purpose of this form is to enable you to record for CARM
(Centre for Adverse Reaction Monitoring) and the Ministry
of Health what you believe was an adverse reaction to a prescription
medicine that you as a patient experienced.
The need for this form has arisen
because in recent TV documentaries, newspaper and magazine
articles, and radio talk-back programmes it has become
apparent that adverse reactions to drugs are being under-reported
in New Zealand.
Health Canada is reported (Toronto Star, Dec.4, 2004, H Section: "A
drugged nation") as estimating that "fewer than 1 in
10 cases are ever reported". There is no reason to believe
that the New Zealand situation is different.
New Zealand, like Canada, has no legal requirement for prescribers
of drugs to report patients' adverse reactions. The Centre for
Adverse Reactions Monitoring in New Zealand (CARM) has a form on
its website for prescribers of drugs. It is unlikely that in a
15 minute consultation with a patient, time will be found to complete
such a form.
This form therefore enables the patients themselves (consumers)
to participate in compiling a more accurate picture so that knowledge
can be established of how well a drug appears to be being tolerated.
Proper reporting of possible adverse reactions enables better
monitoring of the effects of medicines in common usage.
Your Doctor or a MOH official may contact you in relation to
Your pharmacy will provide on request information
on potential adverse reactions that any medicine may
Click here to get the Adverse Reaction Form in PDF to print and send by post or use the online form below