Thrush

About the 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.

Are you the actual consumer of this medicine?
If not, please describe in detail who the intended consumer is and how old he/she is.

Yes

Please identify some of the signs and symptoms you may be experiencing
You can select more than one option

Irritation around the vaginal opening

Irritation under the foreskin or tip of th penis

Strange vaginal discharge from the cervix

Unpleasant discharge from the foreskin of the penis

Urinating causes stinging

Redness aroung the vaginal area.

Have you tried any medication to manage the thrush before?

Yes

Do you have any of the following signs
Vaginal bleeding that isn't usual or soreness in your lower abdomen.
Strange vaginal discharge, as well as ulcers on the skin around your vaginal opening.
Strange discharge from the penis.
High fever symptoms such as Shivering, nausea, or migranes
On the skin, there are open sores, abscess, or ulcers.
Do you require assistance?

Yes

Do you have a history of using Fluconazole 150mg Capsule to manage the thrush?
If you have, how successful was it?

Yes

Do you consent to consulting with a certified medical practitioner if your symptoms do not seem to improve five days after treatment?

Yes

Have you previously had a transient ischaemic attack (mini stroke) or stroke?

Yes

Are you on any of the following medication?
Antibiotics.
Antihistamines such as stemizole or terfenadine.
Cisapride for stomach discomfort.
Quinidine for circulatory problems.
Pimozide for schizophrenia.

Yes

Does any of the following statements apply to you:
Orlistat causes an allergic reaction or hypersensitivity in you.
You've previously used Orlistat and experienced serious side effects.
You are experiencing rectal bleeding.
You have chronic malabsorption syndrome, which has been identified by a doctor.
You have been diagnosed with cholestasis (condition where the flow of bile from the liver is blocked)

Yes

Do you suffer from any allergies?
If you do, kindly explain them below

Yes

Did you know that pessaries is only recommended for use by women especially since it is designed for vaginal insertion?

Yes

Has a certified medical practitioner examined you with the thrush?
Do you require assistance?

Yes

Do you have a history of ailing from thrush or is this your first time?

Yes

Are you ailing from thrush at the moment?
If not, please explain in detail why you have a need for this treatment?

Yes

What symptoms do you intend to treat using this medicine?
Please provide more information

For how long has the consumer of this medicing experienced these symptoms?
Please select your option

At least 72 hours

A week

A month

More than a month

Has the target user tried a different medicine to address the symptoms before?
If yes, what medicine was consumed and how effective was it?

Yes

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 advice you share this treatment with your doctor for him/her to update your medical records.

Yes

What is your biological gender?
Please select your option

Male

Female

Transmale (Born a female)

Transfemale (Born a male)

If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option

Presently Pregnant

Presently Breastfeeding

Planning on getting pregnant

Neither Pregnant nor Breastfeeding

Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.

Yes

Can you relate to any of the following?
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

Yes

Did you know :
The effectiveness of rubber contraceptives such as condoms can be reduced after using this produc, hence it is always important to implement additional protective measures atleast five days after using the product. Vaginal products such as Tampons, spermicides, intravaginal douches among others should be avoided while using this product.
The effectiveness of this product may be compromised during your period, therefore you should avoid using it then.

Yes

About the Medicine

Women only: Are you pregnant or is there a possibility you may be pregnant?

Yes

Women only: are you currently breast-feeding?

Yes

Your Medical Details

Do you agree to the following?

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.

Yes

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