Contact Us

AVANDIA ALERT

A recent study published in the New England Journal of Medicine showed a 43% higher risk of heart attack and other heart related adverse events for those taking Avandia compared to people taking other diabetes medication or no medication. As a result, the FDA and several national health organizations are now urging anyone who is taking Avandia to talk to their doctor about the potentially significant increased risk of heart attack and death from cardiovascular causes associated with the drug. With over $13 million Avandia prescriptions filled and $2.2 billion in US sales last year, this represents a potentially enormous legal, as well as health, issue.

If you or someone you love has experienced a heart attack or suffered from cardiovascular disease since taking Avandia, please complete the questionnaire below and email it to us. We will insure that your legal rights are protected and that you are included in any legal actions that may be taken.

Let us put our experience and expertise to work for you!

NOTE: An asterisk (*) indicates REQUIRED information. The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

AVANDIA QUESTIONNAIRE

*NAME :

ADDRESS:

Street

City

State

Zip Code

PHONE NUMBER :

*E-MAIL ADDRESS :

AVANDIA USAGE INFORMATION

DATE STARTED TAKING AVANDIA:

DOSAGE:

MEDICAL REASON FOR PRESCRIPTION:

PRESCRIBING DR.:

PHONE:

ADDRESS:

CHANGES IN DOSAGE SINCE FIRST PRESCRIBED:

DATE STOPPED TAKING AVANDIA:

OTHER MEDICATIONS TAKEN DURING THE ABOVE TIME PERIODS INCLUDING DATES AND DOSAGES:

CARDIAC HISTORY - BEFORE TAKING AVANDIA

CONDITION:

DATE CONDITION STARTED:

NAME AND ADDRESS OF TREATING CARDIOLOGIST(S) FOR THIS CONDITION :

MEDICAL PROCEDURES TO TREAT CONDITION:

DATES AND LOCATION OF ALL PROCEDURES:

ANY HISTORY OF CONDITION(S) IN FAMILY?

CARDIAC HISTORY - AFTER TAKING AVANDIA

CONDITION:

DATE(S) OF CONDITION:

NAME AND ADDRESS OF TREATING CARDIOLOGIST(S):

MEDICAL PROCEDURES TO TREAT CONDITION:

DATES AND LOCATION OF ALL PROCEDURES:

ANY HISTORY OF THESE CONDITION(S) IN FAMILY?

HOW DID YOU HEAR ABOUT THIS QUESTIONNAIRE?

OUR WEBSITE
NEWSPAPER
FAMILY OR FRIEND
OTHER (PLEASE LIST)

WE ARE A FULL SERVICE LEGAL FIRM. OUR LAWYERS HAVE EXPERIENCE AND PROVEN SUCCESS IN A WIDE VARIETY OF LEGAL FIELDS.

If you have any other legal matters you would like us to help you with, please describe them here.

WE WILL CONTACT YOU WITHIN 10 BUSINESS DAYS. THANK YOU.


Office Location
101 Grovers Mill Road
Suite 200
Lawrenceville, NJ 08648
Map & Directions