Abstract: Objective To introduce some topics about serious adverse drug reaction (SADR) surveillance in Taiwan area of China. Methods Based on the related data and the author's learning experience in Taiwan area of China, some issues about SADR surveillance, such as the results, related act, relief act, and preventive measures are all introduced. Results Now the percentage of SADR report is more than 38.7%, Pharmaceutical Affairs Act, Procedure for Reporting SADR, and Drug Injury Relief Act are the important guarantee of SADR surveillance, the studies for allele-drug-induced injuries are the major feature in Taiwan area of China. Conclusion Taiwan area of China has reached the level of developed countries in SADR surveillance.

Key words: serious adverse drug reaction, surveillance, Taiwan area of China