Yellow Card

Panorama still wants to hear from you if you have been suffering from adverse reactions to Seroxat.

If you have a complaint about Seroxat then please fill in the form below, including your name and e-mail address and click on the 'send' button.

Panorama will then send you a yellow card form which can be filled in and sent back to the programme.

The Panorama yellow card is based on an idea from the Medicines and Healthcare products Regulatory Agency (formerly the Medicines Control Agency). They have a 'Yellow Card' form which allows doctors to log complaints that their patients have with drugs have.

Report

The yellow card idea was also used by Panorama when it carried out the detailed survey, in conjunction with the charity MIND, into the side effects of the drug Seroxat.

If you wish to receive a Panorama Yellow card then simply fill in the form below and click the 'send button.

Send me a Panorama Yellow Card:

Name:


Your E-mail address:


Town/Country:

Disclaimer: The BBC will put up as many of your comments as possible but we cannot guarantee that all e-mails will be published. The BBC reserves the right to edit comments that are published.