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Piriteze Syrup 70ml

Bonjela Teething Gel 15g

Bonjela Teething Gel 15g

Piriteze Allergy Tablets (30)

Piriteze Allergy Tablets (30)

£5.99

Piriteze Once-A-Day Allergy Syrup provides once a day relief from the symptoms of hayfever and other allergies, such as pet and house dust mite allergies.

About the Patient

Is this a new request or are you continuing previous treatment?(Required)

New request

Continuing previous treatment

How long have you been using this medication?(Required)

(Please indicate the duration you have used it consistently, if you had breaks, how long were the breaks from this medicine?)

Have you used this medicine before?(Required)

(in the last 6-months)

Yes

No

Did you experience any side-effects?(Required)

Yes

No

Please describe what side-effects you experienced?(Required)

How old is intended user?(Required)

Adult (18 - 64)

Elderly (65 and over)

12 - 18 years

7 - 11 years

4 - 6 years

1 - 3 years

Under 12 months

Clinical Safety Check

Is the intended user pregnant or trying to get pregnant?(Required)

Yes

No

Is the intended user breastfeeding?(Required)

Yes

No

Please describe the patient's symptoms and reason why you are purchasing this product?(Required)

(Please describe typical symptoms even if you are not currently suffering from them)

How long have the symptoms been present?(Required)

I am purchasing in advance

1 - 3 days

3 - 5 days

5 - 7 days

7 - 10 days

10 - 14 days

More than 3 weeks

On/Off for weeks/months

Does the patient have any serious ALLERGIES?(Required)

(e.g. allergies to medicines or food ingredients etc.)

Yes

No

Please provide details(Required)

Does the patient have any medical conditions?(Required)

Yes

No

Please list all the medical conditions the patient has(Required)

Does the patient suffer from any of the following?(Required)

(Please tick all that apply)

Asthma/COPD

Diabetes

High blood pressure

Heart conditions

Liver disease/problems

Kidney disease/problems

Mental health conditions

Seizures/Epilepsy

Thyroid problems

None of the above

Is the patient taking any medication?(Required)

Yes

No

Please list the medications the patient uses(Required)

(This includes prescribed and over the counter)

Final Declarations

Final Declarations(Required)

I confirm that the information I have provided is true and complete.

Final Declarations(Required)

I understand that the pharmacist or prescriber may contact me before making a supply.(Required)

Final Declarations(Required)

I understand that some medicines may require further medical assessment or GP referral.(Required)

Final Declarations(Required)

I consent for my GP to be contacted if there is a need to do so.(Required)

Final Declarations(Required)

I agree to Health Nest Pharmacy policies and T&Cs.(Required)

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Piriteze Syrup 70ml quantity + −

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Description
Reviews (0)

Cetirizine hydrochloride

Suitable for children 6 years and over

Relief from the symptoms of:

hayfever
skin allergies such as chronic urticaria (hives)
mould spore allergies
pet and house dust mite allergies
Sugar Free

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Categories: Allergies & Hayfever, Shop

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