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ADR Form should have at least four sections which should be completed:
1. Patient information:
- patient identifier - age at time of event or date of birth - gender - weight
2. Adverse event or product problem:
- description of event or problem - date of event - date of this report - relevant tests/laboratory data (if available) - other relevant patient information/history - outcomes attributed to adverse event
3. Suspected medication (s):
- name (Generic and brand name) - dose, frequency & route used - therapy date - diagnosis for use - event abated after use stopped or dose reduced - batch number - expiration date - event reappeared after reintroduction of the treatment - concomitant medical products and therapy dates
- name, address and telephone number - speciality and occupation
The completed ADR Report Form should be sent to the national or regional ADR centre or to the manufacturer of the suspected product.
PharmD Info is an online forum portal which connects all the Indian Pharmacy fraternities to share and discuss various professional related topics with other members of the site and focuses on creating a good communication platform on the web for the Indian pharmacists to make networks within the profession and also with other health care professionals to enhance their knowledge, skills and professional relationships to serve better for our society.