Are you female?
For further information kindly contact our patient support team:
0207 867 3932
Are you pregnant or breastfeeding or may become pregnant or start breastfeeding whilst taking this medication?
Have you or a family member ever had a blood clot in arteries, veins or lungs (pulmonary embolism)?
Are you allergic to norethisterone, medroxyprogesterone acetate, other similar hormonal medicines or to any other ingredient it contains (e.g. lactose)?
Do you suffer or have you ever suffered from any of the following?
Can you please provide more details?
Does any of this apply to you?
Are you taking any of the following?
Please specify which of the medicine(s) above you are taking and their dosage
Are you taking any other medication not mentioned in the questions above?
Please provide the name, dosage and the reason why you are taking that medication or medications
Do you agree to the following?
Please tick the boxes to confirm the following:
Don't have an account?
Already have an account?
Date of birth