Reporting Adverse Events

Other Medications Taken

By clicking “SUBMIT” below, I authorize Alembic and its agents to use the personal information I provide (“Information”) for the following purposes: (i) to respond to my inquiry or request and to provide information about my product complaint, adverse event (side effect), or other product inquiries; and (ii) to send me any appropriate product follow up. I understand that I may withdraw my consent to receive future communications at any time by using the “unsubscribe” link included in electronic messages or by contacting Alembic as described in its Privacy Policy.

I also authorize Alembic to: (i) combine my Information with that of other users to create aggregated and anonymized data, and to use and share such anonymized data for FDA required adverse event reporting, product reviews or other mandated activities; and (ii) use, disclose, and otherwise process my Information as described in Alembic’s Privacy Policy. I understand that Alembic’s Privacy Policy may be updated from time to time and that the most current version will be available on Alembic’s website. I also acknowledge that my use of this website is subject to Alembic’s Terms of Use.

By checking this box, I consent to Alembic communicating with me about my reported side effect, product issue, or other product inquiry.

Please provide consent before submitting the report.