Teata kõrvaltoimest

Kui teie või isik, kelle nimel te kõrvaltoimest teatate, kannatab hetkel ravimi või meditsiiniseadme poolt põhjustatud tõsise kõrvaltoime all, peaksite enne meile teatamist ühendust võtma arsti, apteekri või meditsiiniõega.

Ravimite kasutamisel on lisaks oodatavale kasule alati ka risk kõrvaltoimete tekkeks. Novo Nordisk jälgib oma toodete ohutust ja kvaliteeti, seda nii kliiniliste uuringute andmete põhjal, aga ka läbi kõrvaltoimete ja kvaliteedialaste kaebuste uurimise. Kvaliteedi- ja ohutusalase teabe pidev jälgimine võimaldab kiirelt ja asjakohaselt tegutseda, et tagada patsientide ohutus.

Reporter information

Name

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Asukoht*

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Please enter the location*

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Check if you are a Health Care Professional

Healthcare Professional type

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Information about the person who experienced the side effect

Who experienced the side effects?

You

Your child

Someone else

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Age at the time of the side effect

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Gender

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Asukoht

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Information about the medicine

Add all Novo Nordisk suspect products

Vajadusel võite lisada rohkem kui ühe Novo Nordiski ravimi või meditsiiniseadme. Valige "Lisage veel Novo Nordiski tooteid"

{{ numberToText(Number(index) + 1) }} suspect product

Remove

Name of the product*

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The product batch/LOT number

The batch/LOT number is printed on the packaging of the medicine and on the product. If you do not have the number, leave the field empty.

On which date did you start taking the product?

On which date did you stop taking the product?

Check if the product is still being taken

Product dosage and frequency

Describe the condition for which the product was taken

Add another suspect product +

Side effect description

Loetlege kõrvaltoime(d), millest soovite teatada. Võite vajadusel teada anda mitmest kõrvaltoimest, selleks valige 'Lisage veel kõrvaltoimeid'.

{{ numberToText(Number(index) + 1) }} side effect

Remove

Side effect*

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Please describe details of the side effect experienced

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Start date of the side effect

Stop date of the side effect

Please check if the side effect has not stopped

Add another side effect +

Consent and data privacy

Notice of personal data processing*

Selle vormi esitamisel nõustun oma isikuandmete töötlemisega Novo Nordiski poolt

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May Novo Nordisk contact you for further information, if needed?*

Yes (please provide contact details in the fields below)

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Telefoninumber

Meil*

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Confirm email*

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May Novo Nordisk contact your doctor for further information, if needed?

Yes (please provide contact details in the fields below)

Doctor's name

Doctor's phone number

Doctor's email*

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Confirm doctor's email*

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