Our team is always available to answer your questions.

    General questions:

    Tel number : +49 (0) 89 – 4518748-28.
    Fax number : 49 0 89 4518 748 20
    e-mail : info.de@amaroxpharma.com

    Pharmacovigilance notification

    If your request relates to an adverse event (or side effect) that occurred in connection with the use of one of our products, please send your report to:
    Tel number : +49 (0) 89 – 4518748-28.
    Fax number : 49 0 89 4518 748 20
    E-Mail : safety@amaroxpharma.com

    We treat all information as strictly confidential and in accordance with the statutory data protection guidelines.

    SIDE EFFECT REPORTING FORM

      Reporter Details
      Initials
      Healthcare ProfessionalPatientRelative
      Patient Initials
      Product 1
      Product 2
      Product 3
      Product 4
      Suspected relation with
      Product 1Product 2Product 3Product 4
      Taken Earlier
      YesNo
      Tolerated
      YesNo
      Possibility Reexposition
      Neg.Pos.
      Anamnestic characteristics
      NicotineAlcoholContraceptivesPacemakerImplantsRadiotherapyPhysic TherapyDietAllergiesMetabolic DefectsMedicine abuseOthers
      Life Threatening
      YesNo
      Outcome of the adverse drug reaction
      RecoveredPermanent DamageNot Yet RecoveredUnknownExitus
      Section
      YesNo
      Attach findings if applicable