PATIENT SAFETY · PHARMACOVIGILANCE

Report A Side Effect

If you have experienced a side effect (adverse reaction) with a Psychocare product, please tell us. Your report helps us monitor the safety of our medicines and protect other patients. Reports can be made by patients, carers and healthcare professionals.

Medical emergency?

This form is not for urgent medical help. If you or someone else is seriously unwell, contact a doctor or your nearest hospital immediately. Use this form to report a side effect so it can be recorded and reviewed.

24/7 WhatsApp & Call

Speak to us or send a WhatsApp message
any time, day or night.

pv@psychocare.biz

Send your report or safety question to our
pharmacovigilance mailbox.

Side effect report form

Fields marked * are required. Please give as much detail as you can — even a partial report is
useful.

1. ABOUT THE PERSON WHO HAD THE SIDE EFFECT

The patient. If you are reporting about yourself, enter your own details.

2. THE PSYCHOCARE PRODUCT

The medicine you think caused the side effect.

3. THE SIDE EFFECT

What happened, and when.

4. ABOUT YOU (THE REPORTER)

So we can follow up if we need more information. We may contact you.

Fill the form and we will contact you