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Home Page Compare Cold Symptoms and Flu Symptoms

Questions Related to Allergy

In order to prescribe treatments for Allergy our doctor needs some information regarding this specific condition. Please complete the following as accurately as possible.

Are you knowingly allergic to the treatment you are wishing to obtain or any of its ingredients?

Yes No

Please provide further details and state which ingredient you are allergic to

Have you taken the medicine you wish to obtain before?

Yes No

Please state how long you have been taking it and how frequently you take it

To date, have you ever taken or used any other antihistamines to manage your allergy symptoms?

Yes No

Please provide further details i.e. name of the product and how frequently you use it

Do you suffer from liver or kidney disease?

Yes No

Please provide further details

Are you pregnant, trying to conceive or breast-feeding or will you be while taking treatment?

Yes No

Please confirm that you understand that antihistamines may cause drowsiness in some patients and thus impair the ability to drive or operate machinery safely.

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© 2014 Professional medical advice available on treatments and conditions that Firstmed prescribes for. FirstMed Consulting is one of the United Kingdom's most trusted online Medical Healthcare Providers providing medical consultation and prescription medicines to people who wish to avoid the embarrassment of a physical examination with their own doctor. Our team of healthcare professionals consists of EU registered doctors and UK registered pharmacists who are committed to the highest standards of care.