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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Have you ever had an allergic or anaphylactic reaction to tablets containing Fexofenadine or any other tablets?
If yes, please describe the reaction
Do you preseently suffer from hay fever?
If not, please explain why you need this treatment.
Do you have any severe allergies?
If yes, please describe the allergy/reaction
Did you know that desloratadine can make you drowsy and that you should not drive or operate machinery if you are affected?
Do you have any immunosuppressive disorders such as HIV?
Do you have a history of using Dymista to treat hay fever?
If so, how successful was it?
Women only: Are you pregnant, planning pregnancy, or is there any possibility that you could be pregnant?
Do you have a history of using Flixonase to treat hay fever?
If so, how successful was it?
Are you currently taking any other antihistamines?
Do you have a history of using Levocetirizine to treat hay fever?
If so, how successful was it?
Have you been told by your doctor that you have allergic rhinitis?
Did you know that Levocetirizine can make you drowsy and that you should not drive or operate machinery if you are affected?
Women only: Are you breast feeding?
Can yoe relate to any of the following statements?
You're allergic to Levocetirizine or other antihistamines like cetirizine or loratidine, or you're hypersensitive to them.
Do you have any liver problems?
If yes, please provide details
Do you have a history of using Nasonex to treat hay fever?
If so, how successful was it?
Do you take antacids regularly?
Do you have a history of using Opticrom to treat hay fever?
If so, how successful was it?
Do you have any kidney problems?
If yes, please provide details
Can you relate to any of the following symptoms?
Inside the eye, there is pain.
Do you have any heart problems?
If yes, please provide details
Are you aware of the following:
It is never a good idea to self-diagnose and treat urine incontinence.
Have you been diagnosed with asthma?
Do you have a history of using Optilast to treat hay fever?
If so, how successful was it?
Please list all your current prescription medication including any medication you buy over the counter...
Do you have a history of using Rhinolast to treat hay fever?
If so, how successful was it?
Do you have any recent or past medical history of note?
If yes, please provide details
Do you have a history of using Telfast to treat hay fever?
If so, how successful was it?
Did you know that Telfast can make you drowsy and that you should not drive or operate machinery if you are affected?
Do you presently suffer from hay fever?
If not, please explain why you need this treatment.
Do you have a history of using Xyzal to treat hay fever?
If so, how successful was it?
Do you have a history of using Desloratadine to treat hay fever?
If so, how successful was it?
Has the target user tried a different medicine to address the symptoms before?
If yes, what medicine was consumed and how effective was it?
Kindly identify some of the symptoms you are experiencing
You can select more than one option
Do you find these symptoms new and strange or have you had them for a long time?
Kindly select your option
Do you have a history of using Avamys to treat hay fever?
If so, how successful was it?
Are you on any of the following medication?
Antibiotics.
Are you familiar with any of the following conditions?
Glaucoma.
Can you relate to any of the following statements?
You have or have had stomach or duodenal ulcers, as well as stomach or intestinal bleeding in the past.
What is your biological gender?
Please select your option
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.
Can you relate to any of the following?
You have an underlying medical condition
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 you have a history of using Beclometasone to treat hay fever?
If so, how successful was it?
Did you know that:
A healthcare practitioner should assess any acute injuries.
Are you the actual consumer of this medicine?
If not, please describe in detail who the intended consumer is and how old he/she is.
What symptoms do you intend to treat using this medicine?
Please provide more information
For how long has the consumer of this medicing experienced these symptoms?
Please select your option
Did you know that Xyzal can make you drowsy and that you should not drive or operate machinery if you are affected?
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