About Your Health
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.
0%
Back
Are you suffering from rosacea at the moment?
If not, please explain why you need this treatment.
Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.
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 you have a history of using Finacea Gel to cure rosacea?
If so, how effective was it?
Are on any of the following medication?
Simvastatin or lovastatin are two types of statins.
Do you have a diagnosis of one or more of the following conditions?
Myasthenia gravis is a kind of myasthenia.
Do you have a history of using Metrogel Gel to cure rosacea?
If so, how effective was it?
Have you been diagnosed with a blood disorder?
Did you know?
Consumption of Acetazolamide does not serve as substitute for acclimatisation methods unconscious
Do you have a history of using Mirvaso Gel to cure rosacea?
If so, how effective was it?
Are you experiencing the following symptoms?
Issues with your circulatory system.
Are you aware that Mirvaso should not be used on injured or inflammed skin most especially after laser therapy?
Do you know?
Your urine may appear red after taking Xifaxanta pills? However, this is completely safe.
Do you have a history of using Rozex to cure rosacea?
If so, how effective was it?
Do you have a history of using Soolantra Cream to cure rosacea?
If so, how effective was it?
If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option
What is your biological gender?
Please select your option
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
Can you relate to any of the following?
You have an underlying medical condition
Has a qualified medical practitioner examined you with Rosacea?
For which duration have you suffered with Rosacea?
Please select your option
Kindly identify the symptoms you are experiencing
You can select more than one option
Are you experiencing different symptoms other than those stated?
Could you share with us which specific parts of your body are affected by Rosacea?
Please provide all the specific information, it could be your chin, cheeks, face, T-Zone among others.
Kindly submit a photograph of your rosacea.
This will assist in enable timely dispatch of the medication especially if:
Do you have a history of using topical corticosteroids on your face such as betamethasone,clobetasone, or hydrocortisone?
If so, please tell us which treatment you utilized and how long you used it.
Are you afflicted with any additional skin problems?
Are you experiencing any of the following signs and symptoms?
Constant vomiting for more than 48 hours?
Do you have any psychological or social issues as a result of your rosacea?
Do you need any assistance?
Do you have a history of using Efracea to cure rosacea?
If so, how effective was it?
Have you tried using a topical rosacea cream, gel, or ointment to treat your rosacea before?
If so, could you inform us of which topical treatments such as Mirvaso Cream, Rozex Gel, Soolantra Cream, and Finacea Gel you used and how effective they were.
Are you on any of the following medication?
Antibiotics.
Have you been diagnosed with any of the following medical conditions:
Illness of the liver.
Are you aware of the following:
It is never a good idea to self-diagnose and treat urine incontinence.
Submit
