Pharmactive İlaç A.Ş. – Active For Your Health

If you suspect an adverse effect/side effect due to the use of our medicines, you can consult your doctor or pharmacist and send a notice us by filling out the form below.

In addition, please click here to make a notification with the "Adverse Reaction Notification Form". After filling the form, you can send it to our Pharmacovigilance Officer via e-mail.

In case of emergency, you can contact our Pharmacovigilance Officer to report any adverse effects by calling 0 216 385 93 33 or sending an e-mail to pharmactive@deltapv.com.

Initials of the Patien’s Name and Surname

Name Of The Pharmactive Medicine Used By The Patient

Experienced Adverse Reaction/Side Effect

E-mail Address Of The Notifier

Date of Birth / Gender of the Patient

Other Concomitant Medications

Initials Of The Notifier's Name And Surname

Notifier’s Telephone Number

I have read Privacy Information and Explicit Consent Text regarding personal data protection and processing, and I consent my personal data to be processed by PHARMACTIVE for the purposes of managing advertisement/campaign/promotion processes and managing marketing process of products/services, and to be transferred to group companies, affiliates and subsidiaries and related business partners of PHARMACTIVE, limited to these purposes.

I have read Privacy Information and Explicit Consent Text regarding sending electronic commercial messages, and I consent PHARMACTIVE to send electronic commercial messages for the purposes of managing advertisement/campaign/promotion processes and managing marketing process of products/services, and to make announcements for the purposes of promotion and marketing.

Product Security

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