Complete a RxISK Report

Contact information is necessary to email you a copy of the RxISK report and RxISK score.

Supply as much information as you can. Include any medical history or other information you believe may help in the assessment of the side effect.

A person who has experienced a side effect should consult a health care practitioner about this and ideally bring this report with them.

The side effect may have been caused by other prescription drugs or non-prescription medications, or by the combination of products.

Provide as much information as possible to describe the primary side effect, including dates, symptoms experienced and their severity.

These questions help assess the likelihood that the primary side effect is linked to the suspect drug.

What is the overall impact of the primary side effect on the person? This information can be most important in understanding what is happening.

How you feel about a drug depends on how its benefits balance against unwanted side effects. This section lets others know whether, on balance, the person taking the drug feels the drug was "worth it." Please note that we may publish some of the information from this section. Sharing stories and not just numbers of reports is hugely valuable in allowing others to learn from your experience and understand their own. Please remove any information you don’t wish to share with other people (especially if it might allow people to identify you in some way).