Do you understand and agree with the following?
You are aware gels and creams for rosacea should not be applied close to the eyes or lips or to open sores.
You are aware that if you have sensitive skin, it is important to start applying topical treatments such as azelaic acid every other day or once daily to allow your skin time to adjust and minimise irritation. A "purge" reaction, where breakouts temporarily worsen, can be normal and sometimes expected in the early stages of treatment. You can increase to twice daily if tolerated. If severe skin irritation occurs, you should reduce the amount or frequency of application, or temporarily stop using the product. Avoid contact with the eyes, mouth, and mucous membranes during application.
If you are taking warfarin or other coumarin type blood thinning medications, or have a blood disorder, you should not use Metronidazole (e.g.Rozex), Ivermectin (e.g Soolantra) or Doxycycline (e.g Efracea) or Minocycline.
You should not use Doxycycline (e.g. Efracea), Minocycline, Lymecycline (e.g. Tetralysal), or Oxytetracycline antibiotics if you are pregnant, breastfeeding, have a history of liver or kidney disease, taking antacids or have issues with stomach acidity or esophageal irritation or if you use sunbeds or expose your skin to strong sunlight (these antibiotics can increase the risk of skin reactions, and strong sunlight or sunbeds can also worsen conditions like rosacea).
You are aware that Mirvaso helps improve symptoms for about 70% of people, but it may not work for everyone. You are aware that Mirvaso can make symptoms worse for up to 16% of people and redness may get worse right after applying Mirvaso or when it starts to wear off (8-12 hours later). You are aware that to avoid worsening rosacea you should start using it gradually. You are aware to stop using it if your symptoms get worse—most people recover once they stop. You should not use Mirvaso if you have been diagnosed with a medical condition that causes significant low blood pressure.
You are aware that Soolantra cream may worsen symptoms in the first week but if they do not settle after the first week you should stop using it and seek medical help. You should not take Levamisole (to treat roundworm infection) if you are using Soolantra as there is a potentially dangerous interaction.
You are aware that if your symptoms are not responding to treatment, you develop any worsening, new or severe symptoms, or you have any concerns or psychological distress then you should see your GP or seek urgent care 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 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.
