Obviously, there would be merit in reporting all adverse reactions, but you have to bear in mind that the feedback would come from patients and would be in their words. How would we, as professionals, manage this additional information that is already known to us?
Firstly, the adverse reaction reported by the patient may already be known to us, it may already have been recorded. Secondly, how are we going to tell patients that if they experience any adverse reactions they should make a list and inform us of them? We are already leery of informing patients of all the adverse reactions listed, for example, in the CPS. How would we manage all of this?
For example, if I meet a patient and tell him that he should inform me of any adverse reaction that I have not mentioned, he is going to want to know what I mean. I would then have to list off the 200 known ADRs and tell him that, should he experience any that I have not mentioned, he should let me know. It would be a real headache to manage. I agree with you. I have been managing information from patients for 30 years, and these are people who are worried about adverse reactions.