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Medical Assessment for Malaria Prevention Treatments

Complete this short online consultation so our medical team can show you suitable treatments.

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Tell us about yourself
Are you aged 18 or over? (You must be at least 18 years old to complete this medical consultation and receive treatment.)
Your Health Information
Have you ever had an allergic reaction or bad side effect to any of the following malaria medicines? This helps our pharmacist make sure the malaria tablets you receive are safe and suitable for you.

Mefloquine (Lariam)

Doxycycline

Atovaquone or Proguanil (Malarone)

Quinine or Quinidine

Chloroquine

Any other antimalarial or antibiotic used for malaria prevention or treatment

Could you let us know if you are currently pregnant, breastfeeding, or planning to be pregnant or start breastfeeding around the time of your trip? Certain malaria prevention tablets and travel medicines may not be suitable during pregnancy or while breastfeeding. Letting us know helps our pharmacist identify the safest and most appropriate travel health advice and medication for your circumstances.
Do you have, or have you ever been diagnosed with, any of the medical conditions listed below? This information helps our pharmacist make sure any malaria prevention tablets or travel medications recommended are safe and appropriate for you.

Kidney disease or any long-term kidney problems

Liver disease or liver function issues

Mental health conditions, including depression, anxiety, or other mood disorders

Epilepsy or a history of seizures or convulsions

Myasthenia gravis â€“ a condition that can cause muscle weakness, difficulty chewing or swallowing, and slurred speech

Systemic lupus erythematosus (SLE) â€“ an autoimmune condition that affects the skin, joints, and internal organs

 

Have you ever had malaria or been diagnosed with a malaria infection in the past? Knowing your malaria history helps our pharmacist choose the most effective and appropriate malaria prevention or treatment for your upcoming trip.
Your Current Medication
Are you currently taking any medicines or supplements including prescriptions, over-the-counter remedies, herbal products, or recreational drugs? Sharing this information allows our pharmacist to check for possible drug interactions and make sure any malaria prevention tablets or travel health medicines recommended are safe for you to take.
Patient Declaration & Agreements
Please review the statements below and confirm your agreement. Your confirmation helps us supply malaria prevention and travel medicines safely and in line with pharmacy guidance.

☑️ I will read the Patient Information Leaflet provided with my medication before use.

☑️ I will contact ifeelshy and inform my GP immediately if I experience any side effects, start a new medication, or if my medical conditions change during treatment.

☑️ I understand that the treatment is for my personal use only and will not be shared with anyone else.

☑️ I confirm that I have answered all questions accurately and truthfully to the best of my knowledge.

☑️ I understand that the prescriber relies on my answers in good faith, and that providing incorrect or incomplete information could affect my health.

☑️ I understand that while treatment decisions are made jointly between myself and the prescriber, the final decision to issue a prescription rests with the prescriber.

 

If you develop flu-like symptoms within 12 months of returning from your trip, would you seek medical attention immediately and tell the doctor about your recent travel? Malaria and other travel-related infections can appear weeks or even months after you return home.
Before you complete your order, have you checked that your malaria prevention medication is suitable for the malaria risk in your travel destination? You can find reliable, up-to-date guidance on the following official travel health websites: NHS Fit for Travel: https://www.fitfortravel.nhs.uk TravelHealthPro (UK Health Security Agency): https://travelhealthpro.org.uk