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9 Burwash Road, Hove, Boston, BN3 8GP
If you have ordered this medication before, you can log in to fill up the questionnaire automatically.
Are you female?
Are you breast feeding or pregnant or possibly pregnant?
Do you have an allergy (hypersensitivity) to norethisterone?
Do you or your family members have a history of deep vein thrombosis (DVT)?
Have you been diagnosed with any of the following?
Are you taking any type of hormonal contraceptives (e.g. oral or injections)?
Are you currently taking any medication (including over the counter, prescription or recreational drugs)?
Are you taking any of the following medications?
Do you understand that this medication should be only be used for delaying your period?
Do you agree to the following?
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