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Contraception Prescription

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Irish registered doctors 

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Basic Information

Step 1 of 3

Do you smoke, or have you recently quit smoking?
Do you have any medical conditions?
Are you allergic to any medication or do you have any allergies?
Are you taking any medication? This includes non-prescription, over-the-counter medicines as well as herbal remedies.
Have you ever had any major surgery?
Have you ever had a stroke or 'mini stroke'?
Have you had any heart problems, such as angina (chest pain) or a heart attack?
Have you recently stopped taking any medication?
Is there a history of any illness that runs within your family?
Do you have any liver or kidney problems?

Please fill in the required fields.

Calculate your BMI

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Prescription Questionnaire

Step 3 of 3

Have your symptoms changed since they first appeared?
Do you have any difficulty swallowing pills or capsules?
Do you have any questions about the treatment?
Do you have a preferred pharmacy?
I confirm that I fully understood and have read completely all questions in this form and all of my answers are true and accurate, to the best of my knowledge.

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Important, please read!

At a glance

 

No need to run out of your pill when you can't get to your doctor.

Complete a brief questionnaire relating to your prescription. Women who are eligible can order a six-month repeat prescription for their current pill.

 

To order your prescription online the following must apply to you

  • You have been taking the same contraceptive pill for the past 6 months

  • You have had your blood pressure checked in the past 6 months (this can be checked at many pharmacies and gyms)

  • You have had no problems or complications with your contraceptive pill for the past year

  • You have had a face-to-face pill check with your doctor in the past year

 

If these conditions do not apply to you, please consult with one of our GPs here who will be able to assess your situation and advise accordingly.

 

Treatment

 

Irish Clinic can issue a prescription for up to a 12-month supply of your current pill.

Please note that this service does not replace your regular contraceptive pill check-up.

 

The pill can have some serious side-effects, but these are uncommon and vary depending on your general health, age and the type of pill you take. For most women the benefits of the pill outweigh the possible risks.

 

The following factors are associated with an increased risk of using the pill

  • A history of migraine
  • A history of blood clots or a family history of blood clots
  • Obesity (body mass index over 30)
  • Diabetes
  • Smokers
  • High blood pressure (over 140/90)
  • Longterm immobility, e.g. confined to a wheelchair or bed
  • Women over 35 (women over 35 who smoke are advised to consider switching to the mini pill)

 

For full details please consult the patient information leaflet supplied with your pill pack.

The combined oral contraceptive pill (which contains oestrogen and progestegen) increases the risk of blood clots, arterial disease, migraines, and high blood pressure.

 

There is a small increase in the risk of breast and cervical cancer, however this is balanced by a small decrease in the risk of cancer of the ovaries and womb.

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Basic Information

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Calculate BMI

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Questionaire

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