Pharmacovigilance

The company LLC ORGANOSIN LTD, Ukraine, as the authorized representative of the applicant ORGANOSIN LIFE SCIENCES (FZE), UAE, provides consumers with the high-quality, efficient, and safe medicines.

We continuously monitor the safety and efficiency of our medicines in accordance with the requirements of current legislation, international standards, and the ethical principles of the Company.

The timely detection and collection of data on unwanted effects of medicines is essential for the proper functioning of the Company’s pharmacovigilance system.

We’ll be most grateful for any information regarding the detection of side effects or the lack of effectiveness when using our Company’s medicines.

Below is a report form for completion. Select the appropriate form and fill it out.

For your convenience, there is also a 24-hour hotline +38 050 444 70 26 which can be used to report side effects.

The information submitted by you is strictly confidential and will not be disclosed!

• Patient card
• Card for medical workers

Patient Information

• Surname
• First Name
• Patronymic

• Phone
• Address

Information about the suspected medicinal product, vaccine, tuberculin

• Trade Name*
• Manufacturer*
• Dosage Form*

Prescribed Usage Scheme

• Number of doses per day

  units

• Dosage per dose

  mg

Information about the prescription of the suspected medicinal product, vaccine, tuberculin

• The suspected medicinal product, vaccine, or tuberculin was dispensed to the patient with a doctor’s prescription

  YesNo

• The patient used the suspected medicinal product, vaccine, or tuberculin without a doctor’s prescription

  YesNo

Description of manifestations of adverse reaction to the medicinal product, vaccine, tuberculin and/or adverse event after immunization/tuberculin diagnostics and/or note on lack of effectiveness of the medicinal product

Reporter Information

• Surname
• First Name
• Patronymic

• ApplicantPatientRelative of the patient (specify in contact information)Authorized representative of the patient (lawyer, legal advisor)Other (specify in contact information)
• Phone
• Address

Information about the doctor, healthcare facility and place of residence of the patient who experienced an adverse reaction to the medicinal product, vaccine, tuberculin and/or lack of effectiveness of the medicinal product and/or adverse event after immunization/tuberculin diagnostics

• Surname
• First Name
• Patronymic
• Place of Residence

• Contact Phone
• Name of the healthcare facility where the attending doctor works*
• Location of the healthcare facility*
• I consent to the collection and processing of my personal data

Submit

Patient Information

• Surname
• First Name
• Patronymic

• Phone
• Address

Information about the suspected medicine, vaccine, tuberculin

• The suspected medicine, vaccine, or tuberculin was dispensed to the patient with a doctor's prescription

  YesNo

• The patient used the suspected medicine, vaccine, or tuberculin without a doctor's prescription

  YesNo

• Was the adverse reaction completed or not?

  YesNo

• Type of adverse reactionNon-seriousSerious
• Consequences of adverse reactionRecoveredRecovered with consequencesNo changesUnknown
• What actions were taken after detecting the adverse reaction?No treatmentNon-drug therapyDrug therapyHemodialysisSurgical treatment

Specify the data on the course of the adverse reaction

Reporter Information

• Surname
• First Name
• Patronymic

• ApplicantDoctorPharmacistPharmaceutical chemistNurseFeldsherMidwife
• Phone
• Address

Information about the doctor, healthcare facility, and residence of the patient who experienced an adverse reaction to the medicine, vaccine, tuberculin, and/or lack of drug efficacy, and/or adverse event following immunization/tuberculin diagnostics

• Surname
• First Name
• Patronymic
• Place of residence

• Contact Phone
• Name of the facility where the treating doctor works*
• Location of the healthcare facility*
• I consent to the collection and processing of my personal data

Submit