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Mens Health
- Erectile Dysfunction
Womens Health
- Weight Loss
General Health
- Acid Reflux
- Hair Loss

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Mens Health
- Erectile Dysfunction
Womens Health
- Weight Loss
General Health
- Acid Reflux
- Hair Loss

Account
My Orders
Login
Register

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Medical Assessment

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

Ordered treatment before? Log in now to check out faster.

Medical History

Have you ever had an allergic reaction to sildenafil or any other medication?

Yes

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

Are you taking any medications for chest pain?

Yes

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

Do you have a serious heart or liver problem?

Yes

We are unable to supply you with treatment if you have heart or liver problem. Please consult your GP for more information.

Have you recently experienced a stroke, heart attack, or any heart-related problems?

Yes

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

Do you have low blood pressure (hypotension)?

Yes

We are unable to supply you with treatment at this time. Please consult your GP.

Do you have a rare inherited eye disease, such as retinitis pigmentosa?

Yes

We are unable to supply you with treatment at this time. Please consult your GP.

Do you have sickle cell anemia (an abnormality of red blood cells), leukemia (cancer of blood cells), or multiple myeloma (cancer of the bone marrow)?

Yes

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

Do you have a deformity of your penis or Peyronie's disease (curved penis)?

Yes

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

Do you have a stomach ulcer?

Yes

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

Do have any bleeding problem?

Yes

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

Agreement

Do you understand that if erection problems persist, it might be a sign of a health condition that can be treated by consulting with a GP or a sexual health clinic?

Yes

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

Do you agree that you will contact your GP about your medication if you experience any side effects of the treatment?

Yes

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

Complete our 2 minute questionnaire

Yasmeen Akthar

SuperIndependent Pharmacist

GPhC Reg 2058731

Mr. Saleh Ahmed

Independent Prescriber & Advance Practitioner

GPhC Reg 2065382

Mr. Mohammed Shajan Ali

Independent Prescriber

GPhC Reg 2067785

Need Help?

If you need help with this medical assessment, contact our helpline:

01604345869

or email us:

[email protected]

Fully Regulated

We are regulated by the General Pharmaceutical Council

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Medical Assessment

Medical History

Agreement

Complete our 2 minute questionnaire

Yasmeen Akthar

Mr. Saleh Ahmed

Mr. Mohammed Shajan Ali

Need Help?

01604345869

[email protected]

Fully Regulated

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