About your condition and treatment
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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Did you know?
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
Are you willing to notify all of your former sexual partners about your diagnosis over the previous six months?
Do you require assistance?
Are you aware of the following:
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.
Do yu have a history of using Azithromycin for Chlamydia?
Please select one option
Do you require assistance?
Did you experience any side efects after using Azithromycin?
Do you have any reason why you can't take Doxycycline to treat chlamydia?
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.
Are you on any of these medications
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.
Are you expeiencing problems such as:
A kind of myasthenia.
A condition in which the body's potassium levels are low.
ventricular cardiac arrhythmia or other heart conditions.
Does any of the following statements apply to you
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.
If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option
Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.
Does any of these describe you?
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
Can we share this information with your General practitioner?
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.
Do yu have a history of using Doxycycline for Chlamydia?
Please select one option
Do you require assistance?
Did you experience any side efects after using Doxycycline?
Are you experiencing any of the folowing problems?
A kind of myasthenia.
Porphyria.
Lupus erythematosus.
Are you on any of the following medication?
Antibiotics.
Antihistamines such as stemizole or terfenadine.
Cisapride for stomach discomfort.
Quinidine for circulatory problems.
Pimozide for schizophrenia.
Do you have any of the following signs and symptoms?
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?
Are there any issues about your relationship or sexual partner(s) that you'd like to talk to a healthcare expert about privately?
Did you know that each registered account only secures treatment for one person?
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.
How are you able to tell if you have chlamydia and need to be treated?
Choose the most suitable option.
Do you require assistance?
Have you ever had an allergic or anaphylactic reaction to doxycycline or any other antibiotics?
If yes, please provide details
Women only: Are you breast feeding?
Do you have any liver problems?
If yes, please provide details
Are you likely to be exposed to strong sunlight or ultraviolet light (e.g. on a sunbed)?
Do you have any kidney problems?
If yes, please provide details
Please provide details in this box here...
Have you had two or more sexual partners in the last 12 months?
Have you had unprotected sex with more than one sexual partner in the last 3 months, or have you been treated for chlamydia in the last 3 months?
If yes, please provide details
Do you have any allergies?
If yes, please provide details
Women only: Are you pregnant or is there a possibility you may be pregnant?
Have you been told by your doctor that you have an intolerance to any sugars?
E.g. fructose intolerance, glucose-galactose malabsorption, or sucrase-isomaltase insufficiency
Do you have any of the following?
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)
Do you have diarrhoea or do you usually get diarrhoea when you take antibiotics?
Do you have any problems with your stomach or intestines?
Do you have any other recent or past medical history of note?
If yes, please provide details
Please list all your current prescription medication including any medication you buy over the counter...
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