Medical Assessment - Propecia (Finasteride) 1mg

About You
Are you male and aged between 18-65?
Your Symptoms
Are you suffering from hair loss?
Do you have hair loss in patches, or have an itchy or sore scalp?
Is your hair loss limited to the temple area?
Are you experiencing any inflammation on your scalp?
Do you have sudden unexplained hair loss or complete hair loss?
Could your hair loss be explained by any medication or illness (e.g. chemotherapy or dietary)?
Your Health
Are you allergic (hypersensitive) to Propecia (finasteride)?
Have you ever been diagnosed with prostate disease or male breast cancer?
Your Medication
Are you currently taking any medication (including over the counter, prescription or recreational drugs)?
Do you understand that if your partner is (or may be) pregnant, they should not handle crushed or broken tablets of finasteride, and that you should always wear a condom for sex?
Do you understand that Propecia may take up to 6 months before symptoms start to improve?
Some trials have suggested finasteride use may very slightly increase the risk of developing male breast cancer and prostate cancer. Do you agree to speak immediately to your doctor if:
  • You experience any changes in breast tissue such as pain, lumps or discharge from a nipple
  • You experience any pain, impotence, problems with ejaculation or loss of libido
Are you aware that Propecia may cause erectile dysfunction and you should speak to your GP if this happens?
Do you understand you must stop taking Propecia/Finasteride immediately if you develop depression and should contact a healthcare professional?
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.

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
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  • 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
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