Medical Assessment

Which of the following hayfever (seasonal allergic rhinitis) symptoms are you experiencing? Please tick all the symptoms that apply to you.






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 ever used Fexofenadine (Telfast)/ Nasonex (mometasone furoate)/ Beconase (beclometasone dipropionate) or any other antihistamine tablets/corticosteroid spray before (including over the counter 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 pregnant or breastfeeding or may become pregnant or start breastfeeding whilst 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.

4) Can you be allergic to Fexofenadine (Telfast), Nasonex (mometasone furoate)/ Beconase (beclometasone dipropionate or to any of their ingredients?

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 suffering or have you been recently suffering from any of the following?

  • Kidney or liver problems;
  • Heart Disease;
  • Nasal surgery;
  • Pulmonary tuberculosis;
  • Untreated nasal infection;
  • Low immune system;
  • Skin conditions such as: acne, perioral dermatitits, psoriasis or rosacea;
  • Untreated bacterial, fungal or viral skin lesions;
  • Cystic fibrosis;
  • Any other chronic condition that we should be aware about;
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 (including over the counter preparations) not mentioned 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?

  • Use of corticoid sprays such as Nasonex and Beconase is not recommended long term due to possible systemic side effects;
  • If your condition is not improving after taking Nasonex/Beconase for some time you will seek medical advice from your doctor;
  • You should NOT use Nasonex/Beconase if you have untreated infection in your nose (such as herpes);
  • You will stop taking Fexofenadine if there has been no benefit within two weeks of starting this treatment;
  • You have answered truthfully to all the questions and you are aware that any incorrect information you provided can present a potential danger to your health;
  • You will inform your doctor about any unusual side effects;
  • The treatment is solely for your own use;
  • You will read the patient information leaflet supplied with your medication;
  • You will not exceed the maximum daily dose of 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 taking any of the following?

  • recent or planned vaccination (flu, measles, rubella, typhus);
  • HIV medication;
  • other corticosteroids taken by mouth or injection (such as prednisolone);
  • NSAIDs (such as ibuprofen, diclofenac, naproxen…);
  • mefenamic or tolfenamic acid;
  • aspirin or warfarin;
  • antifungal medication (such as ketoconazole, itraconazole…);
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:

Error You must accept the terms and conditions to continue!

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