Advers Event Form

In case of occurrence of any adverse event related products Proceutica, Turkey Pharmacovigilance Center - referring to TÜFAM (; Tel: 0 800  314 00 08, Fax: 0 312 218 35 99) or 0 850 480 77 76 or by filling out the form below. The form you filled out will be forwarded to By reporting the adverse events that occur, you will contribute to obtaining more information about the safety of the drug you are using.

First and Last Name Initials *
Your Phone Number *
Your Email Address
Product Name *
Side Effect *
Patient Name and Surname Initials *
Patient Age
Patient Gender *
Patient Height (cm)
Patient Weight (kg)
Your message