General
Pharmacovigilance

   Telephone

  (+34) 93 446 53 00

   Fax

  (+34) 93 446 53 33

International
ethical channel

Head office

Avda. Diagonal 605, 6ª pl.
08028 – Barcelona, Spain

Madrid office

C/Musgo, 2 – PB, letter D
28023 – Madrid, Spain

Industrial Facility

C/Boters, 5
08290 – Cerdanyola del Vallès
(Barcelona) Spain

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General Contact:

 

If you would like to contact us or make a request, please fill in the following form with your details. The people responsible for the corresponding areas will get in touch with you.

    CONTACT INFORMATION

    Name *

    Surname *

    Email *

    Telephone

    Country

    City/State

    REASON FOR CONTACT *

    * Required fields

    I have read and accept the Privacy Policy.

    LACER, S.A.U. shall process my personal data in order to manage the application I am sending it using this form. The document Privacy Policy shows me how I may exercise my rights of access, correction, suppression, limitation, portability and opposition.

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    Pharmacovigilance Contact:

    I would like to report an ADVERSE REACTION / safety information about a LACER, S.A.U. product.

    MORE INFORMATION

    If you wish to report a suspected adverse reaction or provide any other safety information (*) of any of the company’s products, whether a drug, cosmetic product, food supplement or healthcare product for human use marketed by LACER, S.A.U., please fill in the following form.

      DATA OF THE REPORTER

      Name *

      Surname *

      Date of birth *

      Sex *

      MaleFemale

      Email *

      Telephone

      Postcode

      City

      Region *

      Country

      Are you a healthcare professional? *
      YesNo

      Are you the person affected by the adverse event? *
      YesNo

      DATA OF THE PERSON WHO HAS PRESENTED THE EVENT

      Date of birth *

      Sex *

      MaleFemale

      Postcode

      City

      Region*

      Country

      ADVERSE REACTION DATA

      Lacer Product Involved *                                  

      Batch number of Lacer product involved

      Type of event *

      Information on the event *

      I hereby certify the veracity of the information: *

      * Required fields

      I have read and accept the Privacy Policy.

      LACER S.A.U.; EFARMES S.A. Sociedad Unipersonal and/or QUALIX Pharmaceuticals S.A. Sociedad Unipersonal, shall process my personal data in order to know who has notified the case and adequately monitor it; analyse and send the healthcare authorities information on suspicious of adverse reactions that I have informed them of and to monitor the notification/the case in fulfilment of the regulations of the pharmaceutical industry. The document Privacy Policy provides instructions of how I may exercise my rights of access, correction, suppression, limitation, portability and opposition.

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      Safety situations

      (*) Any other information relating to the safety of any company product refers to situations such as:

      • Exposure through the mother / father (exposure during conception, pregnancy or breastfeeding)
      • Lack of efficacy
      • Off-label use
      • Accidental exposure to the product
      • Overdose (accidental or intentional) / abuse / addiction / dependence on the company product
      • Product problem or misuse, whether intentional or not / medication or dispensing error
      • Suspected transmission of infectious agent
      • Pharmacological interaction
      • Withdrawal syndrome
      • Occupational exposure

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      International Contact:

       

      If you would like to contact us or make a request, please fill in the following form with your details. The people responsible for the corresponding areas will get in touch with you.

        CONTACT INFORMATION

        Name *

        Surname *

        Email *

        Telephone

        Country

        City/State

        This query is related to an event or claim related to the use of a Lacer product? *

        REASON FOR CONTACT *

        * Required fields

        I have read and accept the Privacy Policy.

        LACER, S.A.U. shall process my personal data in order to manage the application I am sending it using this form. The document Privacy Policy shows me how I may exercise my rights of access, correction, suppression, limitation, portability and opposition.

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        Ethical Channel Contact:

         

        Please enter your details in this form if you wish to report a possible breach of applicable legislation or the Lacer Group’s Ethical Code. Please provide as much detail as possible so that the situation can be properly investigated. If necessary, the Compliance Department will contact you once it has received the report. If you prefer, you can contact us by email at canal.etico@lacer.es.

          CONTACT INFORMATION

          Name *

          Surname *

          Email *

          Telephone

          Country

          City/State

          REASON FOR CONTACT *

          I have read and accept the Privacy Policy.

          Lacer S.A.U. shall process your data for the purpose of handling your complaint or claim and taking the relevant steps, and you shall be able to closely monitor the complaint status, processing and closure. Full information is provided in the Privacy Policy on data protection and you are hereby informed that you may exercise your rights of access, rectification, erasure, objection, restriction of processing and data portability.