Arrow BOOK
APPOINTMENT
About You
Are you aged 18–65?
This question is required.
Have you been diagnosed with irritable bowel syndrome?
This question is required.
Have your symptoms changed significantly since diagnosis or within the last six months?
This question is required.
Medication
Are you currently taking Lomitapide?
This question is required.
Agreement
Do you agree to the following?

You will read the patient information leaflet supplied with your medication You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment. The treatment is solely for your own use You have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.

This question is required.
Do you understand that healthy eating, reduced alcohol and caffeine consumption, a healthy body weight and not smoking can help to reduce the symptoms of IBS?
This question is required.
Please confirm you are not taking any recreational drugs such as cannabis whilst using IBS medication?
This question is required.
Do you understand that if you experience no relief after 14 days you should contact your GP for further advice?
This question is required.
Some medications may affect performance of skilled tasks by causing drowsiness and dizziness. Do you agree to not drive or operate machinery if you're experiencing these side effects?
This question is required.
Health
Are you experiencing any of the following?

unintentional weight loss abdominal swelling nausea and vomiting severe/persistent diarrhoea severe constipation blood in your stools or black, tarry stools loss of appetite looking pale and feeling tired fever abnormal vaginal bleeding and/or discharge difficulty or pain passing urine

This question is required.
Are you allergic or sensitive to medicines used to treat IBS e.g. Mebeverine, Colpermin (peppermint oil), Alverine, Buscopan (Hyoscine)?
This question is required.
Are you allergic or sensitive to lactose or peanut oil?
This question is required.
Do you have trouble tolerating or digesting sugars, or suffer from galactose or fructose intolerance, total lactase deficiency, sucrose-isomaltese insufficiency or glucose-galactose malabsorption?
This question is required.
Are you breastfeeding, pregnant or possibly pregnant?
This question is required.
Do you have any of the following conditions?

paralytic ileus (paralysis of the intestinal muscles) or an intestinal obstruction inflammatory bowel disease such as ulcerative colitis or crohns disease food poisoning or gastroenteritis kidney disease liver disease thyroid problems epilepsy bladder or bowel obstruction treatment for severe sweating myasthenia gravis bowel cancer angle closure glaucoma prostate problems tachycardia (a fast heart rate) an overactive thyroid

This question is required.

Complete our 2 minute consultation

We’re almost done! To ensure this treatment is safe for you, please answer a few final questions.


Mr Sammy Janus
Head of HeathTech - Marketing Manager
Confidential & Secure
  • Our prescribers review your details in complete confidence
  • Medication delivered in plain, unlabelled packaging
  • Appears on your statement as “DirectMedsUK”
  • All data encrypted with 128-bit SSL
Need help?

If you need help with this assessment, call 0161 706 1964 or use our contact form.

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65 Canning Street
Bury
Lancashire
BL9 5AS United Kingdom.

DirectMedsUK Ltd 65 Canning street Bury Lancashire BL9 5AS United Kingdom. Tel: 01617061964