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.
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Back Has a healthcare professional ever diagnosed you with eczema?
Which of the below symptoms are you currently experiencing?
Which part of the body are you currently experiencing these symptoms?
Please select if you feel any of the following apply to your eczema?
Are you currently experiencing any of the following alongside your current symptoms? - Fever or bad shaking - Feeling unwell - Asthma symptoms or shortness of breathe - Runny, watery discharge from the nose Are you currently or have you previously used any topical medicines for your eczema?
Have you ever previously been diagnosed with any other medical conditions? This includes conditions such as
- Asthma - Kidney disease - Liver disease - Eczema 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
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