Treatment Questions | Pharma Aesthetics

Answer medical questions to order

Have you read the hay fever medical information?

Yes No

Are you allergic to the hay fever treatment you wish to obtain?

Yes No

Beconase, Dymista, and Avamys nasal sprays contain steroids.

Have you been diagnosed with liver or kidney disease, history of irregular heart rhythms, epilepsy, or porphyria?

Yes No

Are you pregnant or breastfeeding or intending either whilst taking treatment?

Yes No

Are you aware that there is a small chance that antihistamine tablets can cause drowsiness and impair driving?

Yes No

Do you have any further medical information or questions?

Yes No

Do the following conditions apply?

Yes No

The medication is for my own use and I will not share with anyone else I will read the patient information leaflet(s) supplied with medication I am over 18 and I agree to identity verification checks I have completed this questionnaire myself and fully understand all the information My responses are honest and accurate, and I understand that this is necessary for a safe medical assessment I agree to the terms & conditions, privacy policy, data sharing policy & consent to cookies.

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Hay fever

Answer medical questions to order

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