AboutUs Profile

Adverse Event Reporting


Patient Information



Event Description

Drug Use Detail

Suspect Drug details(Unit dose/strength & Form)

Indication

Dosage/ Unit/ Frequency

Route

Treatment Dates

* Start Date

* End (or Ongoing)

* Lot/Batch #

* Expiration Date


Reporter Information

If you would like to send us information by post, please download the form here and mail to the following address:

Download the form here

Department of Medical Service and pharmacovigilance:
FDC Limited
FDC House, C-11 & 12, Dalia Industrial Estate,
Oshiwara Village, Off New Link Road,
Andheri - West, Mumbai – 400053 Maharashtra, India
Toll-free No: 1800 266 9347
E-Mail: drug.safety@fdcindia.com