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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Consumption of Acetazolamide does not serve as substitute for acclimatisation methods unconscious
Whenever acclimatisation techniques are applied, it is not always necessary to use Acetazolamide
Despite taking Acetazolamide, some people still experience altitude sickness including HACE and HAPE
Please reach out if you need help comprehending this

Do you require assistance?

It is never a good idea to self-diagnose and treat urine incontinence.
At the very least, you should see your doctor for a checkup once a year.
You must follow your doctor's instructions for any treatment.
You should only order repeat supplies of medicines that your doctor has prescribed.

Please select one option
Do you require assistance?
I have never heard of it before
Not more than six months ago
More than six months ago.


If you do, what is your reason? It could be you experience allergies

If you dont, do you recognize that the national rules do not allow us to prescribe Azithromycin to you as treatment for chlamydia if you are unable to take Doxycyline which is the authorized medication.

Migrane medication such as Ergotamine.
Stomach discomfort medication such as Cisapride.
Fever medication such as Terfenadine.
Heart medication such as Sotalol or amiodarone.
Mental health/Bopolar disorder medication such as Amisulpride.
Gout medication such as Colchicine
Arrhythmia medication such as Digoxin
Blood thinner such as Edoxaban
Blood thinners such as Ticagrelor
Cancer medication such as Topotecan
Blood thinners such as Warfarin
Antibiotics such as Ciclosporin.

A kind of myasthenia.
A condition in which the body's potassium levels are low.
ventricular cardiac arrhythmia or other heart conditions.

Azithromycin is a drug to which you are allergic or hypersensitive to.
You've previously used Azithromycin and experienced major adverse effects.
You're taking Azithromycin for a different infection than chlamydia.

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

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.

Please select one option
Do you require assistance?
I have never heard of it before
Not more than six months ago
More than six months ago.


A kind of myasthenia.
Porphyria.
Lupus erythematosus.

Antibiotics.
Antihistamines such as stemizole or terfenadine.
Cisapride for stomach discomfort.
Quinidine for circulatory problems.
Pimozide for schizophrenia.

Night sweats or a fever.
Urine that contains blood or causes pain when passing.
Sudden weight loss or chest trouble.
Noticeable blood in your stools.
Infection of the urinary tract.
A broad sense of ill health.
Rectal pain or rectal discharge.

Do you require assistance?


This means, if your sexual partner requires the treatment, they must create an individual account with his/her personal email address and medical information.

Please note that if the same account makes multiple orders they will not be approved and reimbursement will be made.

Choose the most suitable option.
Do you require assistance?
After an examination by a certified doctor or a Sexual Health Clinic's diagnosis
You tested positive after a Chlamydia examination
Your sexual partner shared his awareness of the condition with you
You have undergone self examination

If yes, please provide details


If yes, please provide details


If yes, please provide details

Please provide details in this box here...


If yes, please provide details

If yes, please provide details


E.g. fructose intolerance, glucose-galactose malabsorption, or sucrase-isomaltase insufficiency

Acne
- Itchy skin without inflammation
- Itching around any private parts
- Infected skin
- Flushing of skin on or around your nose (rosacea)
- Spotty red rash around your mouth (perioral dermatitis)



If yes, please provide details




Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.

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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, if you start new medication or if 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.
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