EpiPen

A prescriber reads every answer. Answer honestly: a wrong answer here is not a shortcut, it is the thing that makes a medicine unsafe for you.

1About your health
2About this treatment
3About you

Allergies

Do you have any allergies to medicines? * Yes No I am not sure

Which medicines, and what happened? *

Current Medications

List any medicines you take, including anything you buy without a prescription. *

Medical History

Are you being treated for any long-term condition? * Yes No

Which conditions? *

Allergies

Have you had a previous reaction to any eye drops? * Yes No

Have you been diagnosed with hayfever (seasonal allergic rhinitis) by a doctor or nurse previously? * Yes No

Medical History

Is there any gunky discharge coming from your eye? * Yes No

Do you experience episodes of serial sneezing? * Yes No

Do you experience congestion in both nostrils? * Yes No

Do you experience a runny nose? * Yes No

Do you feel the need to clear your throat often? * Yes No

Do you only experience one runny nostril? * Yes No

Do you experience nasal discharge from only one nostril? * Yes No

Do you experience persistent blood-stained discharge? * Yes No

Have you had a recent nasal/head injury in the past 4 weeks? * Yes No

What have you tried before (including dose)? *

When were you diagnosed (month/year)? * Yes No

Do you experience discharge from only one nostril? * Yes No

Do you experience nasal =congestion in both nostrils? * Yes No

Current Medications

Have you tried any hayfever medications before (over-the-counter or prescription)? * Yes No

I will read the Patient Information Leaflet before using this nasal spray.I will use the spray exactly as directed and will not exceed the recommended dose.I understand steroid nasal sprays work best when used regularly and may take a few days to reach full effect.I will gently blow my nose before use and avoid spraying directly onto the nasal septum/middle wall of the nose.I understand mild nose irritation, dryness, sneezing, unpleasant taste/smell, headache or minor nosebleeds can occur.I will stop using the spray and seek advice if I develop repeated nosebleeds, nasal pain, sores, crusting, whistling when breathing through the nose, or worsening irritation.I will seek urgent medical advice if I develop severe facial swelling, difficulty breathing, rash, or signs of a severe allergic reaction.I will seek medical advice if I develop eye pain, blurred vision, visual disturbance, or worsening glaucoma/cataract symptoms.I will tell the prescriber if I have recently had nasal surgery, nasal injury, nasal ulcers, recurrent nosebleeds, untreated nasal infection, or tuberculosis.I will tell the prescriber if I am taking other steroid medicines, including steroid tablets, inhalers, creams, eye drops, or other nasal sprays.I will tell the prescriber if I am taking strong CYP3A4 inhibitors such as ritonavir, cobicistat, ketoconazole, itraconazole, or clarithromycin.I will seek advice if symptoms do not improve after regular use, worsen, or keep returning.I will seek medical advice if I have one-sided nasal blockage, facial pain/swelling, thick green discharge, fever, repeated nosebleeds, or loss of smell that is new or worsening. * Yes No

Your answers are seen by the prescriber reviewing your order and the dispensing pharmacist. They are not used for marketing.

Online Pharmacy

Prescription and pharmacy medicines supplied by registered UK pharmacies, after a consultation reviewed by an independent prescriber.

Information on this site is not a substitute for medical advice.

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