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Your Health
- Liver disease
- Kidney disease
- A history of Stevens-Johnson Syndrome
- A history of Toxic Epidermal Necrolysis
- Cockayne Syndrome
- Inflammatory Bowel Disease or antibiotic-associated colitis
- Neurological disease (e.g. peripheral neuropathy, multiple sclerosis, MND, ataxia)
Medical Condition
- Itching
- Soreness
- Irritation
Medication
- Antibiotics
- Anticoagulants (acenocoumarol, warfarin)
- Alcohol
- Amiodarone
- Busulfan
- Capecitabine
- Ciclosporin
- Disulfiram
- Fluorouracil
- Lithium
- Phenobarbitone
- Phenytoin
- Primidone
Agreement
- You will read the patient information leaflet
- You will inform your GP of side effects or health changes
- The treatment is for your use only
- You have answered truthfully and accurately
GP Consultation
We can notify your GP of your treatment for you. To do so, we need their contact information. Sharing this information allows your GP to maintain a comprehensive record of your medical history, which is crucial for your health. Without complete records, there could be potential risks to your well-being.