Report a Side Effect


Please complete the following information to report a side effect:

* obligatory fields


By reporting a side effect, you hereby agree and consent that Accord Healthcare Pty Ltd. (Ground Floor, Building 2, Tuscany Office Park, 6 Coombe Place, Rivonia, 2129, Johannesburg, South Africa) may collect, use, disclose and process your personal data submitted in this form and/or otherwise provided by you to us (i) in accordance with applicable laws and our Cookies and Privacy Policy and (ii) for the purposes of complying with the obligation under applicable laws to monitor the safety of medicines and for responding to medical information queries.

By submitting the form above, you also expressly consent to the transfer of your personal data (including but not limited to sensitive personal data) and the processing of such data, including but not limited to Intas Pharmaceuticals Ltd. (India) and other group members and their respective processors located in India or elsewhere. Accord Healthcare Ltd. and its group members do adopt reasonable state of the art security measures to prevent unauthorized and unlawful use of personal data.

At any time and subject to applicable laws, you may exercise the rights of access, rectification, cancellation, opposition and revoke your consent to use, disclose, transfer and process of your personal data, by contacting our data protection officer at

I have read and I accept the Cookies and Privacy Policy*