Based on definition presented by WHO, an adverse drug reaction is a response to a medicinal product which is noxious and unintended and which occurs at doses normally used in man for the prophylaxis, diagnosis or therapy of disease or for the restoration, correction or modification of physiological function.

Attempting to minimize adverse drug reaction depends on the measures physicians or those involved in medicine science take for reducing such reactions or the pace, by which such reactions are reported.

In order to fulfill this aim, all members who are somehow in charge of presenting healthcare can have a significant role via voluntary reporting.

In case you experience any side effects after taking Kharazmi Pharmaceutical Company’s medicines, please fill in the below form for further follow-ups.


# Name (brand/or generic) Dosage forme Route of administration Frequency Date started Date stopped Name of Manufacturer and batch No Batch no

# Name (brand/or generic) Dosage forme Route of administration Frequency Date started Date stopped Name of Manufacturer and batch No Batch no