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0%


Male
Female
Transmale (Born a female)
Transfemale (Born a male)




0%



Itching in your nostrils
Frequent sneezing
Running noseThe feeling of needing to clear your throat
Nasal congestion or feeling blocked up
None of these

Any recent nasal surgery
Any head injury/nose injury in the last 4-6 weeks
Any nasal infectionsAny current lung infection
Discharge from only one nostril
None of the above

This includes conditions such as

  • Asthma
  • Kidney disease
  • Liver disease
  • Eczema




If so, please provide more information



0%



  • I am between the ages of 18 and 65
  • This treatment is for my use only
  • I have the capacity to make decisions about my own healthcare
  • I have understood all the questions and have answered this consultation truthfully and completely
  • I understand the prescriber will use my answers and base their prescribing decisions accordingly, and that providing incorrect information could be harmful to my health
  • I will read the patient information leaflet supplied with this medication
  • I will contact we prescribe and inform my GP if I experience any side effects from this treatment or if there are any changes to my health
  • I have read, understood and agree with our Terms and Conditions