Pharmacovigilance

 

 

 

What is it?

Pharmacovigilance is defined by the World Health Organization as the detection, assessment, understanding and prevention of adverse reactions or other safety issues associated with medicines and medical devices.

 

 

Objectives

Pharmacovigilance aims at detecting, recording and assessing adverse reactions to drugs and medical devices in order to prevent them.
The implementation of the Pharmacovigilance System is focused on maximizing benefits and minimizing risks in the use of our products in the community.

 

 

Monitoring security

The security monitoring goes along with the product´s entire lifecycle, whether it is a new drug, a generic drug or an older medicine available on the market, for which is always possible to detect new evidences regarding their safety profile.

The spontaneous reporting of adverse reactions by health professionals is a valuable information that needs to be collected, processed and then 'returned' to the medical community and to patients. Thus, it is provided access to the latest and most accurate information about drug safety.

Through continuous and effective monitoring of drug safety it is possible to inspire and build the confidence of patients, health professionals and society as a whole.

 

 

Safety Signs

In Pharmacovigilance, a safety sign consists of a hypothesis supported by data which may or may not justify the relation between the event and the suspected drug. Thus, it is a warning that needs further investigation. Although the safety signs may arise from other sources, the most common source is spontaneous reporting.

Examples of Safety Signs:
A new side effect that was not described before
The increased severity or specificity of a known adverse effect
Increasing frequency of a known adverse effect
New drug interactions

Any new information about contraindications, precautions and overdose

 

Adverse Reaction

What is it?

Adverse reaction is any noxious and / or unintended reaction to a drug, which occurs at doses which are normally used in humans for prophylaxis, diagnosis, treatment of diseases or recovery, correction or modification of physiological functions.

 

 

Types of Adverse Reactions

Adverse Drug Reaction (ADR)

Any noxious and/or unintended reaction to a drug, which usually occurs at doses used for prophylaxis, diagnosis, treatment of diseases or recovery, correction or modification of physiological functions, in human use. There is a cause-effect relation between the adverse event and the drug.

 

Serious Adverse Reaction

Any adverse reaction that is life-threatening, leads to death, requires hospitalization or its prolongation, results in a significant or persistant disability, involves a congenital anomaly, or also if it is classified as medically important.

 

Unexpected Adverse Drug Reaction

An adverse reaction whose nature, severity, intensity, or effect is incompatible or not described in the Summary of Product Characteristics.

 

Quality problems

Non-compliance of drug parameters (altered integrity, visible abnormalities and contamination by microorganisms and other changes in the final product).

 

Lack of Therapeutic Effect

Absent effectiveness of product / drug.

 

Other Problems

Labeling errors in the Product Information Leaflet (PIL) and / or packaging of the product / drug, which may have some interference, namely in the therapeutic compliance and effectiveness or in the exacerbation of the adverse reactions.

 

 

Assessment of causality 

The causal attribution made by Well Pharma refers to a clinical judgment that determines if a product/drug could be responsible for the emergence of an adverse reaction.
Once proven or not a causal relation between the adverse reaction and the drug/product, a decision is taken, which eventually leads to contact the competent authorities and other health professionals, and apply the appropriate safety measures.

 

 

Spontaneous Notification

 

What is it?

The notification of adverse reactions to drugs in clinical practice by health professionals, allows detection of rare adverse effects or specific ones to certain races, geographic regions or different clinical settings.
The evaluation of safety signals is of utmost importance in the notification process.

 

 

What to notify?

All suspected serious adverse reactions, even those already described in the Summary of Product Characteristics.

All suspected adverse reactions not described in the Summary of Product Characteristics, serious or non-serious.

All suspicions of an increased frequency in adverse reaction, whether severe or non-severe.

 

 

Who to Notify?

The adverse reaction reports should be sent to the Health Authority, INFARMED, and to the Pharmaceutical Industry/Company that is the Marketing Authorisation Application holder.
The adverse reactions concerning to Well Pharma´s products can be made ​​through notification on this website or by sending the information to the contacts detailed below.

Well Pharma, S.A.

Departamento de Farmacovigilância
Rua Dr. Eduardo Santos Silva, nº 449
4200-284 Porto
E-mail: info@wellpharma.eu
Telef: +351 225 420 870
Fax: +351 225 419 014

INFARMED - Autoridade Nacional do Medicamento e Produtos de Saúde, I.P.

Centro Nacional de Farmacovigilância 
Parque de Saúde de Lisboa - Avenida do Brasil, 53
1749-004 Lisboa - Portugal
Telef: 217987100 
Fax: 217987316
Sitewww.infarmed.pt

 

 

Legislation

 

European

  • Directive 2001/83/EC of the European Parliament and of the Council, as      amended;
  • Regulation (EC) Nº 726/ 2004 of the European Parliament and of the Council;
  • Guidelines for Pharmacovigilance for Medicinal products for Human use, the rules Governing Medicinal products in the European Union, Notice to Applicants, Volume 9A, Setembro 2008;
  • Guideline on risk management Systems for medicinal Products for Human Use EMEA/CHMP/96268/2005;
  • Template for EU Risk Management Plan EMEA/192632/2006.

 

National

  • Decree-Law nº 176/2006 of August 30th