Hair Loss Online Consultation

  • We will access your consultation upon receipt to determine the outcome
  • Date Format: MM slash DD slash YYYY
  • It usually follows a pattern of receding hairline and hair thinning on the crown.
  • e.g. Cytotoxic drugs used in chemotherapy are causing your hair loss e.g. Dietary problem causing your hair loss
  • Propecia is excreted in semen and use of a condom is recommended if your partner is pregnant or likely to become pregnant Women of childbearing age should not handle crushed or damaged propecia tablets
  • If symptoms do not resolve within 3 days, you should seek medical help from your GP.
  • You will read the patient information leaflet (provided with your medication or by following the relavent link) The treatment is solely for your own use All the information you have provided is accurate. You understand our prescribers can only base descions on the information provided and that incorrect information can be detrimental to your health. We need to ensure that this medicine is suitable for the person it is intended for. Therefore may be required to contact you by phone/video call, If we are unable to speak to you when required your order may be delayed. You will seek medical advice if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment. To provide consent to contact or share information with your GP regarding this prescription if necessary?
    I confirm that I give permission for My Pharmacy 365 to inform my doctor of the treatment I have received if the prescriber feels it is clinically necessary
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