Antiretroviral Adverse Drug Reaction Report form

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To report a suspected adverse drug reaction (“side effect”) to an antiretroviral medication, download and complete the Antiretroviral Adverse Drug Reaction Report form and fax or mail it to the BC-CfE Pharmacovigilance Initiative (address shown on the top of the form).

To learn more about HIV drug safety monitoring and adverse drug reaction reporting, click here.

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During the Canada Post strike, the following measures have been undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office.  (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During this time, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service.

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