Phone: + 44(0)1494 424 435
Email: pharmacy@pharmazon.ltd
Address: 8 Devonshire Place, London W1G 6HP
Dispensing address: Unit 4, 40-40 Link, 30-34 Mill End Rd, High Wycombe HP12 4AX
Complete your repeat treatment review before we issue your next prescription.
Safety Review
We will ask a few quick questions about how your treatment is going, any side effects, and whether your health has changed since your last prescription.
Prescriber Approval
A registered prescriber reviews your answers before your repeat is issued. If anything needs a closer look, we will contact you before your order is fulfilled.
Confirm Your Details
Treatment Review
Have you completed 4 weeks or more on your current dose?
Count from the date of your first injection at this strength, not from when you first started treatment overall.
Yes — I have completed 4 or more weeks at my current dose
No — I have been on this dose for less than 4 weeks
We need you to answer a few more questions.
Because you have been on your current dose for less than 4 weeks, we need some more information before your repeat can be issued. Please complete the short medical history questionnaire below, and a prescriber will review your answers before your order is fulfilled.
Do not increase your dose without prescriber approval.
Safety Check
Are you currently experiencing any of the following symptoms?
Please read every item carefully before continuing.
Severe abdominal (tummy) pain
Pain that spreads through to your back
Persistent vomiting — unable to keep fluids down
Yellowing of the skin or whites of the eyes (jaundice)
Severe pain in the upper right side of your abdomen
Signs of dehydration — dark urine, dizziness, passing very little urine
Swelling in the neck, a lump in the throat, hoarseness or difficulty swallowing
Allergic reaction — rash, swelling of face, lips or throat, difficulty breathing
None of the above
Side Effects
Have you experienced any moderate or severe side effects, or mild side effects that are not improving?
Moderate or severe means the side effects have stopped you doing normal daily activities, kept you from eating or drinking properly, or required treatment of their own.
Yes — moderate or severe, or mild side effects not improving
No — no side effects, or only mild ones that are improving
We need you to answer a few more questions before you book your consultation.
Because of the side effects you have described, we need some more information before your repeat can be issued. Please complete the short medical history questionnaire below. A prescriber will review your answers before your order is fulfilled.
Do not stop your treatment without speaking to a prescriber first.
Changes To Your Health
Since your last prescription, have you had any new medical diagnosis, any change to the medicines you take, or are you pregnant, planning pregnancy, or breastfeeding?
This includes any new prescription, medicines stopped or dose changed, over-the-counter medicines, vitamins and supplements, and any changes to your reproductive status.
Yes — something has changed
No — nothing has changed
We need you to answer a few more questions before you book your consultation.
Because your health or medication has changed since your last prescription, we need some more information before your repeat can be issued. Please complete the short medical history questionnaire below. A prescriber will review your answers before your order is fulfilled.
How You Have Been Taking Your Treatment
Have you been taking your medication weekly, exactly as prescribed?
Yes — I have taken it every week exactly as prescribed
No — I have not always taken it as prescribed
We need you to answer a few more questions before you book your consultation.
Because your treatment has not been taken exactly as prescribed, we need some more information before your repeat can be issued. Please complete the short medical history questionnaire below. A prescriber will review your answers before your order is fulfilled.
How You Have Been Taking Your Treatment
Have you missed 2 or more consecutive weekly doses?
Missing two or more doses in a row means your dose may need to be restarted at a lower strength to avoid side effects.
Yes — I have missed 2 or more weekly doses in a row
No — I have not missed 2 or more doses in a row
We need you to answer a few more questions before you book your consultation.
After 2 or more missed doses in a row, your dose may need to be restarted at a lower strength. We need some more information before your repeat can be issued. Please complete the short medical history questionnaire below. A prescriber will review your answers before your order is fulfilled.
Do not restart at your previous dose without prescriber approval.
Your Progress
Are you happy with your progress AND losing weight on your current treatment?
Yes — I am happy with my progress and losing weight
No — I am not happy or not losing weight
We need you to answer a few more questions before you book your consultation.
Because your progress is not as expected, we need some more information before your repeat can be issued. Please complete the short medical history questionnaire below. A prescriber will review your answers and discuss the best next steps with you before your order is fulfilled.
Dose Review
Are you satisfied with your appetite control on your current dose?
If you are satisfied, we will approve your repeat at your current dose. Any dose increase is decided by the prescriber.
Yes — I am satisfied with my appetite control
No — my appetite is not well controlled
Dose Review
Are you requesting a dose increase?
Requesting an increase does not guarantee one will be approved. The prescriber decides based on your full review.
Yes — I would like to request a dose increase
No — I am happy to continue at my current dose
