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What is an adverse reaction?

An adverse drug reaction (ADR) is any unintended reaction to a medicine. It is any unpleasant, disturbing or harmful response to a medicine that occurs during or after treatment.

How to report an adverse reaction?

Please report any adverse reactions you observe, as well as any other information regarding the use of our medicinal products, using your preferred method of contact.

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    Please send the completed form available below to the following address:

    Tarchomińskie Zakłady Farmaceutyczne Polfa S.A.
    Pharmacovigilance Department
    A. Fleminga 2 Street, 03-176 Warsaw

Report adverse reactions by filling out the FCS form (for patients or patient caregivers) or the CIOMS form (for healthcare professionals) available below.

Information on the processing of personal data is available in the Privacy Policy – Reporting Adverse Drug Reactions.

Forms to download

FCS form for patient or patient caregiver
CIOMS form for healthcare professionals

The report must include

  • the name of the medicinal product suspected of causing the adverse reaction

  • the initials, age or gender of the patient concerned

  • a description of the adverse reaction

  • your name and surname

Important information

  1. We encourage you to provide as detailed a description of the adverse reaction as possible. Any information may prove extremely valuable in establishing a cause-and-effect relationship between the medicinal product and the adverse reaction.

  2. Please report all symptoms that seem inappropriate, even if you are unsure about the relationship between their occurrence and the medicine being taken.

  3. Please inform us about cases of use of our medicines during pregnancy, breastfeeding and other reports related to the safety of our products.

  4. IMPORTANT! The contact details provided are not for medical advice or consultation purposes. If you are currently experiencing worrying symptoms, please contact your doctor or other healthcare professional first.

  5. If you require urgent medical intervention, please contact your doctor or emergency services by calling 112.

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