Force Load Font CiliqueTablet
Active Ingredient
Norgestimate 250μg
Ethinylestradiol 35μg
Suitability criteria
Oral Contraception
Medical Details
Weekly alcohol units 0 to 1
Weekly alcohol units 1 to 5
Weekly alcohol units 6 to 14
Weekly alcohol units 15 to 21
Weekly alcohol units Over 21
Declaration
Confirmation I will read the patient information leaflet
Confirmation The treatment is solely for my own use and I understand that I should not obtain similar treatments from other providers for my own safety
Confirmation All the information I have provided is accurate
Confirmation I agree to be contacted by the prescribing team for any clarification, if required
Confirmation I agree to share my personal details with Clinica Medica LTD prescribing team
Confirmation I will seek medical advice if I experience any side effects
Confirmation I give permission to the prescribing team to contact my usual GP if clinically necessary
Confirmation I confirm that I am 18 or over and agree to terms and conditions
Please fill your online Consultation
Medical history of: Systemic lupus erythematosus
Medical history of: Unexplained vaginal bleeding
Medical history of: A very high level of fat in the blood (cholesterol or triglycerides)
Medical history of: Hyperhomocysteinaemia
Medical history of: Crohn’s disease or ulcerative colitis
Medical history of: Sickle cell anaemia
Medical history of: Elevated levels of fat in the blood (hypertriglyceridaemia)
Medical history of: Inflammation in the veins under the skin (superficial thrombophlebitis)
Medical history of: Varicose veins
Medical history of: Porphyria
You agree to stop medication and seek urgent medical advice Sudden or unexplained breathlessness
You agree to stop medication and seek urgent medical advice Sudden onset of chest pain or stomach pain
You agree to stop medication and seek urgent medical advice Sudden onset of leg pain or swelling in the leg
You agree to stop medication and seek urgent medical advice Rapid or irregular heartbeat
You agree to stop medication and seek urgent medical advice Visual problem
You agree to stop medication and seek urgent medical advice Severe or prolonged headaches
You agree to stop medication and seek urgent medical advice Breast symptoms
SAR 120
GBP 14.991Please fill your online ConsultationHave you ever suffered from any of the following:You agree to stop medication and seek urgent medical advice if?Medical DetailsDoctor DetailsDeclarationI agree to the following