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Medical Assessment

Have you been previously diagnosed with migraine by your doctor or other relevant healthcare professional?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Have you been previously presribed this medication?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Does any of the following apply to you?

  • Your headache is getting worse or occurs more often than usual and you have not consulted your doctor regarding them;
  • A doctor has been consulted and you suffer from basilar, ophtalmoplegic or hemiplegic migraine;
  • Your migraine related headache started after the age of 40 and you have not consulted your doctor regarding them;
  • Your headache presents as excruciating pain in one side of your head, often felt around the eye;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you pregnant of breastfeeding or may become pregnant or start breastfeeding while taking this medication?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you allergic to any of the following?

  • Triptans (e.g. sumatriptan, zolmitriptan, rizatriptan...);
  • Sulphonamides (e.g. trimethoprim, co-trimoxazol, dapson, zonisamide...);
  • Ergotamine ;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Do you suffer from any of the following?

  • Prinzmetal's angina;
  • Uncontrolled hypertension (high blood pressure);
  • Peripheral vascular disease;
  • Previous cerebrovascular (brain related) accident;
  • Previous myocardial infarction;
  • Previous transient ischaemic attack;
  • Liver or kidney problem;
  • Epilepsy or history of seizures;
  • Any other serious medical condition that may require immediate hospitalisation;
  • Any heart disease or heart related problem;
  • Ischemic bowel disease;
  • Wolff-Parkinson-White syndrom ;
  • History of coronary artery disease or coronary artery vasospasm;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you taking any of the following medication?

  • Other 'triptan' medicines used to treat migraine (e.g. sumatriptan, rizatriptan ,zolmitriptan...);
  • Pizotifen;
  • Propranolol;
  • The combined oral contraceptive pill (not the progesterone only ‘mini’ pill);
  • Medicines for high blood pressure;
  • Ergotamine or other ergot medicines;
  • Antidepressants (MAOI’s) e.g. Moclobemide, Isocarboxazid...;
  • Antidepressants e.g. Amitriptyline, Citalopram, Fluoxetine, Sertraline, Venlafaxine, Tramadol...;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you taking any other medication not stated in the question above?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Do you agree to the following?

  • If you experience any change in your heart rhythm or palpitations you will seek immediate medical help;
  • If you experience pain or pressure in the chest or throat that lasts for more than a few minutes you will stop this treatment and immediately seek urgent medical attention as in rare cases these could be symptoms of a heart attack;
  • If you overuse this medication (using 10 or more tablets per month) you can develop ‘medication overuse headache‘. If this happens, you will stop the treatment and seek advice from your doctor;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Do you agree to the following?

  • The treatment is solely for your own use;
  • This medicine may cause drowsiness and it is advised not to drive or operate machinery;
  • This medicine should only be used at the onset of the migraine and not before;
  • You will read the patient information leaflet supplied with your medication;
  • You have answered thrutfully to all the questions and you are aware that any incorrect information you provided can present a potential danger to your health;
  • You will seek medical attention if you experience any unusual side effects;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Please tick the boxes to confirm the following:

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