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.
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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.
Is the intended user a frequent traveler outside of the United Kingdom?
If you do, please describe the countries you visited and how soon you returned home from your current trip.
What do you suspect to be the cause for these symptoms?
Do you need assistance?
What are some of the symptoms the actual user of this medication is experiencing?
You can select more than one option
Can you relate to any of the following?
You have an underlying medical condition
Can you relate to any of the following?
Your hair loss started recently, and you've lost a lot of hair in less than four weeks.
Hair loss has occurred in irregular spots on your head.
Your scalp is itchy or inflamed.
You've lost your hair as a result of your pharmacological treatment.
You're completely bald or have lost all of your body hair.
Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.
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
Has the target user tried a different medicine to address the symptoms before?
If yes, what medicine was consumed and how effective was it?
For which duration has the consumer of this medicing experienced these symptoms?
Hello
What symptoms do you intend to treat using this medicine?
Please provide more information
Do you conscent to visit a doctor if the following happens?
Your temperature increases
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