Medical Enquiry or to Report a Suspected Side Effect form (UK14WEB0011a(4) DoP: January 2019)


Adverse events should be reported.  Reporting forms and information can be found at

Adverse events should also be reported to Servier Laboratories Limited by submitting this form.

If you are a patient reporting a side effect please also talk to your doctor, pharmacist or nurse.  This includes any possible side effects not listed in the package leaflet.


Please provide as much detail as possible. Providing more information enables us to respond more quickly. If you are based outside of the UK please visit and use Contact Us
Servier is committed to protecting your privacy. If you submit an enquiry, Servier Laboratories Ltd and Servier Research and Development Ltd will collect and process your personal information for the purposes of dealing with your enquiry and to comply with our legal obligations regarding drug safety surveillance. We will contact you if we require further information regarding your enquiry. All personal information you share with us in your enquiry will be processed in accordance with the EU General Data Protection Regulation, the Data Protection Act 2018 and all other applicable data protection laws. Please note you have certain rights regarding your personal information. For further information on our use of your personal information including your rights, please see our Privacy Notice accessible here: or use the Privacy Notices link at the bottom of this page. If you provide us with any personal information relating to another person, you must ensure that you direct them to the Privacy Notice on our website as soon as possible. If you have any questions relating to our use of your personal information please contact us by email at or by post to the Compliance Department, Servier Laboratories Ltd, Sefton House, Sefton Park, Bells Hill, Stoke Poges, Slough SL2 4JS.