CARDS - Centre For Adverse Reactions to Drugs Scotland NHS Scotland
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Complete a Yellow Card

Do I need to be certain before Reporting?
All that is required is a reasonable suspicion that a health effect has been caused by a medicine in normal therapeutic use. It is important to remember that proof of association, for example, by a rechallenge, is NOT necessary.

In the case of serious reactions reporters are often uncertain as to whether to send in reports of reactions they regard as well known. For serious reactions it is still important to report these since this information is used to develop health policies, for example, on over the counter marketing, and to allow relative toxicity of drugs that are in the same class to be compared.

If you are concerned about the effects of drugs taken in overdose then in Scotland please contact the Scottish Poisons Information Bureau website or telephone 0870 600 6266.

Information to include on a Yellow Card
Information should include:
Details of the patient
Please complete at least one of; the patient's identifying number (eg Chi), a local identifier or initials, together with their age, gender, and weight.

Suspect drug
Please complete the drug name, route, dose, dates of administration and if known the indication.

Suspect reaction
Please provide the clinical information available to you including date, outcomes, and treatment if known or relevant.

Other drug prescriptions
Please also include details of all additional other medicines prescribed for the patient in the previous 3 months. This is necessary because the drug you suspect may in fact only have caused the reaction because of an interaction with one of the other prescribed medicines. Collecting data of this sort is extremely helpful in identifying ADRs.

Reporter details
Please complete all the details requested in the box, including a contact name, an address and ideally telephone number. If you are not a physician please also include the relevant clinician's name in the adjacent box.

How do I complete a Yellow Card?
• Either print out, complete and post the paper version to us or fill in the online form here.

• If you don't want to complete a Yellow Card you can send us details of a reaction you wish to discuss with a member of staff here together with a contact telephone number or e-mail address and we will get back to you.

Confidentiality
Confidentiality of health details are important to patients and health professionals alike. Nevertheless, without a patient identifier on the yellow card it will not be possible for us to make full use of the report. This information is important in follow-up, and may also help to prevent duplicate reports on the database. In the case of reports from pharmacists and nurses, this information will also be used to notify the doctor who is involved in the patients care and who has prescribed the medicine. This is important because the doctor may be able to provide additional information not available at the time of reporting.

The reporter, however, must include all details of their name and address in order that appropriate follow-up may be taken. If the reporter is anonymous it is unlikely the report will be entered into the database since this does not constitute a valid report.