Welcome to Citizens Committee on Human Rights Australia

Drug Side Effect Report Form

Please fill in the Drug Watch Report Form Below

Name: (yours and anyone else involved - i.e. Your child, family member etc.)

First Name: *

Last Name: *

Street & No:

Suburb:

State:

Contact Phone No:

2nd Contact Phone No:

Your Email:

Birth Date: *

(dd/mm/yyyy)

* and bold means a required field

	(Product Name)	(Manufacturer)
1
2

	Dose or Amount
1
2

	Dates of Use (Approximation if necessary)
	From	To
1
2

Adverse Result of Psychiatric Drug (Check all that apply)
Death Life-threatening Disability or Permanent Damage Birth Defect	Physical Side Effect Hospitalization Emotional/Mental Side Effect

Please Describe Reaction
(Leave field blank if not applicable)

Medical/Physical Reaction(s):

Mental/Emotional Reaction(s):

CCHR What we Believe

Drugging Our Children

RECOGNITION OF CCHR

CCHR's humanitarian work has been recognised the world over for ensuring legal rights and protections for consumers and/or their families. Read more...

DRUG WARNINGS

CCHR led the fight for informed consent to psychiatric treatment, obtaining the first law in South Australia in 1979 that granted patients the right to consent to or refuse electroshock treatment. In recent years, it has filed numerous requests to the Therapeutic Goods Administration to reveal all the adverse drug reactions for psychotropic drugs reported to it. Click here to read more

DRUG SIDE EFFECTS

No matter what country someone is prescribed a psychiatric drug, the side effects are the same: dangerous, sometimes life-threatening, but always debilitating. CCHR International in Los Angeles decoded the U.S. Food and Drug Administration psychotropic drug reports database to produce this drug side effects search engine for consumers. This is also relevant to all Australians. You can also view a selection of ADHD drug reactions including Ritalin, Concerta, Dexamphetamine & Strattera obtained by CCHR.

Psychiatric Drugs

An Australian Report Titled, Psychiatric Drugs and Violence documents how Antidepressants and Antipsychotics can Cause Violence.
The report was written as Australians are not adequately warned that psychiatric drugs can cause homicidal actions and thoughts....

Click to Download