

Pharmacovigilance (PV) is the science and activities related to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problems.

Our PV team is committed to enhance patient’s health and safety in relation to the use of our products through providing reliable, and balanced information to ensure that the overall benefits of ALESRAA products outweigh the risks.

Learn more

ICSR

If you have any experience with our products, please send it to us at safety@esraapharma.com or fill in the below form

Subject *

Patient Details

Name/initials *

Weight *

Age *

Sex *

Contacts

Suspected Drug(s)

Drug/s Name *

Indication For Use *

Dose Used *

Start Date *

Batch No

Route Used *

Date Stopped

Suspected Reaction(s)

Reason of ICSR *

What (is/are) reaction(s)? *

When did reaction(s) start? *

When did reaction(s) stop?

Did the reaction stop after stopping the drug?

Yes

Do not know

Did the reaction reappear after retaking the drug?

Yes

Do not know

Did not retake

Was the reaction serious(based on the reasons below)?

Yes

Do not know

- Patient Died
- Life Threatening
- Hospitalization
- Prolonged Hospitalization
- Congenital Anomaly
- Permanent Disability
- Required intervention to prevent damage

Reporter Details

The one who fill in this form

Patient

Physician

Pharmacist

Nurse

Other

Name

Address

Email *

Telephone/Mobile *

Date of reporting *

Any other comments

Attach ICSR

Separate email addresses with a comma.

Submit