Chemist click

Picture. *

Are you a female aged 18-60? *

Yes

Have you been diagnosed with cystitis previously and do you have three or more of the following symptoms? *

Yes

Have you experienced 2 or more urine infections within the last 6 months, or 3 or more within the last year? *

Yes

Are you experiencing any of the following symptoms? *

Yes

Do you have any allergies to Trimethoprim? *

Yes

Are you pregnant, planning to get pregnant or breastfeeding? *

Yes

Are you suffering from any of the following? *

Yes

Are you taking any medication? *

Yes

Have you ever had any operations or procedures on your kidney or bladder? *

Yes

Is there any additional information you would like to provide, or any questions you have? *

Yes

Are you aware that? *

Yes

Most cases of cystitis resolve spontaneously without the need for antibiotics
You should only consider the use of antibiotics if your symptoms haven't subsided with simple pain relief medication
Your body builds up resistance to frequent antibiotic use, so it is important to only use antibiotics when necessary

Do you agree that? *

Yes

You will see your GP if there is no improvement in your condition within 48 hours
You will seek urgent medical attention if you develop signs of being unwell such as a high temperature
You will seek urgent medical attention if you develop any pain around your kidneys and the area below your rib cage and above your pelvis

Do you agree that? *

Yes

You will read the Patient Information Leaflet supplied with your medication
You will contact us and inform your GP if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment.
You are over 18 and the treatment is solely for your own use
You have answered all the above questions accurately and truthfully and that incorrect information can be hazardous to your health
You are aware the decision about your treatment are for both the prescriber and yourself to jointly consider during this consultation, but the final decision will always be the prescriber's.
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