You should seek medical advice if cold sores are getting worse or not healing after 10 days.

You understand the difference between the two doses of Aciclovir for cold sores:

• Treatment dose: 400mg three times a day for 5 days to treat a single outbreak.

• Suppressive dose: 400mg twice a day to prevent future outbreaks.

If you are on suppressive treatment (Aciclovir 400mg twice daily) and have had a cold sore outbreak, you should consult your GP for advice. You should consider stopping suppressive treatment if you have had no outbreaks after 6 months and consult your GP if you wish to continue up to 12 months. A break in treatment is recommended after 12 months.

You are aware you should not use Aciclovir tablets and should consult your GP if you are having cold sores and have been diagnosed with any of the following:

• Reduced immunity (e.g., after a bone marrow transplant, low white blood cell count, or HIV, after taking immunosuppressive medications)

• Neurological illness

• Long-standing low oxygen levels

• Abnormal liver blood test results

• Blood chemistry abnormalities

• Severe kidney disease

• If you are taking any of the following interacting medications: Mycophenolate, Theophylline/ Aminophylline or any medication that may impair your kidneys

Aciclovir cream is not for internal use or for use in or around the eye. It should not be used in the vagina, anus, or inside the mouth

You are aware that if you have or develop severe symptoms, new or worsening symptoms or concerns, or psychological distress, or your condition is not responding to treatment then you should see your GP as soon as possible.

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 are not pregnant.

You agree that if needed, a DigiDerm clinician may contact you via email, whatsapp 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.

I confirm that I have read, understand, agree and accept the above information and the Terms and Conditions, Privacy Policy and Patient Consent Form for DigiDerm’s Services.