Weekly alcohol units 0 to 1
Weekly alcohol units 1 to 5
Weekly alcohol units 6 to 14
Weekly alcohol units 15 to 21
Weekly alcohol units Over 21
Confirmation I will read the patient information leaflet
Confirmation The treatment is solely for my own use and I understand that I should not obtain similar treatments from other providers for my own safety
Confirmation All the information I have provided is accurate
Confirmation I agree to be contacted by the prescribing team for any clarification, if required
Confirmation I agree to share my personal details with Clinica Medica LTD prescribing team
Confirmation I will seek medical advice if I experience any side effects
Confirmation I give permission to the prescribing team to contact my usual GP if clinically necessary
Confirmation I confirm that I am 18 or over and agree to terms and conditions
Do you suffer from the following symptoms Blood stained nasal discharge
Do you suffer from the following symptoms Constant blocked nose
Do you suffer from the following symptoms Facial pain
Do you suffer from the following symptoms Difficulty breathing at night
Do you suffer from the following symptoms Eye pain
Antihistamine
Allergy Relief
Do not drink alcohol while taking this medicine.
This medicine may make you sleepy. If this happens, do not drive or use tools or machines.
Chlorphenamine 2 mg / 5 ml
