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1.何為不良反應(yīng)？

藥品不良反應(yīng)（ADR）：是指合格藥品在正常用法用量下出現(xiàn)的與用藥目的無關(guān)的有害反應(yīng)。藥品不良反應(yīng)≠質(zhì)量問題
2.為何要上報(bào)不良事件？

金賽藥業(yè)建立了多種收集渠道對(duì)產(chǎn)品安全性持續(xù)監(jiān)測(cè)，通過您上報(bào)的金賽產(chǎn)品不良事件/反應(yīng)，可幫助我們持續(xù)完善產(chǎn)品安全性特征，確?；颊叩挠盟幇踩?。
3.如何報(bào)告不良事件？

如果您發(fā)生不良事件，應(yīng)及時(shí)咨詢醫(yī)生，同時(shí)請(qǐng)您填寫不良事件/反應(yīng)報(bào)告表，也可以撥打藥品說明中熱線電話報(bào)告不良事件/反應(yīng)。對(duì)于您報(bào)告的不良事件/反應(yīng)，在此表示感謝！祝您和您的家人身體健康！
4.隱私說明

金賽藥業(yè)會(huì)遵守隱私法，對(duì)您及您上報(bào)的信息全程保密，請(qǐng)您放心填寫！

患者信息

姓名*

性別*

男

女

出生日期*

省份*

處方醫(yī)院*

用藥原因*

懷疑藥品信息

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  [0] => array(25) {
    ["id"] => string(1) "4"
    ["catid"] => string(2) "18"
    ["title"] => string(42) "吉林省金派格藥業(yè)有限責(zé)任公司"
    ["thumb"] => array(2) {
      ["thumb"] => string(0) ""
      ["alt"] => string(0) ""
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    ["keywords"] => string(0) ""
    ["description"] => string(0) ""
    ["content"] => string(0) ""
    ["url"] => string(0) ""
    ["count"] => string(1) "0"
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    ["command"] => string(1) "0"
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    ["status"] => string(1) "1"
    ["uid"] => string(1) "4"
    ["username"] => string(11) "system-2022"
    ["euid"] => string(1) "4"
    ["edituser"] => string(11) "system-2022"
    ["input_time"] => string(10) "1739147165"
    ["create_time"] => string(10) "1739147176"
    ["update_time"] => string(10) "1739147189"
    ["custom_code"] => string(0) ""
    ["static_title"] => string(0) ""
    ["email"] => string(19) "adr@genscigroup.com"
    ["group"] => array(1) {
      [0] => array(1) {
        ["s1gtitle"] => string(21) "利丙雙卡因乳膏"
      }
    }
  }
  [1] => array(25) {
    ["id"] => string(1) "3"
    ["catid"] => string(2) "18"
    ["title"] => string(30) "保盛藥業(yè)股份有限公司"
    ["thumb"] => array(2) {
      ["thumb"] => string(0) ""
      ["alt"] => string(0) ""
    }
    ["keywords"] => string(0) ""
    ["description"] => string(0) ""
    ["content"] => string(0) ""
    ["url"] => string(0) ""
    ["count"] => string(1) "0"
    ["sort"] => string(1) "0"
    ["command"] => string(1) "0"
    ["isdel"] => string(1) "0"
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    ["status"] => string(1) "1"
    ["uid"] => string(1) "4"
    ["username"] => string(11) "system-2022"
    ["euid"] => string(1) "4"
    ["edituser"] => string(11) "system-2022"
    ["input_time"] => string(10) "1739147011"
    ["create_time"] => string(10) "1739147052"
    ["update_time"] => string(10) "1739147076"
    ["custom_code"] => string(0) ""
    ["static_title"] => string(0) ""
    ["email"] => string(19) "adr@genscigroup.com"
    ["group"] => array(1) {
      [0] => array(1) {
        ["s1gtitle"] => string(48) "醋酸甲地孕酮口服混懸液（美適亞）"
      }
    }
  }
  [2] => array(25) {
    ["id"] => string(1) "2"
    ["catid"] => string(2) "18"
    ["title"] => string(36) "長(zhǎng)春金賽藥業(yè)有限責(zé)任公司"
    ["thumb"] => array(2) {
      ["thumb"] => string(0) ""
      ["alt"] => string(0) ""
    }
    ["keywords"] => string(0) ""
    ["description"] => string(0) ""
    ["content"] => string(0) ""
    ["url"] => string(0) ""
    ["count"] => string(1) "0"
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    ["isdel"] => string(1) "0"
    ["free"] => string(1) "0"
    ["status"] => string(1) "1"
    ["uid"] => string(1) "1"
    ["username"] => string(9) "supertech"
    ["euid"] => string(1) "4"
    ["edituser"] => string(11) "system-2022"
    ["input_time"] => string(10) "1693896357"
    ["create_time"] => string(10) "1693883568"
    ["update_time"] => string(10) "1756346272"
    ["custom_code"] => string(0) ""
    ["static_title"] => string(0) ""
    ["email"] => string(19) "adr@genscigroup.com"
    ["group"] => array(12) {
      [0] => array(1) {
        ["s1gtitle"] => string(36) "注射用人生長(zhǎng)激素（賽增）"
      }
      [1] => array(1) {
        ["s1gtitle"] => string(36) "人生長(zhǎng)激素注射液（賽增）"
      }
      [2] => array(1) {
        ["s1gtitle"] => string(57) "聚乙二醇重組人生長(zhǎng)激素注射液（金賽增）"
      }
      [3] => array(1) {
        ["s1gtitle"] => string(48) "注射用重組人促卵泡激素（金賽恒）"
      }
      [4] => array(1) {
        ["s1gtitle"] => string(45) "人粒細(xì)胞刺激因子注射液（賽強(qiáng)）"
      }
      [5] => array(1) {
        ["s1gtitle"] => string(39) "注射用醋酸奧曲肽（金迪林）"
      }
      [6] => array(1) {
        ["s1gtitle"] => string(27) "醋酸曲普瑞林注射液"
      }
      [7] => array(1) {
        ["s1gtitle"] => string(63) "外用人粒細(xì)胞巨噬細(xì)胞刺激因子凝膠（金扶寧）"
      }
      [8] => array(1) {
        ["s1gtitle"] => string(42) "注射用醋酸西曲瑞克（金賽捷）"
      }
      [9] => array(1) {
        ["s1gtitle"] => string(48) "重組人促卵泡激素注射液（金賽恒）"
      }
      [10] => array(1) {
        ["s1gtitle"] => string(41) "黃體酮注射液（II）（金賽欣）"
      }
      [11] => array(1) {
        ["s1gtitle"] => string(42) "注射用伏欣奇拜單抗（金蓓欣）"
      }
    }
  }
  [3] => array(25) {
    ["id"] => string(1) "1"
    ["catid"] => string(2) "18"
    ["title"] => string(39) "北京金賽增醫(yī)療科技有限公司"
    ["thumb"] => array(2) {
      ["thumb"] => string(0) ""
      ["alt"] => string(0) ""
    }
    ["keywords"] => string(0) ""
    ["description"] => string(0) ""
    ["content"] => string(0) ""
    ["url"] => string(0) ""
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    ["free"] => string(1) "0"
    ["status"] => string(1) "1"
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    ["username"] => string(9) "supertech"
    ["euid"] => string(1) "4"
    ["edituser"] => string(11) "system-2022"
    ["input_time"] => string(10) "1693885883"
    ["create_time"] => string(10) "1693883470"
    ["update_time"] => string(10) "1750126555"
    ["custom_code"] => string(0) ""
    ["static_title"] => string(0) ""
    ["email"] => string(18) "pv@genscigroup.com"
    ["group"] => array(2) {
      [0] => array(1) {
        ["s1gtitle"] => string(15) "地諾孕素片"
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        ["s1gtitle"] => string(24) "鹽酸托莫西汀膠囊"
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}

懷疑藥品*

利丙雙卡因乳膏

醋酸甲地孕酮口服混懸液（美適亞）

注射用人生長(zhǎng)激素（賽增）

人生長(zhǎng)激素注射液（賽增）

聚乙二醇重組人生長(zhǎng)激素注射液（金賽增）

注射用重組人促卵泡激素（金賽恒）

人粒細(xì)胞刺激因子注射液（賽強(qiáng)）

注射用醋酸奧曲肽（金迪林）

醋酸曲普瑞林注射液

外用人粒細(xì)胞巨噬細(xì)胞刺激因子凝膠（金扶寧）

注射用醋酸西曲瑞克（金賽捷）

重組人促卵泡激素注射液（金賽恒）

黃體酮注射液（II）（金賽欣）

注射用伏欣奇拜單抗（金蓓欣）

地諾孕素片

鹽酸托莫西汀膠囊

藥品上市許可持有人*

生產(chǎn)批號(hào)/規(guī)格*

不良反應(yīng)名稱

報(bào)告者信息

報(bào)告者*

報(bào)告者聯(lián)系方式*

醫(yī)生
藥師
患者/患者家屬
護(hù)士
其他

驗(yàn)證碼*

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