Medical Assessment - Doxycycline 100mg

  • Doxycycline is currently not available. Contact customer support for more information.
Your Health
Are you allergic to any of the following:
  • Atovaquone or proguanil chloride (Malarone)
  • Doxycycline
  • Mefloquine (Lariam)
  • Quinine or Quinidine
  • Chloroquine
  • Any antibiotics
Have you ever been diagnosed with malaria?
Are you pregnant or breastfeeding or intending to become pregnant or start breast feeding?
Have you been diagnosed with any of the following?
  • kidney disesase
  • liver disease
  • mental health conditions (including depression or anxiety)
  • epilepsy or convulsions
  • myasthenia gravis, a condition characterised by muscle weakness, difficulty chewing and swallowing and slurred speech
  • systemic lupus erythematosus (SLE)
  • porphyria (a genetic disorder of the blood)
  • Blackwater fever
  • any serious medical condition which may require immediate hospitalisation
Your Medication
Are you taking any oral contraceptive ('the pill')?
Are you currently taking any medication (including over the counter, prescription or recreational drugs)?
Agreement
Have you confirmed the malaria tablets you have chosen are suitable for the countries you are visiting by checking the NHS fitfortravel website ?
Do you understand that if you experience any flu-like symptoms after returning from your trip you should seek immediate medical attention and tell the doctor about your background and recent travel history?
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.

  • Doxycycline is currently not available. Contact customer support for more information.

Complete our 2 minute questionnaire
We’re almost done!
Dr Oliver Large
To make sure this treatment is safe for you to take, we just need you to answer a few questions.
Dr Oliver Large
Confidential & Secure
  • Our prescribers will review your details in complete confidence
  • Your medication will be delivered in plain unlabelled packaging
  • Appears on your statement as “Mexpress”
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Need help? If you need help with this medical assessment, contact our helpline:
0208 123 0508
or email us: help@medexpress.co.uk