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Kalms day Tablets, Natural Insomnia Cure, 200.
x1 pack £9.99x2 packs £18.99£9.99 – £18.99Kalms One-A-Night, Natural Insomnia Cure, 21.
x1 pack £3.49x2 packs £6.25£3.49 – £6.25Nytol Herbal Tablets 30 Pack,Night Time Sleep Aid.
x1 pack £4.99x2 packs £8.99£4.99 – £8.99Nytol One-A-Night Tablets 20 Pack
x1 pack £6.29£6.29Phenergan Elixir (5mg/5ml Promethazine) Sugar Free Oral Solution 100ml
X1 £11.99£11.99Sominex tablets, 16, Relief From Insomnia.
x1 pack £4.59x2 packs £7.49£4.59 – £7.49Yes Are you a male or female? Male Female What is your date of birth? What is your height? Height? What is your weight? What is your weight? What is your blood pressure? Do you have any allergies? Yes No Do you smoke, drink alcohol or take any recreational drugs? Yes No Do you take herbal, homeopathic or ayurveda medicine? Yes No What diagnosis/treatment do you require medicine for and what medicine has your doctor recommended in the past? Have you seen your Doctor about the present condition? Yes No Is your doctor aware of the medicine you intend to buy and are you going to inform your Doctor that we issued you this medicine? Yes No Have you taken this medicine before with a prescription in less than 6 months ? Yes No Are you pregnant, breast feeding or planning to get pregnant? Yes No Have you ever suffered from heart, liver or kidney problems?? Yes No Are you allergic to Zimovane or any of its ingredients?? Yes No Are you intending to use this medication on a short-term basis?? Yes No Have you taken hypnotic drugs before, other than the one selected today?? Have you taken Zopiclone/Zimovane in the last 28 days? Yes No Do you suffer from depression, muscle weakness, or myasthenia? Do you have any other disease, disorder or medical problem that the prescribing doctor needs to know? Yes No Are you currently taking any other medication, other than this selected medicine, including prescribed and over the counter? Yes No Do you currently have or ever had any problems like allergic reaction, side-effects or drug abuse by using this or other medicines? Yes No Have you ever had any minor or major surgery? Yes No Are you under the care of a psychiatrist? Yes No Do you suffer from any suicidal thoughts or psychic problems? Yes No Do you take any antidepressants? Yes No Do you suffer from sleep apnoea? (failing to breath during sleep) Yes No Please advise us upon the number of tablets left with you, whether it is prescribed by this online doctor service or from any other services including your own GP or Family/Hospital Doctor? I confirm that all the information provided is accurate and I have been made aware that the medication I have ordered can be addictive. In addition I will only take this medicine according to the Doctors prescription dose and notify my own Doctor upon the purchase of this medicine. Have you seen your General Practitioner (GP) or Family/Hospital Doctor about the condition you require this medication for? Yes No I give permission to allow the company to use my personal data strictly for processing my order which includes for use in credit/debit card processing, credit reference (CRA) and fraud prevention (FPA) agencies to help them make decisions on the legitimacy of my order. Would you like to opt in to receive reminders for re-ordering of your repeat monthly medication? Yes No Would you give us permission to contact your doctor if we need to discuss your treatment and to keep them informed about any medications prescribed for you? Yes No Terms & Conditions I confirm that I'm over 18 and I agree to the terms and condition Submit Questionnaire