No contraceptive is 100% effective at preventing pregnancy.

With combined oral contraception pills, there is a low risk of serious side effects such as cervical cancer, breast cancer, and blood clots.

If using Dianette, you understand that it is not designed for use solely as a contraceptive and you must be suffering with acne for the benefits to outweigh the risks of taking it. It should only be used for 3-4 cycles and stopped after your acne has cleared up. There is a higher risk of blood clots with Dianette than with other low dose combined oral contraceptive pills and it should not be used if you or a close family member have had blood clots without a known cause, or if you currently have any blood clotting problems.

This medication will not provide protection against sexually transmitted infections (STIs).

You should take your pill at the same time each day and if you miss a pill you may be at risk of pregnancy if you are sexually active- in this case you should seek advice from a healthcare professional.

You can take the pill either by having a 1 week break every month, or continuously for 3 months with a 4-7 day break- the latter is called ‘tricycling’. If using the tricycling routine you accept and understand that this is an 'off label' use. This means it is not the standard way the pill is prescribed, and while it may be recommended by a healthcare professional for specific reasons, it carries potential risks and side effects that may differ from the usual use.

Your pill may not work as well if you vomit or have severe diarrhoea.

You will ensure that you have regular blood pressure checks with your GP. Your blood pressure should be checked before you start any contraception, and annually thereafter.

Long-acting contraceptives such as the injection, implant, and coil are generally considered more effective in preventing pregnancy and these are available if preferred by talking to your registered NHS GP. More information on alternative forms of contraception and risks versus benefits of each method at www.contraceptivechoices.org.

You are aware that most acne treatments take 8-12 weeks to work and if there is no improvement after 3 months then you should contact a healthcare professional to review treatment.

You are aware that if you have or develop severe scarring or psychological distress then you should see your GP as soon as possible.

You confirm you are not currently pregnant.

You will read the patient information leaflet supplied with any medication we send you and if you have any allergies to any of the ingredients or any contraindications, you will not take the medication and contact a DigiDerm clinician for further advice. You have informed us of any allergies you have by completing the general health questions.

You have informed us of any current or previous medical conditions you have by completing the general health questions.

You agree that if needed, a DigiDerm clinician may contact you via email or telephone in response to this consultation form to offer advice and suggest treatments where necessary, or if they feel they need more information to make an accurate diagnosis or assessment of your condition.

You agree that if after reviewing your consultation, your skin problem is something we cannot treat or is not suitable for our service, then we will give you a full refund and suggest you visit your registered NHS GP for further advice.

You are at least 16 years old and currently resident in the UK at the time of this consultation. This treatment is to be used only by you.

You take responsibility to inform your own regular doctor/ NHS GP of this online consultation and any treatments supplied, or any changes in your circumstances.

The answers provided to the above questions are true and accurate to the best of your knowledge.