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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Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.
- Liver disease
- Cardiovascular disease
- Thromboembolic conditions
- Severe digestive problems (including Crohn's disease and ulcerative colitis)
- Ectopic pregnancy, fallopian tube surgery or pelvic inflammatory disease
- Severe asthma
- Barbiturates and other medicines used to treat epilepsy (for example primidone, phenytoin, and
carbamazepine)
- Medicines used to treat tuberculosis (for example, rifampicin, rifabutin)
- Treatment for HIV (ritonavir, efavirenz)
- A medicine used to treat fungal infections (griseofulvin)
- Herbal remedies containing St John’s wort (Hypericum perforatum)
- No emergency contraception is 100 % effective and does not work if you are already pregnant.
- If you are sick (vomit) within three hours of taking the tablet(s), you should take another tablet(s).
- Emergency contraceptive does not protect or replace the necessary precautions required against sexually transmitted diseases.
- The treatment is solely for your own use.
- You have answered truthfully to all the questions and you are aware that any incorrect information you provided can present a potential danger to your health.
- You will read the patient information leaflet supplied with the medicine specifically the side effects and dosages.
- You will inform your doctor about any unusual side effects.
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 you believe this to be an error or you would like to discuss this further, please contact us.
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