Select 'Yes' if you give permission to share this information with or seek more information from your GP, we will hold your order until GP approval has been given. Not providing consent may limit the services provided by the prescriber.

Have you seen your GP about your condition?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Are you pregnant, breast feeding or intending to become pregnant?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you been prescribed Salbutamol before?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Has your asthma been reviewed in the last 12 months?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Are you confident you know how to use your inhaler?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Is your asthma usually well controlled?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Do you use your inhaler more than four times a day?

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Have you been diagnosed with any of the following? 

  • Overactive thyroid gland
  • History of heart problems such as an irregular or fast heartbeat or angina
  • High blood pressure
  • Any serious medical condition which may require immediate hospitalisation

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Are you taking any of the following medications? 

  • Medicines for an irregular or fast heartbeat, such as propranolol
  • Diuretics used to treat high blood pressure or a heart condition
  • Medicines for ADHD

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

Standard T&C

  • I will read the patient information leaflet supplied with my medication
  • I will contact my GP or MyMedsUK if I experience any side effects
  • The treatment is for my use only
  • I have answered the assessment questions truthfully and accurately
  • I agree to the Terms and Conditions and I confirm that I am over 18 years old
  • I am aware that I may be contacted to give further information via phone or email and if I am not contactable this will lead to a delay in receipt of my prescription

Sorry we cannot supply you with this treatment on this occasion. Please see your GP for further advice.

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