About your Condition
We need to understand more about your specific condition to help find the most suitable medication or advice to help you. Please can you answer the following questions. If you get stuck or need any help, you can contact us.
0%
Back
Have you ever previously been diagnosed with a kidney condition?
Have you ever suffered with any allergic reactions to any antimalarial medication previously?
Have you ever previously been diagnosed with any other medical conditions?
This includes conditions such as
- Asthma
- Kidney disease
- Liver disease
- Eczema
Please indicate where you will be travelling too and how many days you will be at your destination (this includes the day of arrival and day of leaving even if these are only for a short period of time)
Do you suffer with any allergies?
Do you currently take any medication? This includes herbal remedies and over the counter medication.
Are you pregnant, planning a pregnancy or breast-feeding at the moment?
Is there any other information you would like to share with our prescribing team?
If so, please provide more information
Next