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MEDICATION REACTION FORM WARNING

Should you experience a severe adverse reaction to your medication or experience thoughts of self-harm / suicidal ideation, contact your Medisonal or your GP within office hours. BUT if your symptoms are severe or out of office opening hours contact the services BELOW URGENTLY!

EMERGENCY / OUT OF HOURS CONTACTS:

· GP / GP OUT OF HOURS SERVICE
· ACCIDENT & EMERGENCY / URGENT CARE
· 111 (REQUEST CRISIS TEAM FOR MENTAL HEALTH EMERGENCY)
· 999 – OTHER EMERGENCIES OR IMMEDIATE THREAT OF HARM TO SELF OR OTHERS
· 116 123 – SAMARITANS (URGENT SUPPORT SERVICE)

Once it is safe to do so, please report all unwanted effects of your medicines using the form below.

DO NOT FILL IN IF EXPERIENCING A SEVERE REACTION!