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.

0%


Born male
Born female


Cough
Sore, red throat with white spots
Fever
Swollen lymph nodes (lumps) in the neck and under the jaw
Breathing difficulty
Difficult swallowing saliva or liquids
Runny or stuffy nose
Mouth ulcers
Red or inflamed eye




0%





Yes
No
Not Applicable

  • High blood pressure
  • Heart problems
  • QT prolongation
  • Had a heart attack in the past
  • Had anyone in your close family die of heart problems 
  • Liver problems
  • Asthma, eczema, or hay fever 
  • On a low potassium diet 
  • Kidney problems
  • Immunosuppressed due to disease or treatment



Rheumatic fever is a very rare complication that can develop after a bacterial throat infection. It can cause painful joints and heart problems. Most people make a full recovery, but it can come back.







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  • This treatment is solely for your own use
  • You will read the manufacturer’s patient information leaflet and stop and report and adverse effects immediately to the relevant healthcare professional
  • Y0u confirm that you have answered all the above questions accurately and truthfully. You understand our team take your answers in good faith and base their decisions accordingly, and that incorrect information can be hazardous to your health.

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