About your condition and treatment
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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Did you know?
Consumption of Acetazolamide does not serve as substitute for acclimatisation methods unconscious
Are you willing to notify all of your former sexual partners about your diagnosis over the previous six months?
Do you require assistance?
Are you aware of the following:
It is never a good idea to self-diagnose and treat urine incontinence.
Do you have a history of using Azithromycin for Chlamydia?
Please select one option Do you require assistance?
Did you experience any side efects after using Azithromycin?
Do you have any reason why you can't take Doxycycline to treat chlamydia?
If you do, what is your reason? It could be you experience allergies
Are you on any of these medications
Migrane medication such as Ergotamine.
Are you expeiencing problems such as:
A kind of myasthenia.
Does any of the following statements apply to you
Azithromycin is a drug to which you are allergic or hypersensitive to.
Date of Birth
Use the calendar to select your date of birth.
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924
Please add your height (in cms).
Your height is important for the prescribers decision.
Please add your current weight (in kgs).
Please make sure to add your current weight. This may affect the prescriber's decision.
If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option
Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.
Does any of these describe you?
You have an underlying medical condition
Can we share this information with your General practitioner?
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 advise you share this treatment with your doctor for him/her to update your medical records.
Do yu have a history of using Doxycycline for Chlamydia?
Please select one option
Did you experience any side efects after using Doxycycline?
Are you experiencing any of the folowing problems?
A kind of myasthenia.
Are you on any of the following medication?
Antibiotics.
Do you have any of the following signs and symptoms?
Night sweats or a fever.
Are there any issues about your relationship or sexual partner(s) that you'd like to talk to a healthcare expert about privately?
Did you know that each registered account only secures treatment for one person?
This means, if your sexual partner requires the treatment, they must create an individual account with his/her personal email address and medical information.
How are you able to tell if you have chlamydia and need to be treated?
Choose the most suitable option.
Have you ever had an allergic or anaphylactic reaction to doxycycline or any other antibiotics?
If yes, please provide details
Women only: Are you breast feeding?
Do you have any liver problems?
If yes, please provide details
Are you likely to be exposed to strong sunlight or ultraviolet light (e.g. on a sunbed)?
Do you have any kidney problems?
If yes, please provide details
Have you had two or more sexual partners in the last 12 months?
Have you had unprotected sex with more than one sexual partner in the last 3 months, or have you been treated for chlamydia in the last 3 months?
If yes, please provide details
Do you have any allergies?
If yes, please provide details
Women only: Are you pregnant or is there a possibility you may be pregnant?
If you are male, answer No
Have you been told by your doctor that you have an intolerance to any sugars?
E.g. fructose intolerance, glucose-galactose malabsorption, or sucrase-isomaltase insufficiency
Do you have any of the following?
Acne
Do you have diarrhoea or do you usually get diarrhoea when you take antibiotics?
Do you have any problems with your stomach or intestines?
Do you have any other recent or past medical history of note?
If yes, please provide details
Do you currently take any medication whatsoever?
Please list all your current prescription medication including any medication you buy over the counter.
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