SAMI Drug Safety Reporting Online From

SAMI Drug Safety Reporting

Online Form

Lack of EfficacyOff label UseMisuseAbuseOverdoseMedication Error (ME)ME with AEME without AEPregnancy Report
Infant with AEs following Exposure from BreastfeedingOccupational Exposure with AEDrug InteractionsUnexpected BenefitsTransmission of Infectious Agents via the ProductMedical Device IncidentCounterfeit or Falsified MedicinesNone

Permission to contact Health Care Professional (HCP)

SAMI Pharmaceuticals (Pvt.) Limited has an obligation to seek additional information from your Health Care Professional to gain additional knowledge about the adverse events, please confirm whether SAMI Pharmaceuticals (Pvt.) Limited can contact your doctor?

If “No”, SAMI Pharmaceuticals (Pvt.) Limited will respect that and not contact your doctor but we highly suggest you to discuss any safety related concern to your prescribing physician.

Please fill in the fields as accurate as possible. Fields marked with * must be filled in to submit your form to our Drug Safety Department.

Note: Please note, we cannot provide medical advice on your symptoms, if you are concerned about your symptoms, or they worsen, you should contact your doctor or Health Care Professional.

All personal information related to the reporting of adverse events is processed in accordance with the data protection legislation.

Please learn more using the FAQs on Drug Safety for making effective reporting of adverse event.

Thank you for providing the information.