Name: Glucophage SR (metformin)
SKU: 560
Availability: InStock

Glucophage SR (metformin)

£21.95 – £41.95

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) *

Diabetes
I confirm that my blood pressure is within the range 140/90 to 90/60. * We can't supply you with this medication if your blood pressure is not within this range. Please consult your GP for more information.
I confirm I have not suffered from any heart, liver or kidney problems * We can't supply you with this medication if you have suffered from any heart, liver or kidney problems. Please consult your GP.
For what reason do you want this medication? *
I confirm I have never suffered from a stroke or heart attack. * We can't supply you with this medication if you suffered from a stroke or heart attack. Please consult your GP.
Please select the treatment that was recommended to you *
Please specify the treament that was recommended to you. *
Who recommended this treatment option for you? *
Do you suffer from diabetes? *
How long have you been taking this medication? *
How many times a day do you take this medication? *
Have you suffered from any side effects whilst on this medication? *
Please provide more information. *
Are you pregnant, breastfeeding or trying to conceive? *
Please provide more information. *
Do you currently have a fever or are you feeling unwell? *
Please provide more information. *
How often do you drink alcohol? *
Is there any other medical information relevant to your condition that you think our prescriber should consider? *
Please provide more information. *