Adverse Drug Reaction Form

Physicians are invited to contribute case reports to the Canadian Ocular Adverse Drug Reactions Registry, a national registry managed by The Canadian Ophthalmological Society (COS) for collecting and recording proven or suspected ocular and systemic adverse reactions to ophthalmic medications.

The registry is sponsored jointly by COS and the Product-Related Disease Division of Health Canada’s Health Protection Branch.

Adverse drug reaction case reports should include the following details:

Submit an Adverse Drug Reaction Report

Dr. Paul Rafuse
COS Board Liaison, Pharmacology Affairs
Canadian Ophthalmological Society
110 – 2733 Lancaster Rd.
Ottawa, Ontario K1B 0A9
Fax: 613.729.7209