Anusol HC

£21.95

Completion of the Medical History questionnaire for this product is mandatory and your purchase is subject to checks by our team.

Strength
Package Size	Clear

Have you seen your GP about your condition? *
What diagnosis was given for your condition? *
Do you give the prescriber permission to contact your GP should an issue arise? *
Enter the practice/surgery you are registered to: *
Are you currently taking any medication prescribed by a doctor, purchased over the counter or homeopathic? *
Which medication, what strength and how often were you taking it? *
Do you suffer from any allergies? *
What allergies do you have and what are the symptoms you experience from an allergic reaction? *
Provide a history of your symptoms, how and when it started, and how it affects your normal daily activities. *
Height (ft) *
Weight (kg) *

Haemorrhoids
How long have you had haemorrhoids (piles) for? *
Who diagnosed this condition? *
Which haemorrhoid treatment have you tried in the past? *
Do you have any rectal bleeding? *
Have you made sure there are no other causes for your rectal bleeding e.g. cancer? *
Are you currently taking any medication to treat haemorrhoids (piles)? *
I agree that if this treatment does not work for me, or if I experience continuous bleeding, I will visit my doctor for a physical examination. * we can't supply you with this medication unless you agree with this.
Is there any other medical information relevant to your condition that you think our partner doctor should consider? *
Please provide more information.