Discover convenient online pharmacy services offering a wide range of medications. Safe, discreet, and fast delivery from our registered pharmacy. Order now!

Open: 24/7

Phone: 01604345869

Medicina Pharmacy

2

Consultation
Cart
Checkout
Payment

Medical Assessment

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

About You

Are you female and aged 18 years or older?

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

Your Situation

Are you aware that:

  • Levonorgestrel (including Levonelle) should be taken within 72 hours (3 days) of unprotected sex
  • ellaOne should be taken within 120 hours (5 days) of unprotected sex

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

Do you plan to use this treatment more than once during the same menstrual cycle, or is there a possibility you are already pregnant?

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

Do you understand that this treatment may not be suitable if you have had unprotected sex more than once since your last period?

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

Are you intending to take this treatment because your last period was unusual (for example, late, lighter, shorter, or different from normal)?

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

Your Health

Are you currently pregnant, breastfeeding, planning to become pregnant, or intending to start breastfeeding while using this treatment?

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

Do you have any allergies to

  • Levonorgestrel or Levonelle
  • Ulipristal (ellaOne)
  • Any ingredients in these medications
  • Any hormonal contraceptives you have used previously

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

Have you ever been diagnosed with any of the following conditions?

  • Previous ectopic pregnancy
  • Digestive conditions affecting absorption (e.g. Crohn’s disease, ulcerative colitis)
  • Gestational trophoblastic disease
  • Acute porphyria
  • Fallopian tube surgery
  • Pelvic inflammatory disease
  • Liver disorders
  • Lactose intolerance or related digestive enzyme deficiencies

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

Is your BMI over 26, or does your weight exceed approximately 70kg (11 stone)?

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

      Your Medication

      Are you currently taking any medication, including:

      • Prescription medication
      • Over-the-counter treatments
      • Herbal remedies
      • Recreational drugs

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

      Declaration

      Do you confirm that:

      • You will read the patient information leaflet provided with your medication
      • You will inform your GP and seek advice if you experience side effects or changes in your health
      • The treatment is for your personal use only
      • All information provided is accurate and complete
      • You understand prescribing decisions are made based on your answers
      • You understand that final prescribing decisions are made by the prescriber

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

      Content & Understanding

      Do you acknowledge and agree that:

      • Levonorgestrel becomes less effective the longer you wait, and should ideally be taken as soon as possible (preferably within 12 hours and no later than 72 hours)
      • ellaOne becomes less effective over time and should be taken as soon as possible (preferably within 24 hours and no later than 120 hours)

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

      Do you understand the following:

      • Emergency contraception should be taken as soon as possible after unprotected sex
      • Neither levonorgestrel nor ellaOne is 100% effective
      • If vomiting occurs within a few hours of taking the tablet, another dose may be required
      • Your next period may be earlier or later than expected
      • Additional contraception (e.g. condoms) should be used until your next period
      • If using hormonal contraception, additional precautions may be required depending on the treatment taken
      • You should seek medical advice if you experience unusual abdominal pain
      • Emergency contraception does not protect against sexually transmitted infections
      • You should take a pregnancy test if your period is delayed or abnormal
      • Emergency contraception is not a substitute for regular contraception

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

      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

      UK-Registar

      Learn More

      Information

      Contact Us

      Pay Securely with

      powered_by_yuma

      © Medicina Pharmacy 2026. All Rights Reserved.

      Company Number: 08402763

      Unit 3, 11 Upper priory street, Northampton, NN1 2PT

      UK-Registar

      Pay Securely with

      Our Charity
      Partner
      healthentrusts
      UK-Registar

      Medicina Pharmacy.

      Company Number: 08402763

      Powered-by-yuma-mobile