Submit Medical Inquiry

This form is not intended to report adverse events or product quality complaints.

To report an adverse event or product quality complaint,
you may:

Call

• 1-800-455-1141 for Lundbeck Products, except:
• 1-800-438-9927 for
• ABILIFY ASIMTUFII® (aripiprazole)

• ABILIFY MAINTENA^® (aripiprazole)

• REXULTI^® (brexpiprazole)
• 877-TAKEDA-7 (877-825-3327) for TRINTELLIX^® (vortioxetine)

Submit an Online report form to Lundbeck

Report directly to the FDA at 1-800-FDA-1088
or visit www.fda.gov/medwatch

For medical inquiries related to ABILIFY ASIMTUFII®, ABILIFY MAINTENA^® or REXULTI^®, please submit an Online medical inquiry to Otsuka America Pharmaceuticals, Inc.

For medical inquiries related to Trintellix^®, please submit an Online medical inquiry to Takeda Pharmaceuticals.

Required fields are marked with an asterisk (*)

Your Inquiry

Select the Product for your Inquiry:*

Please indicate how you would like the response to your question(s) delivered:*

Telephone

Mail

Has patient taken Lundbeck product?

Yes

Your Question for Lundbeck:*

Your Contact Information

Select the option that best describes you:*

First Name:*

Last Name:*

Facility / Clinic:

Address:*

City:*

State:*

ZIP Code:*

Email Address:*

Telephone Number:*

This form is intended to be used by licensed US healthcare professionals to request information from US Medical Affairs at Lundbeck. This form is not intended to collect personally identifiable health information and any response given should not be construed as medical advice for a particular patient.

By clicking SUBMIT you are confirming that your question(s) are unsolicited, and that you have read and agreed to Lundbeck’s Terms of Use and Privacy Policy, and that the wording above accurately states your request(s) and/or question(s), and awareness that per the Physician Payment Sunshine Act, article reprints are a reportable item of value.

Server Error

Submit your question directly to the Lundbeck Medical Information team by completing the form below.

Your Inquiry

Your Contact Information

Submit your question directly to the Lundbeck
Medical Information team by completing the form below.