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Intro

Medical

Closingg

Please fill in the period delay consultation below

Are you female aged 18 or over and requesting this treatment for yourself?

Yes

This service is only available to adults requesting treatment for themselves.

First day of your most recent period

Date your next period is expected

Are your periods usually regular and predictable?

Yes

Not Sure

Has the expected period already started?

Yes

Which course are you requesting?

30 tablets (up to 7-day delay)

60 tablets (up to 17-day delay)

Do any of the following apply to you?

Have you experienced any of the following?

Please provide details, including when the symptoms started.

Do you currently use contraception or another hormonal treatment?

Yes

Select and name the treatment:

Enter the product name and explain how it is currently used.

Have you ever experienced or been diagnosed with any of the following?

Please provide details, including when this happened and any treatment received.

Do any of the following apply to you?

What is your height?

Centimeters

Accepted heights: 100 cm to 220 cm.

Feet

Inches

Accepted heights: 3 ft 4 in to 7 ft 2 in.

Switch to feet/inches

What is your weight?

Kilograms

Accepted weights: 40 kg to 250 kg.

Stones

Pounds

Accepted weights: 6 st 4 lb to 39 st 6 lb.

Switch to stones/pounds

Please provide relevant details.

Do you currently have, or have you previously experienced, any of the following?

Please provide details, including diagnosis, current treatment and approximate dates.

Please list all medicines and health products you currently use.

Enter the product name, strength and how often it is used.

Have you ever had an allergic reaction to norethisterone, another hormonal medicine or any other medicine?

Yes

I am not sure

Enter the medicine name and describe the reaction.

Have you previously used norethisterone or another medicine to delay a period?

Yes

What is treatment name ?

When it was used?

Whether it worked?

Date of most recent supply

Any Side effects?

Required declarations

I confirm that I am requesting treatment for myself.
I confirm that my answers are accurate and complete.
I understand that leaving out information could make treatment unsafe.
I understand that submitting this consultation does not guarantee a prescription.
I understand that norethisterone normally needs to be started at least three days before my period is due.
I understand that norethisterone is not a contraceptive and does not prevent pregnancy.
I understand that treatment may not completely prevent spotting or breakthrough bleeding.
I will take the medicine only as directed and read the patient information leaflet.
I understand that the prescriber may contact me or request further information or evidence.
I will seek urgent medical help for possible blood-clot symptoms, including painful leg swelling, sudden chest pain, coughing blood or sudden breathlessness.
I consent to eMeds processing my health information to provide this service.
I confirm that I have read the privacy notice and terms of service.

I confirm that I understand and agree to the above

Based on the details you provided, we cannot safely prescribe weight loss medication for you. We recommend asking your GP for advice about losing weight.

Annie



The pharmacist was amazing. He helped answer all my questions regarding weight loss injections. He took my blood pressure made sure everything was perfect. Answered questions I need to know definitely return felt confident in his knowledge

John Williamson



The consultant was good and had the information I was looking for and I am going to enjoy trying this treatment to see if it helps me to lose weight thanks.

Lynda



Reassuring start to my weight loss journey. Given appointment quickly, and reassuring that a couple of things were checked with GP. Everything explained clearly, and my questions answered. I was assured that I should be in touch with pharmacist if there were any problems.

Danny Rawlings



Very professional, helpful, and reassuring Would recommend to anybody looking to purchase weight loss medication.

Anthony



My weight loss journey The pharmacist was very helpful and went into detail regarding the weight loss treatment, explaining any possible side effects that may happen.

Mr Keith Allan



Weigh loss management we had a lot of questions,and answers were provided, made us feel at ease and ensured that we were happy to go a head with the weight loss plan, We felt that any other issues we have we can contact them any time.

FeeP



A thoroughly positive experience My weight loss consultation was a thoroughly positive experience. From the very first phone conversation to the end of the introductory consultation, Jane gave me all the relevant information and really listened to my questions and concerns.

Charles Terry



Sai was very understanding of my situation and reasons for taking advantage of the weight loss programme. He explained clearly what was involved and gave additional support in terms of the diet I should try to follow.

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95 Market Street, Manchester, M43 6DD
07344 110940
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