Submit Questions About Astellas Medicines

Use the form below to submit your medical inquiry to our Medical Information staff. This form should not be used to report potential adverse events or product complaints or to submit questions about access and reimbursement. Please visit our Contact Us page to find the appropriate country-specific contact information for these topics or if you require immediate assistance.

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Please fill in all required fields and check the boxes before submitting your information.

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By ticking the box, I confirm that I consent to the collection and processing of my personal information in line with the Astellas Privacy Notice for Pharmacovigilance and Medical Information Enquiries Global PV and Med Info Privacy

Thank you for your inquiry. Your submission has been received. A response will be sent to you via your preferred method of contact. If you wish to speak directly with someone from your local Astellas affiliate or have other Astellas-related questions, please visit our Global Directory page to find the appropriate location-specific contact information.

You are now leaving Astellas.com and entering the Medical Affairs Portal, where you can submit a Medical Information Request Form. Click "Continue" to proceed or "Go Back" to cancel.

You are now leaving Astellas.com and entering the Medical Affairs Portal, where you can submit a Medical Information Request Form. Click "Continue" to proceed or "Go Back" to cancel.