Pharmacovigilance-en

Pharmacovigilance Intas B2B

At Intas Third Party Sales 2005 S.L. , the safety of our medicines and the well-being of patients are our highest priorities.

If you or your patient have experienced an adverse effect (side effect) related to an Intas Third Party Sales 2005 S.L product, wish to report a quality issue, or have a medical inquiry, we invite you to complete the form below.

The information you provide is essential for enhancing the safety of our medicines and protecting patient health.

We operate a pharmacovigilance system that allows us to collect and evaluate any suspected adverse reactions (side effects) associated with our products.

Form for notification of adverse reactions

If you would like to report a suspected adverse reaction (side effect), you may do so through your healthcare professional or directly via this form.

Who is reporting?:*

Type of consultation:*

Patient information (if applicable, respecting privacy)

Age:

Sex:

Weight (kg):

Height (cm):

Suspected medication

Name of the medication:*

Dosage form (tablet, capsule, syrup, injection, etc.):

Dose:

Expiration date:

Batch/lot number:

Additional comments:

Comentario:

Reporter’s contact information

Name:*

Surname:*

Email:*

Phone:

Confirm email:*

Description of adverse reaction, medical consultation or quality claim

Adverse reaction:*

I acknowledge that Intas Third Party Sales 2005, S.L. may use this information to respond to my request and process my personal data as outlined in the Privacy policy *. Please do not use this contact form if your query is related to the processing of your personal data by Intas Third Party Sales 2005, S.L. Such kind of queries shall be sent to the Data Protection Responsible, as indicated in our Privacy policy *.

Por favor, deja este campo vacío.

Data protection

By reporting a side effect, submitting a quality complaint, or making a medical inquiry, you acknowledge that Intas Third Party Sales 2005 (World Trade Center, Moll de Barcelona, s/n, East Building, 6th Floor, 08039 Barcelona, Spain), as the data controller, will process the personal data you provide through this form and/or by other means: (i) in accordance with applicable data protection laws and our [Cookies and Privacy Policy], and (ii) for the purpose of fulfilling our legal obligation to monitor the safety of medicines and to respond to medical information requests. Your personal data (including, but not limited to, special categories of data) may be transferred outside the European Economic Area (“EEA”), including — but not limited to — to Intas Pharmaceuticals Ltd. (India), other group members, and their respective data processors. You can find a list of our group members in the relevant section of our website. Although some of these entities are located in countries (such as India) that, according to the European Commission, do not offer the same level of data protection as countries within the EEA, Intas Third Party Sales 2005 has implemented state-of-the-art security measures to prevent the unauthorized or unlawful use of personal data and has adopted the necessary legal safeguards, including the most recent version of the Standard Contractual Clauses. At any time, and subject to applicable laws, you may exercise your rights of access, rectification, erasure, objection, and withdrawal of consent by contacting our Data Protection Officer at: EU_compliance@intaspharma.com.