Reporting
Adverse drug reacting reporting
If you see or treat a patient with Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN), we ask that you submit an adverse drug reaction report .
We are a research group examining the drugs associated with TEN/SJS and their treatment. We ask that you print off the adverse drug reaction report form available from the Canadian Adverse Drug Reaction Monitoring Program (CADRMP) or the PDF files available below. Please complete and send to our toll-free fax number: 1-866-520-9042. We will enter the information received in a registry and submit to the national reporting program.
- English - sri_tenreg_ar-ei_form-eng.pdf
- French - sri_tenreg_ar-ei_form-fra.pdf
Visit MedEffect Canada's adverse reaction reporting page for more information.
Forms can also be printed and faxed to 1-866-678-6789 (central program in Ottawa) or mailed to the one of the regional programs:
British Columbia
British Columbia Regional AR Center
c/o BC Drug and Poison Information Centre
1081 Burrard St.
Vancouver BC
V6Z 1Y6
Alberta
Alberta Regional Adverse Reaction Centre
c/o Suite 730
9700 Jasper Ave.
Edmonton AB
T5J 4C3
Saskatchewan
Saskatchewan Regional AR Centre
c/o Saskatchewan Drug Information Service
College of Pharmacy and Nutrition, University of Saskatchewan
110 Science Place
Saskatoon SK
S7N 5C9
Manitoba
Manitoba Regional Adverse Reaction Centre, Room 114
510 Lagimodiere Blvd.
Winnipeg MB
R2J 3Y1
Ontario
Ontario Regional AR Centre
c/o LonDIS Drug Information Centre
London Health Sciences Centre
339 Windermere Rd.
London ON
N6A 5A5
Quebec
Quebec Regional AR Centre
C/o Drug Information Centre, Hopital du Sacre-Coeur de Montreal
5400 boul. Gouin ouest
Montreal QC
H4J 1C5
Atlantic
Atlantic Regional AR Centre
New Brunswick, Nova Scotia, Prince Edward Island, Newfoundland and Labrador
C/o Queen Elizabeth II Health Sciences Centre, Drug Information Centre
1796 Summer St., Room 2421
Halifax NS
B3H 3A7
All Territories
National AR Centre
Marketed Health Products Safety and Effectiveness Information Division,
Marketed Health Products Directorate
Tunney’s Pasture Address locator: 0701C
Ottawa ON
K1A 0K9


