To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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If not, please describe in detail who the intended consumer is and how old he/she is.

Please describe in detail



A single alcoholic drink equals: A pint of 4% alcoholic bevarages, 175 ml (medium) wine glass, Twice the level of spirit

Height should be above 1 ft 10 inches

Sleep interruptions caused by heartburns or indigestion
Having a hoarse or sore throat
Constantly coughing or wheezing especially at night
None of the above

You are above 65 years in age
You are 55 years or older and are having the symptoms for the first time in a year or your symproms could be evolving or getting worse
You have anaemia, Struggling or having pain when swalowing anything
Having unexplainable weight loss
You've had bloody vomits, surgery and have battled with gastric ulcers or jaundice
Your stool is dark and sticky or you bleed from your rectum (Most specifically a dark blood).

If your situation changes or worsens
If the mediction stops working
If you don't feel better within the first five days of medication
If the medication causes any advese health effects


Diazepam for anxiety treatment
Phenytoin for epilepsy treatment
Glipizide for diabetes treatment
Triazolam for insomnia treatment
Nelfinavir, Delaviridine or Atazanavir for HIV
Anti-inflamatory medication (e.g. asprin, naproxen or ibuprofen)
Sucralfate for ulcers
Gefitnib for lung cancer
Warfarin for blood thinning
Lidocaine (An anaesthesia)
Theophylline for breathing challenges

Porphyria
Stomach Ulcers
Cancer of the stomach
Issues related to your immune system

You develope allergies or are highly sensitive to Femotidine
You develop allergies or are very sensitive to the drug
You are treating other conditions not related to heartburn, reflux, or indigestion using the drug

Male
Female
Transmale (Born a female)
Transfemale (Born a male)

You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have cardiovascular conditions or might have had suffered a stroke
You suffer from a low liver or kidney function



Please provide more information

Please select your option
At least 72 hours
A week
A month
More than a month

If yes, what medicine was consumed and how effective was it?

Please select your option
Male
Female
Transmale (Born a female)
Transfemale (Born a male)

Please select your option
Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding

Please provide more information of the medication being used if any.

You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have cardiovascular conditions or might have had suffered a stroke
You suffer from a low liver or kidney function



It's my first time
Under a month
Almost a year
Several years
After taking naproxen for Gastric Protection

Once in a while after meals or drinks
Everyday
Every week
After taking naproxen for Gastric Protection


Please describe in detail

If No, please describe how you got to know about the medication.

Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.
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