Report a side effect

Your safety matters to us. If you or someone you care for experienced an unwanted or unexpected effect after using a product distributed by Littman Drug Corporation, please tell us. Every report is reviewed by our drug-safety team and handled confidentially.

If this is a medical emergency, call 911 or go to the nearest hospital immediately. This form is not monitored around the clock and is not for urgent medical help.

Who can report?

Anyone. Patients, family members, caregivers, doctors, pharmacists and nurses are all welcome to report. You don't need to be sure the product caused the effect; if you suspect it, report it.

About you

I am a… Required

Patient Family member / caregiver Physician Pharmacist Nurse Other

Your name Required Email address Required Phone Optional

May we contact you for follow-up?

Yes No

About the patient

Initials (not the full name) Optional Age or age range Optional Sex Optional Pregnant? Optional

About the product

Product Required Product name, if not listed Batch / lot number (on the box) Optional Expiry date Optional Why was the product being used? Optional When was it started and stopped? Optional

About the side effect

What happened? Please describe the effect. Required When did it start? Optional Current status Optional

Was the patient hospitalized, or was the effect life-threatening?

Yes No Unknown

Other medicines Other medicines, supplements or herbal products taken at the same time Optional

I consent to Littman Drug Corporation processing this information, including health information, for drug-safety monitoring, and sharing it with FDA Philippines and the product manufacturer as required by law. Patient identity is kept confidential. See our Privacy Policy.

Other ways to report

Email: drugsafety@littmandrug.com
Phone: (02) 8696-3290 to 94, ask for Drug Safety
You may also report suspected adverse drug reactions directly to the Food and Drug Administration Philippines.

FDA Philippines (opens in a new tab)