For Medical Staff


Report for adverse reactions by health care professionals

Please note that health care professionals that are required according to the provisions of the MPHMA to report to the Bulgarian Drug Agency (BDA) and to the Marketing Authorisation Holder any suspected serious or unexpected adverse reactions, regardless of whether the product is used or not in accordance with the Summary of Product Characteristics.


Patient information
Adverse reactions (AR)

Suspected medicinal product
Product 1Product 2
Trade name:
Med. Form/ dosage unit:
Daily dosage:
Method of administration:
Duration of administration:
from
to
from
to
Indications:
Other medicinal product
Product 1Product 2Product 3
Trade name:
Med. Form/ dosage unit:
Daily dosage:
Method of administration:
Duration of administration:
from
to
from
to
from
to
Indications:
Results, condition
Comment (history data, allergies, treatment of AR)

hypersensitivity drugs pregnancy smoking alcohol


certain uncertain possible impossible conditional unconditional

Reporter's information



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