Name *

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DeathLife-threateningCongenital anomalyRequires inpatient hospitalisation or prolongation of existing hospitalizationResults in persistent or significant disability or incapacityRequired intervention to prevent permanent injury
Other (Specify)
Report Source
Other (Specify)
Product Type
DrugVaccineHerbal ProductsCosmeticsDiagnostics
Other (Specify)
Action Taken
Drug withdrawDose reducedFrequency reducedDose increasedTherapy changedRequired treatment with prescription medicationNo action was taken
Current patient condition
RecoveredRecoveringNo ImprovementUnknown
Other (Specify)
Does the event happened because of Quality Issue
Does the product stored according to the instructions
Quality observation
Physical, chemical or microbial changesPresence of ParticlesSuspected contaminationNo effectPackagingLabeling problems (caused by printing errors / omissions)Product confusion (caused by name, labeling, design or packaging)
Other (Specify)
Sample Availability
Did the physician or pharmacist had been informed
YesNoI don’t Know
Did the physician or pharmacist submit ADR report
YesNoI don’t Know
Can we get more information from the responsible physician
YesNoI don’t Know



SITCO PHARMA as leading pharmaceutical company , Covering all regions in Kingdom of Saudi Arabia through four main branches, western, central, eastern and southern region.

Additional sales offices will be available in Madinah, Qasim and Makkah cities.

Reach us

For general Information:
For Complaint or Suggestions:

Image result for telephone clipart images Tel. : +966 12 6647699 Ext. 14 Or 15
Ramadan Working Hours: Sunday – Thursday: 09:30 – 15:30
Friday – Saturday: Closed