Medical Assessment for Hay Fever

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You are currently completing the Oral Capsules consultation for Hay Fever treatments.

Looking for a different treatment type for Hay Fever? Select one of the options below:

About You

Are you aged between 18-70?

Yes

We may still be able to offer you treatment, but with a limited medicine range.

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Are you breast feeding or pregnant or planning to become pregnant in the next 6 months?

Yes

You should speak to a doctor about medications that are suitable for you

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Are you pregnant or breastfeeding?

Yes

You may still be able to use hayfever treatment, but it is safest to discuss with your GP. Please consult your GP.

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Do you suffer predominantly with symptoms of runny nose, blocked nose, or sneezing?

Yes

Nasal steroid sprays are most effective for these symptoms. If you are not experiencing any of these symptoms you should consider another treatment. Please consult your GP.

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Have you ever had an allergic reaction to Mometasone Furoate, Beconase (Beclometasone) or Benzalkonium Chloride?

Yes

We are unable to supply you with a steroid nasal spray. Please consult your GP.

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Have you had a previous reaction to any eye drops?

Yes

This product is not suitable for you.

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Have you previously experienced an allergic reaction to antihistamines such as fexofenadine, loratadine or cetirizine or are you lactose intolerant?

Yes

You should speak to a doctor about medications that are suitable for you

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Your Symptoms

Do you have symptoms in one eye only?

Yes

You may not have hayfever (allergic conjunctivitis) if you have symptoms in only one eye. We recommend you consult your doctor or optometrist for further advice.

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Your Health

Have you been diagnosed with any of the following?

Glaucoma/raised intraocular pressure
Recurrent or untreated nasal infections
Unresolved complications following nasal surgery
Diabetes Mellitus

Yes

You should speak to a doctor about medications that are suitable for you This treatment is not suitable for you and you should speak to your doctor regarding your symptoms and their treatment

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Have you had nasal surgery in the last two months?

Yes

This treatment is not suitable for you. Please consult with your GP

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Your Medication

Are you currently taking any medication (including over the counter, prescription or recreational drugs)?

Yes

Are you taking any of the following medications?

Warfarin, Rivaroxaban, Dabigatran, Apixaban (or any other anticoagulants)
Daily NSAIDS (e.g. Naproxen, Diclofenac or Ibuprofen)
Daily Aspirin
Anti-Epileptics
HIV retroviral treatments
Systemic steroid treatments
Immunosuppresive treatments
Previous hypersensitivity to steroid treatment (e.g. topical steroids for eczema)

Yes

We are unable to supply you with treatment. Please consult your GP or doctor for more information.

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Are you taking any oral medications for allergies/hayfever?

Yes

You should only take one antihistamine tablet a day. Do not mix oral antihistamines. Stick to one anthistamine and take once daily only.

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Have you taken antihistamine tablets before?

Yes

We will be able to prescribe loratadine (clarityn) or cetirizine (piriteze), but if you have not taken antihistamines before, we cannot prescribe fexofenadine (telfast).

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Agreement

Do you agree to the following?

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, you start new medication and/or 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
You understand that whilst decisions relating to your treatment are made jointly between you and the prescriber, the final decision to issue a prescription will always be with the prescriber.

Yes

You must agree to this before continuing. If you need assistance contact our customer support.

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Do you understand it can take a few days after starting a nasal steroid spray to see improvement, regular use is required to achieve full benefit and you should consult with you GP if your symptoms do not improve after 4 weeks of treatment?

Yes

If you need more information contact our help-line.

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Do you understand that if you experience any localised side effects such as nasal pain or nose-bleeds you should stop your nasal steroid treatment and see your GP?

Yes

If you need more information contact our help-line.

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Do you understand that if you have not seen improvement in your eye symptoms after 72 hours you will contact your optometrist or GP for further advice.

Yes

We are unable to supply you with medication unless you understand and agree to these points.

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Do you understand that to get the best results from a steroid nasal spray, you need to use it every day during your hayfever season?

Yes

If you need more information contact our help-line.

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Do you understand that you should not take: Indigestion remedies (such as antacids) or Ulipristal (emergency contraception or treatment for fibroids) 2 hours before or after taking an antihistamine?

Yes

If you need more information contact our help-line.

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Do you understand that you should not use nasal steroids for more than 3 months each year unless advised otherwise by your GP?

Yes

Although very little of the medication makes it into the body tissues, prolonged and sustained use can lead to systemic side effects from steroids, as well as risking interaction with other medications. If you intend to use the medication for more than 3 months of the year please consult your GP.

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Do you understand there is a possibility that oral antihistamines may cause drowsiness and affect driving or operating machinery? You should check that the antihistamine tablets you receive do not make you feel sleepy or dizzy before driving or operating machinery.

Yes

If you need more information contact our help-line.

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Do you understand you should stop taking antihistamine tablets and speak to your GP if your symptoms do not improve after 2 weeks of starting treatment?

Yes

If you need more information contact our help-line.

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Medical Assessment for Hay Fever

To help us supply you with the most suitable treatment, please complete this online consultation.

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