Contact — costero 3

For questions and remarks about our products, please contact us using the contact form below.

You can submit a question or remark anonymously or with your personal information. If you provide your contact details, Costero may reach out to you for additional questions. Leave the contact details empty if you do not wish to be contacted.

Costero cannot answer medical questions. If you have a medical question about the medication, please consult your treating physician.

You can also reach us directly by phone at +31 (0)20–800 6019.

Fields marked with an asterisk (*) are required.

I have a question

Personal Information

I am making a report

Which professional group do you belong to?

If Costero can contact you for additional questions, please provide your email address or phone number here.

Information about the person affected by the side effect

Gender

First Name

Last Name

Date of Birth/Age

Information about the medication and the side effects

The medication you are experiencing possible side effects from?

Dosage?

Indication (reason for use)?

Since when have you been using the medication?

If you have stopped, since when?

Batch/Lot number (you can find this on the packaging/box)?

Other medications you are currently using?

Description of the possible side effect

This side effect, your contact information, and the personal information you provide will be processed by Costero in accordance with Costero's Pharmacovigilance Privacy Statement.

I want to report a side effect

Via the contact form below, you can report side effects of Costero medications.

We monitor all effects of our medications as carefully as possible. To assess reported side effects as accurately as possible, they should preferably be reported as fully as possible. Additionally, we are obliged to report this information anonymously to the responsible authorities.

You can make a report anonymously or with your personal details. If you provide your contact details, Costero may contact you for additional questions. Leave the contact details empty if you do not wish to be contacted.

Costero cannot answer medical questions. If you have a medical question about the medication, please consult your treating physician.

You can also contact us directly by phone at +31 (0)20–800 6019.

Fields marked with an asterisk (*) are required.

Name

Gender

Date of birth

Phone

Select Product

Batch number

Your question