Report of adverse drug reactions

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You can report Adverse Drug Reactions by filling out the form on this page. Your request will be sent to us by pressing the SEND button. Please read the Terms of Use and Privacy Policy for more information before proceeding.


+359 885 728 333

+359 2 808 1081


The information you will provide us is extremely important for the detection of unknown adverse reactions to medicinal products authorized for use on the territory of the Republic of Bulgaria. We will need your contact details for feedback purposes to confirm receipt of the message; if we need to request additional information, as well as inform you about the measures taken. We assure you that the personal data of the reporter/patient is treated in accordance with the Personal Data Protection Act.


1. Please note that some fields marked with an asterisk (*) require mandatory completion for your message to be accepted as valid. However, we ask you to fill in as much data as possible, because it is important for the evaluation of your message.


2. Please pay attention to the field Patient (*) - fill in ONLY his INITIALS, possibly separated by a period!


Example: I.S.P., if you want to fill in the data for the patient Ivan Stoyanov Petrov.


(*) Mandatory field!

INFORMATION ABOUT THE REPORTER

Name *

Surname *

Telephone *

Email *

Country *

Professional qualification *