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Medical Assessment

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You are currently completing the Oral Tablets consultation for Hay Fever treatments.
Looking for a different treatment type for Hay Fever? Select one of the options below:
About You
Are you breast feeding or pregnant or planning to become pregnant in the next 6 months?
    You should speak to a doctor about medications that are suitable for you
    Please complete this question.
    Have you previously experienced an allergic reaction to antihistamines such as fexofenadine, loratadine or cetirizine or are you lactose intolerant?
      You should speak to a doctor about medications that are suitable for you
      Please complete this question.
      Your Health
      Have you been diagnosed with any of the following?
      • Kidney or liver problems
      • A history of heart problems such as an irregular or fast heartbeat or angina
      • Epilepsy
      You should speak to a doctor about medications that are suitable for you
      Please complete this question.
      Your Medication
      Are you taking any oral medications for allergies/hayfever?
      You should only take one antihistamine tablet a day. Do not mix oral antihistamines. Stick to one anthistamine and take once daily only.
      Please complete this question.
      Have you taken antihistamine tablets before?
      We will be able to prescribe loratadine (clarityn) or cetirizine (piriteze), but if you have not taken antihistamines before, we cannot prescribe fexofenadine (telfast).
      Please complete this question.
      Agreement
      Do you understand that you should not take: Indigestion remedies (such as antacids) or Ulipristal (emergency contraception or treatment for fibroids) 2 hours before or after taking an antihistamine?
        If you need more information contact our help-line.
        Please complete this question.
        Do you understand there is a possibility that oral antihistamines may cause drowsiness and affect driving or operating machinery? You should check that the antihistamine tablets you receive do not make you feel sleepy or dizzy before driving or operating machinery.
          If you need more information contact our help-line.
          Please complete this question.
          Do you understand you should stop taking antihistamine tablets and speak to your GP if your symptoms do not improve after 2 weeks of starting treatment?
            If you need more information contact our help-line.
            Please complete this question.
            Do you agree to the following?
            • You will read the patient information leaflet supplied with your medication
            • You will contact us and inform your GP of your medication if you experience any side effects of treatment, you start new medication and/or your medical conditions change during treatment
            • The treatment is solely for your own use
            • You have answered all the above questions accurately and truthfully
            • You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
            • You understand that whilst decisions relating to your treatment are made jointly between you and the prescriber, the final decision to issue a prescription will always be with the prescriber
            You must agree to this before continuing. If you need assistance contact our customer support.
            Please complete this question.
            Complete our 2 minute questionnaire
            We’re almost done!
            Ana Carolina Osorio De Faria Goncalves
            To find a treatment suitable for you, we just need you to answer a few questions.
            Ana Carolina Goncalves
            Superintendent Pharmacist
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            Need help?

            If you need help with this medical assessment, contact our helpline:

            0207 112 9014

            or email us:

            help@pharmica.co.uk
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