To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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If yes, please describe the reaction

If not, please explain why you need this treatment.

If yes, please describe the allergy/reaction

Please provide details in this box here...



If so, how successful was it?


If so, how successful was it?


If so, how successful was it?




You're allergic to Levocetirizine or other antihistamines like cetirizine or loratidine, or you're hypersensitive to them.
You've previously used Levocetirizine) and experienced severe negative effects.
Levocetirizine is being used to treat something other than hay fever or allergies.

If yes, please provide details

If so, how successful was it?


If so, how successful was it?

If yes, please provide details

Please provide details in this box here...

Inside the eye, there is pain.
Vision impairment.
One eye is the only one that is afflicted.

If yes, please provide details

It is never a good idea to self-diagnose and treat urine incontinence.
At the very least, you should see your doctor for a checkup once a year.
You must follow your doctor's instructions for any treatment.
You should only order repeat supplies of medicines that your doctor has prescribed.


If so, how successful was it?


If so, how successful was it?

If yes, please provide details

If so, how successful was it?


If not, please explain why you need this treatment.

If so, how successful was it?

If so, how successful was it?

If yes, what medicine was consumed and how effective was it?

You can select more than one option
Sneezing
Irritated eyes
Stuffy nose
Congestion
Coughing
Hives or an allergic reaction to the skin

Kindly select your option

If so, how successful was it?

Antibiotics.
Antihistamines such as stemizole or terfenadine.
Cisapride for stomach discomfort.
Quinidine for circulatory problems.
Pimozide for schizophrenia.

Glaucoma.
Cataracts.
a nose operation or a nasal damage
Infection of the nasal passages or nose.
Nasal bleeds on a regular basis.

You have or have had stomach or duodenal ulcers, as well as stomach or intestinal bleeding in the past.
Your doctor has ever told you that your kidney function is less than 100 percent.
You have previously suffered a terrible reaction to aspirin, ibuprofen, or other nonsteroidal anti-inflammatory drugs (NSAIDs).
You want to use Ibuprofen Gel on skin that is fractured, injured, diseased, or infected.

Please select your option
Male
Female
Transmale (Born a female)
Transfemale (Born a male)

Please select your option
Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding

Please provide more information of the medication being used if any.


You have an underlying medical condition
You've been through a major surgical procedure
You have allergic reactions
You have cardiovascular conditions or might have had suffered a stroke
You suffer from a low liver or kidney function

Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.

If so, how successful was it?

A healthcare practitioner should assess any acute injuries.
You should see your doctor about chronic pain at least once a year.

If not, please describe in detail who the intended consumer is and how old he/she is.

Please provide more information

Please select your option
At least 72 hours
A week
A month
More than a month




Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.

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You will read the patient information leaflet supplied with your medication
You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment.
The treatment is solely for your own use
You have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.