{"id":6108,"date":"2025-09-02T13:33:46","date_gmt":"2025-09-02T11:33:46","guid":{"rendered":"https:\/\/belupoenazure.shape-dev.com\/?page_id=6108"},"modified":"2026-07-03T12:26:19","modified_gmt":"2026-07-03T10:26:19","slug":"reporting-side-effects","status":"publish","type":"page","link":"https:\/\/www.belupo.hr\/en\/reporting-side-effects\/","title":{"rendered":"Reporting side effects"},"content":{"rendered":"\n    <section class=\"landing-block\">\n        <div class=\"container-fluid\">\n            <div class=\"container\">\n                <div class=\"row\">\n                    <div class=\"col-lg-5\">\n                        <div class=\"landing-block__info landing-block__info--no-desc\">\n                                                                    <a href=\"https:\/\/www.belupo.hr\/en\/\" class=\"breadcrumbs regular\">\n                                            <svg width=\"14\" height=\"14\" viewBox=\"0 0 14 14\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M10.5 9.91668L7.58333 7.00001L10.5 4.08334M6.41667 9.91668L3.5 7.00001L6.41667 4.08334\" stroke=\"#EC1C24\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg>\n                                            Home                                        <\/a>\n                                                                                                                                <h1 class=\"medium as-h2\">Reporting side effects<\/h1>\n                                                                                <\/div>\n                    <\/div>\n                    <div class=\"col-lg-6 offset-lg-1\">\n                                                        <div class=\"landing-block__image\">\n                                    <img decoding=\"async\" src=\"https:\/\/www.belupo.hr\/en\/uploads\/2025\/09\/Fotka-9.png\" alt=\"\" \/>\n                                <\/div>\n                                            <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/section>\n\n\n\n<section class=\"report-side-effects-block dynamic-forms-block\">\n    <div class=\"container\">\n        <div class=\"row\">\n            <div class=\"col-lg-6 m-auto\">\n                <div class=\"report-side-effects-block__info\">\n                                            <div class=\"as-h3 bold\">The safety of our products and the health and well-being of our patients are important to us.<\/div>\n                                                                <p><p>If you wish to report an adverse reaction (undesirable effect) that may be associated with the use of a Belupo medicine, please fill in the form below.<\/p>\n<p>You can also contact us via email:<\/p>\n<p><a href=\"mailto:&quot;pharmacovigilance@belupo.hr&quot;\">pharmacovigilance@belupo.hr<\/a><\/p>\n<p>or by phone:<\/p>\n<p><a href=\"+38512481222\">01 2481 222<\/a>; <a href=\"+38512481 213\">01 2481 213<\/a>; <a href=\"http:\/\/+38512481203\">01 2481 203<\/a>; <a href=\"http:\/\/+38512481271\">01 2481 271<\/a>; <a href=\"http:\/\/+38512481212\">01 2481 212<\/a><\/p>\n<\/p>\n                                    <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"row\">\n            <div class=\"col-lg-8 m-auto\">\n                                    \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f6120-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"6120\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/6108#wpcf7-f6120-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"6120\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f6120-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"cf7-wrapper\">\n    <div class=\"cf7-input\">\n        <label>Product name <span class=\"req\">*<\/span><\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"text-input\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name of the product that caused the side effects\" value=\"\" type=\"text\" name=\"text-input\" \/><\/span>\n    <\/div>\n    <div class=\"cf7-input\">\n        <label>Product batch\/serial number <\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"text-input-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Enter the product batch number\" value=\"\" type=\"text\" name=\"text-input-2\" \/><\/span>\n    <\/div>\n<\/div>\n\n<div class=\"cf7-wrapper\">\n    <div class=\"cf7-input\">\n        <label>Date the side effect was observed<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"date-181\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Choose a date\" value=\"\" type=\"date\" name=\"date-181\" \/><\/span>\n    <\/div>\n<\/div>\n\n<div class=\"cf7-wrapper\">\n    <div class=\"cf7-input\">\n        <label>E-mail address <span class=\"req\">*<\/span><\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"email-580\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter contact e-mail address\" value=\"\" type=\"email\" name=\"email-580\" \/><\/span>\n    <\/div>\n    <div class=\"cf7-input\">\n        <label>Phone number <span class=\"req\">*<\/span><\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-961\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter contact phone\" value=\"\" type=\"tel\" name=\"tel-961\" \/><\/span>\n    <\/div>\n<\/div>\n\n<div class=\"cf7-wrapper\">\n    <div class=\"cf7-input\">\n        <label>Age <\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"text-132\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Age of the person who experienced the side effect\" value=\"\" type=\"text\" name=\"text-132\" \/><\/span>\n    <\/div>\n    <div class=\"cf7-input\">\n        <label>Gender <span class=\"req\">*<\/span><\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"select-dropdown\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"select-dropdown\"><option value=\"\">Gender of the person who experienced the adverse reaction<\/option><option value=\"M\">M<\/option><option value=\"F\">F<\/option><\/select><\/span>\n    <\/div>\n<\/div>\n\n\n\n<div class=\"cf7-wrapper\">\n    <div class=\"cf7-input\">\n        <label>Description of the adverse reaction and additional notes <span class=\"req\">*<\/span><\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-151\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Describe the adverse reaction\" name=\"textarea-151\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n\n<div class=\"cf7-wrapper justify-content-center\">\n   <span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-checkbox\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-checkbox\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read and agree to the <a href=\"https:\/\/www.belupo.hr\/en\/privacy-policy\/\">Privacy Policy<\/a>.<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n\n<div class=\"cf7-wrapper justify-content-center position-relative\">\n   <input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn--background medium\" type=\"submit\" value=\"Send\" \/>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n                            <\/div>\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n<section class=\"share\">\n    <div 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