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Side Effect?

Comment on a RxISK Report by a Health Care Professional

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Report share code*

Unique alphanumeric code located on the RxISK report that you are providing input for.

I am a*

Medical Doctor

Pharmacist

Nurse

Other

How likely do you think it is that there is a link between the suspect drug and the reported primary side effect?*

Very likely

Somewhat likely

Unlikely

I don't know what is causing it

If unlikely

I think it is more likely linked to the patient's original condition

I think it is more likely linked to another drug

Other

Comments

Email

This is not required but if you list one we can keep you notified about how many other HCPs have endorsed this treatment complication, and any developments in its management.

Name & address

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Phone

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Comment on a RxISK Report by a Health Care Professional

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