Medical Assessment

Are you male?

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 hair loss?

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 experiencing sudden or complete hair loss?

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For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Is your hair loss limited to the temple area?

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.

Is your hair loss patchy and in random places?

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 from any inflammation on your scalp?

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 finasteride (Propecia) or any of the ingredients in this medicine (e.g. lactose)?

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 currently taking finasteride, dutasteride, Propecia or Proscar for a condition other than hair loss?

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?

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For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Have you ever been diagnosed with prostate disease, prostatic hyperplasia, prostate cancer or male breast cancer?

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.

Can there be any other reason (medication or illness) that is causing your hair loss, including chemotherapy or poor diet?

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 aware of the following?

  • women should not handle crushed or broken tablets of finasteride (Propecia) if they are pregnant or may become pregnant;
  • finasteride (Propecia) is excreted in semen therefore use of a condom is recommended if your partner is pregnant or may become pregnant to avoid any birth problems;
  • after starting this medication it may take up to 6 months before symptoms start to improve, if you stop taking finasteride (Propecia) you are likely to lose the hair you have gained within 9 to 12 months;
  • you should promptly report any changes in your breast tissue such as lumps, pain, enlargement or nipple discharge;
  • mood alterations such as depression and suicidal thoughts have been reported in patients treated with finasteride (Propecia). If you experience these symptoms, stop taking finasteride (Propecia) and contact your doctor for advice as soon as possible;
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?

  • 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.

Please tick the boxes to confirm the following:

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