UAN : +92-21-111-111-645

Drug Safety

Home Drug Safety

Pharmacovigilance :

In order to ensure the safe use of ATCO laboratories marketed product and to fulfill the pharmacovigilance related requirement, ATCO laboratories has developed a pharmacovigilance system to monitor, collect, understand and to prevent any possible ADR/ADE that may happen due to the use of ATCO laboratories marked product.

User Complaint :

If you get any harm by the use of ATCO laboratories marketed product, kindly report us immediately/within 24 hours by filling
the form which is given below or download and fill the form and send it to email address given below or inform to your doctor.

Contact Detail :

Fax No.: +9232563974

Mobile No : +92-346-7655004

Tel No.: (021) 32577930

UAN No: +92 (21) 111 111 645

E-mail: pharmacovigilance@atcolab.com

ATCO Laboratories Limited
Plot. No. B-18, S.I.T.E,Karachi-75700, Pakistan.

REACTION INFORMATION

Patient Initials (first, last)*

Country/City*

Date of Birth*

Age*

Sex*

Reaction Onset*

Check all appropriate to adverse reaction

Describe Reaction(s) (including relevent test/lab data)*

Suspect Drug(s) Information

Suspect drug(s) (include generic name)*

Daily Dose(s)*

Rout(s) of Administration*

Indication(s) for Use*

Therapy dates (from/to)*

Therapy duration*

Did reaction abate after stopping drug?*

Did reaction reappear after reintroduction?*

Concomitant Drug(s) and History

Concomitant drug(s) and dates of administration (exclude those used to treat reaction)*

Other relevant history (e.g. diagnostics, allergics, pregnancy with last month of period, etc.)*

Manufacturer Information

Name and address of manufacturer*

MFR control no.*

Batch no.

Date received by manufacturer*

Report source*

Date of this report*

Report type*

ATCO USER COMPLAINT FORM

SECP Reg. # 0006183, NTN 0823865-7