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- For example,\r\n\r\nneurological problems?(e.g. parkinsons, previous stroke or mini-stroke).\r\nhormone or sugar problems?(e.g. diabetes, thyroid problems),\r\nkidney problems,\r\nbreathing problems?(e.g. asthma, COPD, bronchiectasis),\r\nliver problems?(e.g. hepatitis, fatty liver, alcohol liver disease),\r\nmental health problems?(e.g. anxiety, depression, personality disorder) or\r\nOr any other diagnosed conditions.","parent":"0","type":"radio","comment":null,"option":"[\"No\",\"Yes\"]","isrequired":"1","questionnaireID":62,"id":881},{"section":"79","title":"Please Provide more information below.","parent":"881","type":"textarea","comment":null,"conditions":"[\"Yes\"]","questionnaireID":62,"id":882},{"section":"79","title":"Are you taking any medications (prescription, over the counter or herbal)?","parent":"0","type":"radio","comment":null,"option":"[\"No\",\"Yes\"]","isrequired":"1","questionnaireID":62,"id":883},{"section":"79","title":"Please Provide more information below.","parent":"883","type":"textarea","comment":null,"conditions":"[\"Yes\"]","questionnaireID":62,"id":884},{"section":"79","title":"Are you allergic to any medications or any other substances?","parent":"0","type":"radio","comment":null,"option":"[\"No\",\"Yes\"]","isrequired":"1","questionnaireID":62,"id":885},{"section":"79","title":"Please Provide more information below.","parent":"885","type":"textarea","comment":null,"conditions":"[\"Yes\"]","questionnaireID":62,"id":886},{"section":"79","title":"Do you take any recreational drugs?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":62,"id":887},{"section":"79","title":"Please Provide more information below.","parent":"887","type":"textarea","comment":null,"conditions":"[\"Yes\"]","isrequired":"1","questionnaireID":62,"id":888},{"section":"79","title":"What is your blood pressure?","parent":"0","type":"select","comment":null,"option":"[\"Normal \\u2013 90\\/60 to 139\\/89\",\"High \\u2013 140\\/90 or above\",\"Low \\u2013 90\\/60 or below\"]","isrequired":"1","questionnaireID":62,"id":889},{"section":"79","title":"Please enter your weight and height","parent":"0","type":"radio","comment":null,"option":"[\"imperial\",\"metric\"]","isrequired":"1","questionnaireID":62,"id":890},{"section":"79","title":"What is your height (feet)?","parent":"890","type":"select","comment":null,"option":"[\"4\\u201d0\",\"4\\u201d1\",\"4\\u201d2\",\"4\\u201d3\",\"4\\u201d4\",\"4\\u201d5\",\"4\\u201d6\",\"4\\u201d7\",\"4\\u201d8\",\"4\\u201d9\",\"4\\u201d10\",\"4\\u201d11\",\"5\\u201d0\",\"5\\u201d1\",\"5\\u201d2\",\"5\\u201d3\",\"5\\u201d4\",\"5\\u201d5\",\"5\\u201d6\",\"5\\u201d7\",\"5\\u201d8\",\"5\\u201d9\",\"5\\u201d10\",\"5\\u201d11\",\"6\\u201d0\"]","conditions":"[\"imperial\"]","questionnaireID":62,"id":891},{"section":"79","title":"What is your weight (stone / pounds)?","parent":"890","type":"select","comment":null,"option":"[\"6 st 0 lb\",\"6 st 1 lb\",\"6 st 2 lb\",\"6 st 3 lb\",\"6 st 4 lb\",\"6 st 5 lb\",\"6 st 6 lb\",\"6 st 7 lb\",\"6 st 8 lb\",\"6 st 9 lb\",\"6 st 10 lb\"]","conditions":"[\"imperial\"]","questionnaireID":62,"id":892},{"section":"79","title":"What is your target weight (stone/pounds)? Please ensure you update your current weight above with each order.","parent":"0","type":"textarea","comment":null,"questionnaireID":62,"id":893},{"section":"79","title":"Do you smoke?","parent":"0","type":"radio","comment":null,"option":"[\"No\",\"Yes\"]","isrequired":"1","questionnaireID":62,"id":894},{"section":"79","title":"Do you drink alcohol?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":62,"id":895},{"section":"79","title":"Please enter how many units of alcohol per week","parent":"895","type":"textarea","comment":null,"conditions":"[\"Yes\"]","questionnaireID":62,"id":896},{"section":"102","title":"Are you switching between different weight loss drugs?","parent":"0","type":"radio","comment":null,"option":"[\"No\",\"Yes\"]","isrequired":"1","questionnaireID":62,"id":897},{"section":"102","title":"Please explain fully the reason for requesting a switch of weight loss drug.","parent":"897","type":"textarea","comment":null,"conditions":"[\"Yes\"]","questionnaireID":62,"id":898},{"section":"102","title":"Are you currently using any weight loss medication?","parent":"0","shop_url":null,"type":"select","comment":null,"option":["Orlistat","Saxenda","Wegovy","Mounjaro","None"],"orderno":null,"id":"899","questionnaireID":62},{"section":"102","title":"Please acknowledge the following for","parent":"0","type":"select","comment":null,"option":"[\"Saxenda\",\"Wegovy\",\"Mounjaro\",\"Orlistat\"]","questionnaireID":62,"id":900},{"section":"102","title":"Do you have any history of kidney or liver conditions?","parent":"0","type":"radio","comment":null,"option":"[\"No\",\"Yes\"]","isrequired":"1","questionnaireID":62,"id":901},{"section":"102","title":"Have you been diagnosed with any of the following conditions?","parent":"0","type":"checkbox","comment":null,"option":"[\"Chronic malabsorption syndrome\",\"Gallbladder, bile duct, or pancreas disease\",\"Suffering with an eating disorder such as anorexia or bulimia\",\"Underactive or overactive thyroid\"]","questionnaireID":62,"id":902},{"section":"102","title":"Do you suffer from any of the following weight-related comorbidities","parent":"0","type":"checkbox","comment":null,"option":"[\"Pre-diabetes\",\"Type 2 diabetes\",\"Hypertension\",\"Dyslipidaemia (such as high cholesterol)\",\"Obstructive sleep apnoea\",\"None of the above\"]","questionnaireID":62,"id":903},{"section":"102","title":"Please provide how many calories you consume on a daily basis?","parent":"0","type":"select","comment":null,"option":"[\"Less than 2000 per day\",\"2000-2500 per day\",\"More than 2500 per day\"]","questionnaireID":62,"id":904},{"section":"102","title":"How many times per week do you consume take away food?","parent":"0","type":"select","comment":null,"option":"[\"Occasionally\",\"Once a week\",\"More than once per week\"]","questionnaireID":62,"id":905},{"section":"102","title":"Do you regularly consume snacks (for example, chocolate, crisps,biscuits) ?","parent":"0","type":"radio","comment":null,"option":"[\"Occasionally\",\"Once a week\",\"More than once per week\"]","isrequired":"1","questionnaireID":62,"id":906},{"section":"102","title":"How much exercise do you undertake per week?","parent":"0","type":"radio","comment":null,"option":"[\"Less than 1 hour\",\"1-2 hours\",\"More than 2 hours\"]","questionnaireID":62,"id":907},{"section":"102","title":"Is there anything else you would like to tell us?","parent":"0","type":"radio","comment":null,"option":"[\"No\",\"Yes\"]","isrequired":"1","questionnaireID":62,"id":908},{"section":"102","title":"If possible, please upload any additional documents/information that may support your medicine request i.e. repeats prescriptions/letter.","parent":"0","type":"image","comment":null,"questionnaireID":62,"id":909},{"section":"103","title":"Would you like us to inform your GP of this consultation and any treatments that are prescribed for you?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","questionnaireID":62,"id":910},{"section":"103","title":"Do you confirm the following?\r\n\r\nYou will read the patient information leaflet supplied with the medication.\r\nYou are over 18 years old.\r\nThe treatment is solely for your use.\r\nYou have answered all the questions truthfully and accurately to allow our doctors to provide you with a safe service as inaccurate information can be hazardous to your health.\r\nYou agree to our terms and conditions, privacy policy and acceptable use policy.","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","questionnaireID":62,"id":911},{"section":"103","title":"-","parent":"0","type":"info","comment":"If treatment is not suitable, you will be fully refunded and signposted to another point of care. The decision about the treatment is for both the patient and the prescriber to consider, however, the final decision will always lie with the prescriber.","questionnaireID":62,"id":912},{"section":"96","title":"Are you pregnant or breastfeeding? (if applicable)","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":68,"id":919},{"section":"96","title":"Are you currently taking any regular medication? (Including herbal or over the counter)","parent":"0","shop_url":null,"type":"radio","comment":null,"option":["Yes","No"],"isrequired":"1","isdecision":"1","decisionopt":"no","orderno":"0","id":"628","questionnaireID":68},{"section":"96","title":"If yes, which ones?","parent":"628","type":"textarea","comment":null,"conditions":"[\"Yes\"]","isrequired":"1","questionnaireID":68,"id":920},{"section":"96","title":"Identity Verification: Please upload one of the following documents, by doing so we will verify these documents with 3rd party agencies to validate you. Birth Certificate Full / Provisional Driving License UK / EU Passport","parent":"0","shop_url":null,"type":"image","comment":null,"option":["Yes","No"],"isrequired":"1","orderno":"0","id":"823","questionnaireID":68},{"section":"96","title":"• You agree to our terms and conditions, privacy policy, and acceptable use policy \r\n• You will read the Patient Information Leaflet supplied with your medication \r\n• The treatment is solely for your own use \r\n• You have answered all the above questions accurately and truthfully \r\n• You understand the pharmacist will take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health \r\n• You will inform your GP of this purchase if appropriate \r\n• You give permission to access your NHS Summary Care Record by our responsible pharmacist in order to identify you correctly, check your medical history, and provide the best possible care","parent":"0","shop_url":null,"type":"radio","comment":null,"option":["Yes"],"isrequired":"1","orderno":"0","id":"824","questionnaireID":68},{"section":"79","title":"What is your height (cm)?","parent":"890","shop_url":null,"type":"select","comment":null,"option":[100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,165,166,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200,201,202,203,204,205,206,207,208,209,210,211,212,213,214,215,216,217,218,219,220],"conditions":["metric"],"orderno":null,"id":"921","questionnaireID":62},{"section":"79","title":"What is your weight (kg)?","parent":"890","shop_url":null,"type":"select","comment":null,"option":[40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160],"conditions":["metric"],"orderno":null,"id":"922","questionnaireID":62},{"section":"104","title":"Are you male and aged between 18-75?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":923},{"section":"104","title":"Do you smoke or drink?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":924},{"section":"104","title":"-","parent":"924","type":"info","comment":"You are eligible for treatment, however, be aware alcoholic drinks and/or smoking can make erection difficulties worse. Consult your GP for information on giving up smoking.","conditions":"[\"Yes\"]","questionnaireID":1163,"id":925},{"section":"104","title":"Have you taken Viagra (sildenafil), Levitra (vardenafil), Nipatra, Spedra or Cialis (tadalafil) at least 4 times previously without any side effects?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":926},{"section":"104","title":"-","parent":"926","type":"info","comment":"As you have not previously taken any erectile dysfunction medication, we will not be able to supply you with a high strength treatment as you must try a standard strength first.","conditions":"[\"No\"]","questionnaireID":1163,"id":927},{"section":"104","title":"Do you have trouble achieving or maintaining your erection?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":928},{"section":"104","title":"In the past 6 months, how often do you have difficulty getting and/or sustaining an erection during sexual activity?","parent":"0","type":"radio","comment":null,"option":"[\"Always\",\"Often\",\"Occasionally\"]","isrequired":"1","questionnaireID":1163,"id":929},{"section":"104","title":"Do you have high blood pressure (above 160/90), or are you currently on treatment for high blood pressure? (If you do not know your blood pressure you can have this measured at your local pharmacy/GP surgery)","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":930},{"section":"104","title":"Do you have low blood pressure (below 90/50)? (If you do not know your blood pressure you can have this measured at your local pharmacy/GP surgery)","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":931},{"section":"104","title":"Have you been advised to avoid strenuous exercise?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":932},{"section":"104","title":"Would you have any difficulty walking at a fast pace for 5 minutes?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":933},{"section":"104","title":"Do you suffer from depression for which you have not seen a GP?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":934},{"section":"104","title":"Do you have any allergy to Viagra (sildenafil), Levitra (vardenafil), Spedra (avanafil) or Cialis (tadalafil) or have you experienced any adverse reaction to any erectile dysfunction medication previously?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":935},{"section":"104","title":"Have you ever suffered from any of the problems listed below?\r\n- Any heart problems including angina, chest pain, heart failure, irregular heart beats, heart attack (myocardial infarction), left-ventricular outflow obstruction, cardiomyopathy or valvular heart disease (e.g.aortic stenosis).\r\nStroke\r\n- Sight loss due to poor circulation\r\n- Sight loss because of non-arteritic anterior ischemic optic neuropathy (NAION)\r\n- Blood problems such as haemophilia, sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells)\r\n- Stomach ulcers (e.g. peptic/gastric ulcer)\r\n- Liver problems\r\n- Kidney problems\r\n- An erection that lasted more than 4 hours\r\n- Any physical condition affecting the shape of the penis (e.g. angulation, Peyronie’s disease and cavernosal fibrosis)\r\n- Inherited eye disease - retinitis pigmentosa\r\n- Multiple myeloma (cancer of the bone marrow)\r\n- Galactose intolerance, Lapp Lactase deficiency or glucose-galactose malabsorption\r\n- Any serious medical condition which may require immediate hospitalisation","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":936},{"section":"104","title":"Are you taking any medicines known as nitrates (often taken for chest pain/angina) or nitric oxide donors ('poppers')?\r\n- Often taken for chest pain/angina\r\n- Can be administered as a spray, tablet or patch.\r\n- Include glyceryl trinitrate, isosorbide mononitrate or isosorbide dinitrate","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":937},{"section":"104","title":"-","parent":"937","type":"info","comment":"We do not advise any recreational drug use with PDE 5 inhibitors, but especially nitric oxide donors such as ‘poppers’ which may lead to a dangerous fall in your blood pressure. We are unable to supply you with treatment. Please consult your doctor for more information.","conditions":"[\"Yes\"]","questionnaireID":1163,"id":938},{"section":"104","title":"Are you currently taking any medication (including over the counter, prescription or recreational drugs)?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":939},{"section":"104","title":"Are you taking any of the following medications?\r\n\r\n- Any treatment for erectile dysfunction apart from Viagra (sildenafil) , Levitra (vardenafil) or Cialis (tadalafil), Spedra (avanafil)\r\n- Medicinal nitrates such as glycyryl trinitrate, isosorbide mononitrate or isosorbide dinitrate (including oral, transdermal and sublingual)\r\n- Recreational drugs prohibited by law (Class A,B or C)\r\n- Recreational nitrates such as amyl nitrate also known as \"poppers\"\r\n- Alpha blockers (used to treat high blood pressure or urinary symptoms associated with benign prostatic hyperplasia, and including tamsulosin, doxazocin, prazocin terazocin & indoramin)\r\n- Medicines to treat high blood pressure.\r\n- Warfarin - used to to prevent heart attacks, strokes, and blood clots\r\n- Anti-virals including (Atazanavir, etravirine, fosamprenavir, indinavir, nelfinavir, ritonavir, saquinavir)\r\n- Nicorandil\r\n- Anti-fungal medication such as Ketoconazole or itraconazole\r\n- Quinidine/procainamide/amiodarone\r\n- Theophylline\r\n- Erythromycin/clarithromycin/cimetidine\r\n- phenobarbital, phenytoin and carbamazepine (anticonvulsant medicines).\r\n- Riociguat\r\n- Rifampicin","parent":"939","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","conditions":"[\"Yes\"]","isrequired":"1","questionnaireID":1163,"id":940},{"section":"104","title":"Do you understand that erectile dysfunction can be associated with a number of contributing conditions e.g hypertension, diabetes mellitus, high cholesterol or cardiovascular disease and you should consult your doctor within 6 months of starting treatment for a clinical review?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","conditions":"[\"Yes\"]","isrequired":"1","questionnaireID":1163,"id":941},{"section":"104","title":"In the rare event, I obtain a prolonged erection of more than 4 hours or experience any sudden visual impairment, I agree that I will seek immediate medical assistance.","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":942},{"section":"104","title":"Do you agree to the following?\r\n\r\n- You will read the patient information leaflet supplied with your medication\r\n- You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment.\r\n- The treatment is solely for your own use\r\n- You have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1163,"id":943},{"section":"105","title":"Are you male aged between 18 - 64?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":944},{"section":"105","title":"Does premature ejaculation cause you personal distress or inter-personal difficulty with your partner?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":945},{"section":"105","title":"Do you drink alcohol?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":946},{"section":"105","title":"Do you suffer any pain whilst ejaculating, or do you have any difficulty or pain passing urine?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":947},{"section":"105","title":"Have you taken Priligy 30mg at least 4 times previously without any side effects and found that this strength is insufficient at reducing premature ejaculation?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":948},{"section":"106","title":"Do you ejaculate before you want to?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":949},{"section":"106","title":"Does it take you less than 2 minutes to ejaculate after penetration?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":950},{"section":"106","title":"Have you been suffering from premature ejaculation for more than 6 months?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":951},{"section":"107","title":"Do you have low blood pressure (below 90/50)? (If you do not know your blood pressure you can have this measured at your local pharmacy/GP surgery)","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":952},{"section":"107","title":"-","parent":"952","type":"info","comment":"We are unable to supply you with treatment if you have low blood pressure. Please consult your GP for more information.","conditions":"[\"Yes\"]","questionnaireID":1166,"id":953},{"section":"107","title":"Do you have a tendency to faint or get light-headed when you stand up from a lying position?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":954},{"section":"107","title":"-","parent":"954","type":"info","comment":"We are unable to supply you. Please consult your GP about this symptom for more information.","conditions":"[\"Yes\"]","questionnaireID":1166,"id":955},{"section":"107","title":"Are you allergic (hypersensitive) to Priligy or dapoxetine?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":956},{"section":"107","title":"-","parent":"956","type":"info","comment":"We are unable to supply you. Please consult your GP.","conditions":"[\"Yes\"]","questionnaireID":1166,"id":957},{"section":"107","title":"Have you ever suffered from any of the problems listed below?\r\n\r\n- mental health conditions such as depression, mania , bipolar disorder or schizophrenia\r\n- Heart conditions (e.g. angina, chest pain, heart failure, irregular heart beats, heart attack or narrowing of any heart valve)\r\n- a history of bleeding or blood clotting problems\r\n- a history of glaucoma or have been told you are at increased risk of glaucoma due to family history raised intraocular pressure\r\n- kidney problems\r\n- prostate problems\r\n- epilepsy\r\n- recurrent fainting\r\n- moderate or severe liver problems galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption\r\nany serious medical condition which may require immediate hospitalisation","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":958},{"section":"107","title":"-","parent":"958","type":"info","comment":"We are unable to supply you with treatment. Please consult your GP.","conditions":"[\"Yes\"]","questionnaireID":1166,"id":959},{"section":"108","title":"Are you currently taking any medication (including over the counter, prescription or recreational drugs)?","parent":"0","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","isrequired":"1","questionnaireID":1166,"id":960},{"section":"108","title":"Are you taking any of the following medications?\r\n\r\n- Any treatment for erectile dysfunction (e.g. Viagra,Sildenafil,Cialis, Levitra)\r\n- Serotonin reuptake inhibitors (citalopram, sertraline, fluoxetine, escitalopram,fluvoxamine)\r\n- Venlafaxine\r\n- Tricyclic antidepressants (TCAs) e.g. amitriptylline, imipramine, clomipramine, nortriptyline, lofepramine, doxepin and dosulepin.\r\n- Monoamine Oxidase Inhibitors (MAOIs) e.g. rasagiline, selegiline, moclobemide, phenelzine\r\n- St John's Wort (a herbal medicine)\r\n- Other medicines for depression\r\n- Medicines for mental health conditions other than depression - including Thioridazine (schizophrenia), Lithium (bipolar disorder)\r\n- Recreational drugs such as ecstasy, LSD, narcotics or benzodiazepines\r\n- Tryptophan (for sleep)\r\n- Tramadol (for pain)\r\n- 5HT1 antagonists e.g. sumatriptan, rizatriptan and zolmitriptan (for migraines)\r\n- Antibiotics: erythromycin, clarithromycin, telithromycin, linezolid\r\n- Antifungals e.g. ketoconazole, itraconazole and fluconazole\r\n- Medicines for HIV, including amprenavir, atazanavir, fosamprenavir, nelfinavir, ritonavir and saquinavir.\r\n- Medicines to thin your blood, such as warfarin\r\n- Non steroidal anti inflammatory medicines such as ibuprofen or aspirin\r\n- Medicines used to treat high blood pressure and chest pain (angina) that can make you feel dizzy e.g. nitrates, verapamil, diltiazem, doxazosin, atenolol, metoprolol and bisoprolol (if you feel dizzy taking any blood pressure medication you should consult a doctor and not take Priligy)\r\n- Medicines for enlarged prostate such as tamsulosin and finasteride\r\n- Aprepitant used to treat nausea.","parent":"960","type":"radio","comment":null,"option":"[\"Yes\",\"No\"]","conditions":"[\"Yes\"]","isrequired":"1","questionnaireID":1166,"id":961},{"section":"109","title":"I understand that dapoxetine is not effective for erectile dysfunction. 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treatment is solely for your own use\r\n- You have answered all the above questions accurately and truthfully. 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Athletes Foot\",\"9105448403267||Canesten Oral Thrush Capsule - 150mg\",\"9105448272195||Canesten Pessary 100mg - 6 Pessaries With Applicator\",\"9105448206659||Canesten Pessary 200mg - 3 Pessaries With Applicator\",\"9105448108355||Canesten Solution Clotrimazole 1% - 20ml\",\"9105235804483||Canesten Thrush Combi - 500mg Vaginal Pessary and 2% External Cream\",\"9105447944515||Canesten Thrush Combi Internal & External Creams\",\"9105447813443||Canesten Thrush Combi Soft Gel Pessary & External Cream\",\"9105447715139||Canesten Thrush Duo Oral Capsule & External Cream\",\"9105447649603||Canesten Thrush External Cream 2% w\/w Cream Clotrimazole \u2013 20g\",\"9105447485763||Canesten Thrush Internal Cream - 5g\",\"9105447354691||Canesten Thrush Pessary - 500mg\",\"9105447223619||Canesten Thrush Soft Gel Pessary - 500mg\",\"9105293967683||capasal Therapeutic Shampoo 250ml\",\"9105466097987||Care Decongestant Oral Liquid - 100ml\",\"9105465868611||Care Decongestant Tablets\",\"9105453154627||Care Extra Virgin Olive Oil Ear Drops - 10ml\",\"9105463083331||Care Glycerin - 200ml\",\"9105294164291||Care Glycerin Adult 4g - 12 Suppositories - Brand May Vary\",\"9105463214403||Care Glycerin Lemon & Honey with Glucose - 200ml\",\"9105510072643||Care Haemorrhoid Relief Ointment - 25g\",\"9105428349251||Care Hydrogen Peroxide Solution\",\"9105465737539||Care Ibuprofen 200mg - 48 Coated Tablets\",\"9105353867587||Care Maximum Strength 400mg Tablets 48\",\"9105360716099||Care Natural Senna Strong Laxatives Tablets - 100\",\"9105507123523||Care Senna Laxative\",\"9105320280387||Care Senna Tablets Constipation Relief - 60 Tablets\",\"9105507352899||Care Potassium Citrate Mixture - 200ml\",\"9105452630339||Care Sodium Bicarbonate Ear Drops - 10ml\",\"9105380147523||Careway Antihistamine Cream 2.0% w\/w 25g\",\"9105276109123||Careway Haemorrhoid Cream 30ml\",\"9105329881411||Careway ibuprofen 200mg Tablets 24 (brand may vary)\",\"9105325490499||Carnation Verruca & Wart Remover Freeze Spray - 12 Applications\",\"9105378672963||Carnation Footcare Cryospray Freeze Spray - 50ml\",\"9105458757955||Cetirizine (10mg) - Hay Fever & Allergy Relief Tablets (brand may vary)\",\"9105367499075||Cetirizine 10mg Tablets 30s\",\"9105368318275||Cetirizine 5mg\/5ml Oral Solution 200ml (Pinewood)\",\"9105366155587||Cetirizine Allergy & Hayfever Tablets\",\"9105365434691||Cetirizine Hydrochloride 5mg\/5ml Oral Solution 200ml (Brand May Vary)\",\"9105288397123||Chloramphenicol 1.0% antibiotic eye ointment 4g (brand may vary)\",\"9105461903683||Chlorphenamine 4mg Hay Fever and Allergy Relief Tablets\",\"9105366581571||Chlorphenamine Maleate 4mg Tablets 30s\",\"9105300619587||Cialis Together (Tadalafil)\",\"9105300357443||Cialis Together 10mg \u2013 8 Tablets\",\"9105461346627||Clarinaze Allergy Control Nasal Spray 0.05% - 140 Sprays\",\"9105131798851||Clarinaze Allergy Nasal Spray 0.05% 140 Sprays\",\"9105337221443||Clarityn Allergy 10mg Tablets - 14 Tablets\",\"9105368645955||Clarityn Allergy Rapide Tablets\",\"9105458299203||Clarityn Allergy Relief 10mg\",\"9105459609923||Clarityn Allergy Relief 10mg\",\"9105287577923||Clear Ear Relief Ear Drops - 7g\",\"9105287676227||Clear Express Ear Drops Dual Action 12ml\",\"9105287643459||Clear Olive Oil Ear Drops 15ml\",\"9105234264387||Clotrimazole and Fluconazole Thrush Treatment Bundle - 3 Pack\",\"9105324572995||Clotrimazole Cream 1% 20g\",\"9105447125315||Clotrimazole Cream 1% Fungal Treatment 20g (Brand may vary)\",\"9105446994243||Clotrimazole Cream 1% Fungal Treatment 50g\",\"9105474715971||Colofac For IBS Relief 135mg \u2013 15 Tablets\",\"9105370153283||Colofac IBS 135mg\",\"9105320509763||Colpermin IBS Relief\",\"9105506992451||CosmoCol Half Oral Powder 6.9g - 30 Sachets\",\"9105506828611||CosmoCol Lemon & Lime Flavour\",\"9105506599235||CosmoCol Orange Flavour\",\"9105506697539||CosmoCol Orange Lemon and Lime Flavour - 30 Sachets\",\"9105506533699||CosmoCol Plain Flavour - 30 Sachets\",\"9105338401091||Covonia Chesty Cough Mixture Mentholated \u2013 150ml\",\"9105365238083||Covonia Catarrh relief Formula 150ml\",\"9105264214339||Covonia Dry & Tickly Cough Linctus 300ml\",\"9105353670979||Cuprofen Maximum Strength 400mg\",\"9105324867907||Curanail 5% Medicated Fungal Nail Lacquer - 3ml\",\"9105470161219||Curanail 5% Medicated Nail Laquer - 3ml\",\"9105406689603||Cyanocobalamin 50mcg - 50 Tablets\",\"9105334829379||Cymalon 6 Cranberry Cystitis Sachets For Oral Solution\",\"9105294852419||Cymalon Cystitis Relief - 6 Sachets\",\"9105249337667||Cymex Cream 5g\",\"9105326244163||Cymex Ultra Cream 2g\",\"9105293902147||Cystopurin 3g granules 6 sachets\",\"9105508991299||Daktacort Hydrocortisone Cream - 15g\",\"9105470882115||Daktarin 2% Cream\",\"9105362420035||Daktarin 2% Cream - 15g\",\"9105136582979||Daktarin Aktiv Cream 30g\",\"9105382965571||Daktarin Aktiv Spray Powder - 100g\",\"9105470357827||Daktarin Aktiv Spray Powder for Athletes Foot - 100ml\",\"9105470751043||Daktarin Gold (Ketoconazole) 2% Cream - 15g\",\"9105324540227||Daktarin Gold 2% Treatment Cream 15g\",\"9105382768963||Daktarin Intensive (Ketoconazole) Cream - 15g\",\"9105547100483||Daktarin Intensive Cream 2%-15g\",\"9105546838339||Daktarin Powder Original 20g\",\"9105362747715||Daktarin\u00ae Powder - 20g\",\"9105405444419||DaliVit Multivitamin Drops - 25ml\",\"9105452400963||Derbac M Liquid\",\"9105360486723||Dioctyl Capsules - 30\",\"9105124917571||Disprin - 32 Tablets\",\"9105325687107||Disprin Direct (Aspirin) - 16 Tablets\",\"9105249075523||Dr Gut Bloating Release Capsules\",\"9105248682307||Dr Gut Diarrhoea Liquid Stick\",\"9105248977219||Dr Gut Diarrhoea Relief Sachets\",\"9105248878915||Dr Gut IBS Relief Capsules\",\"9105361502531||DulcoEase Stool Softener 100mg \u2013 30 Capsules\",\"9105505026371||Dulcolax (Bisacodyl) Dulcoglide Suppository Applicator 3 Pack\",\"9105361043779||Dulcolax 5mg Bisacodyl - 100 Tablets\",\"9105360322883||Dulcolax 5mg Gastro-Resistant Constipation Laxative Tabs 2x20 tablets\",\"9105340203331||Dulcolax 5mg Tablets for Constipation\",\"9105506402627||Dulcolax 5mg Tablets for Constipation\",\"9105505091907||Dulcolax 5mg Tablets for Constipation, 20 Tablets\",\"9105267294531||Dulcolax Gastro-resistant Tablets 5mg 60 Pack\",\"9105506304323||Dulcolax Laxative Suppositories 10mg - 12 Suppositories\",\"9105505386819||Dulcolax Pico Liquid Laxative (Sodium Picosulfate) 5mg\/5ml Oral Solution \u2013 300ml\",\"9105506271555||Dulcolax Pico Liquid Laxative (Sodium Picosulfate) 5mg\/5ml Oral Solution \u2013 300ml\",\"9105361371459||Dulcolax Tablets - 10\",\"9105505288515||DulcoSoft Liquid - Oral Laxative for Comfortable Relief From Constipation - 100 ml\",\"9105504862531||DulcoSoft Liquid - Oral Laxative for Comfortable Relief From Constipation - 250 ml\",\"9105505190211||DulcoSoft Powder 20 Sachets\",\"9105237508419||E. D. Connect 50mg\",\"9105429004611||EMLA Cream - 30g\",\"9105428808003||EMLA Cream 5%\",\"9105508237635||Eumovate Eczema & Dermatitis Cream 0.05% - 15g\",\"9105219617091||Eurax Cream 100g\",\"9105532387651||Eurax Cream 30g\",\"9105532715331||Eurax HC Cream-15g\",\"9105490444611||Feminax Express\",\"9105327522115||Feminax Express 16 Tablets\",\"9105366024515||Fexofenadine Tablets\",\"9105351147843||Ferrograd C Tablets - 30\",\"9105352851779||Ferrograd Folic Tablets - 30\",\"9105131667779||Ferrograd Folic Tablets Pack of 30\",\"9105489920323||Flarin 200mg Soft Capsules\",\"9105329684803||Flamingo Pharma 200mg Pain Relief, 16 Tablets\",\"9105354424643||Flarin Joint & Muscular Pain Relief - 200mg - 12 Soft Capsules\",\"9105309434179||Flexitol 10% Urea Cream 150g\",\"9105309499715||Flexitol 25% Urea Heel Balm 200g\",\"9105382048067||Flexitol Heel Balm\",\"9105383948611||Flexitol Moisturising Foot Cream - 85g\",\"9105309729091||Flexitol Skin Balm 100g\",\"9105449582915||Fluconazole Capsule\",\"9105351934275||Forceval Adult Multi Vitamin - 30 Soluble Tablets\",\"9105414488387||Forceval Junior Multi Vitamin - 30 Soluble Tablets\",\"9105414324547||Forceval Multi Vitamin\",\"9105509155139||Full Marks Head Lice Solution Spray With Comb - 150ml\",\"9105450107203||Full Marks Solution\",\"9105320378691||Fybogel Hi-Fibre Orange - 10 Sachets\",\"9105136320835||Fybogel Hi-Fibre Orange - 30 Sachets\",\"9105340563779||Fybogel Lemon - 30 Sachets\",\"9105340694851||Fybogel Lemon - 60 Sachets\",\"9105159651651||Fybogel Mebeverine - 10 Sachets\",\"9105505878339||Fybogel Mebeverine Orange - 10 Sachets\",\"9105340629315||Fybogel Orange - 30 Sachets\",\"9105340760387||Fybogel Orange - 60 Sachets\",\"9105504796995||Fybogel Orange Sachet Drinks \u2013 30 Sachets\",\"9105360978243||Fybogel Plain Natural Fibre Drink 30 Sachets Relieves Constipation\",\"9105363337539||Galderma Curanail 5% Fungal Nail Treatment 3ml Medicated Nail Lacquer Toe Feet\",\"9105303732547||Galpharm Children\",\"9105326375235||Galpharm Cold Sore Cream - 2g\",\"9105370415427||Galpharm Diarrhoea Relief 2mg\",\"9105339056451||Galpharm Ibuprofen 200mg Capsules 16\",\"9105475830083||Gaviscon Advance Aniseed Flavoured Suspension\",\"9105321722179||Gaviscon Advance Aniseed Flavoured Suspension - 300ml\",\"9105475436867||Gaviscon Advance Aniseed Flavoured Suspension \u2013 150ml\",\"9105360191811||Gaviscon Advance Aniseed Suspension - 500ml\",\"9105321787715||Gaviscon Advance Flavoured Suspension 500ml\",\"9105322639683||Gaviscon Advance Mint Chewable - 24 Tablets\",\"9105322541379||Gaviscon Advance Mint Chewable 60 Tablets\",\"9105359962435||Gaviscon Advance Peppermint Suspension\",\"9105321951555||Gaviscon Double Action Chewable Tablets Mixed Berries - 12 Tablets\",\"9105321886019||Gaviscon Chewable Tablets Peppermint - 24 Tablets\",\"9105370612035||Gaviscon Double Action Liquid 600ml\",\"9105260380483||Gaviscon Double Action Liquid Sachets\",\"9105369170243||Gaviscon Double Action Liquid Sachets\",\"9105319919939||Gaviscon Double Action Mint Chewable 48 Tablets\",\"9105369891139||Gaviscon Double Action Mint Flavour Chewable 12 Tablets\",\"9105295081795||Gaviscon Double Action Mint oral suspension 500ml\",\"9105370513731||Gaviscon Double Action Mixed Berries (All sizes)\",\"9105322017091||Gaviscon Infant - 30 Sachets\",\"9105322246467||Gaviscon Original Liquid Aniseed \u2013 600ml\",\"9105295016259||Gaviscon Peppermint liquid relief oral suspension 600ml\",\"9105300488515||Glycerol 2g (12) suppositories for children\",\"9105505550659||Glycerol Adult 4g - 12 Suppositories - Brand May Vary\",\"9105375101251||Golden Eye Antibiotic 1% w\/w Chloramphenicol Eye Ointment 4g\",\"9105381720387||Glytrin 400mcg Sublingual Spray 200 Dose\",\"9105375035715||Golden Eye Drops - Solution 10ml\",\"9105457480003||GoldenEye Antibiotic Ointment - 4g\",\"9105319526723||Guardium Acid Reflux Control 20mg - 14 Tablets\",\"9105319625027||Guardium Acid Reflux Control 20mg - 7 Tablets\",\"9105260478787||Guardium Tablets 24hrs\",\"9105475305795||Guardium Tablets Heartburn and Acid Reflux Control\",\"9105371398467||HC45 Hydrocortisone 1% w\/w Acetate Cream - 15g\",\"9105432641859||HC45 Hydrocortisone Acetate Cream - 15g\",\"9105330667843||Hedex Extra - 16 Tablets\",\"9105301045571||Hedrin Protect & Go Spray 250ml\",\"9105405935939||HuxD3 Capsules 20000IU Colecaliferol\",\"9105264574787||Ibucalm 200mg Tablets Pack of 24\",\"9105254711619||Ibuleve Gel Maximum Strength\",\"9105254580547||Ibuleve Maximum Pain Relief 10% Gel\",\"9105254515011||Ibuleve Pain Relief 5% Gel 100g\",\"9105330995523||Ibuleve Speed Relief Max Strength Gel - 40g\",\"9105327259971||Ibuprofen 200mg - 16 Tablets (brand may vary)\",\"9105234100547||Ibuprofen 400mg Tablets - 96 Tablets (Brand May Differ)\",\"9105327882563||Ibuprofen Numark - 24 x 400mg Tablets\",\"9105430118723||Imodium (Loperamide Hydrochloride) IBS Relief 2mg \u2013 6 Soft Capsules\",\"9105429823811||Imodium Classic (2mg)\",\"9105265590595||Imodium Dual Action Relief Tablets 12 Pack\",\"9105321001283||Imodium IBS Relief 2mg - 6 soft capsules\",\"9105430380867||Imodium Instant Melts\",\"9105321132355||Imodium Instant On the Go Diarrhoea Relief \u2013 12 Orodispersible Tablets\",\"9105430020419||Imodium Instants (2mg) - 6 Orodispersible Tablets\",\"9105321066819||Imodium Original 2mg - 12 Capsules\",\"9105432445251||Imodium Plus 2mg\/125mg - 12 Caplets\",\"9105364025667||Infant Syrup Apple Flavour 3+ Months, 125ml Calcough\",\"9105305665859||Ispaghula Husk Orange 30 sachets\",\"9105353277763||Kalms Day - 200 Tablets\",\"9105491362115||Kalms Day - 84 Tablets\",\"9105491755331||Kalms Lavender One-A-Day - 14 Capsules\",\"9105490870595||Kalms Night One-A-Night - 21 Tablets\",\"9105491558723||Kalms Night Valerian Root Extract 96mg - 50 Tablets\",\"9105359569219||Kwells Kids 150 Microgram Tablets - 3 x 12 - RM24\",\"9105432183107||Kwells Kids Travel Sickness - 12 Tablets\",\"9105432084803||Kwells Travel Sickness - 12 Tablets\",\"9105303175491||Lactulose 10g\/15ml Oral Solution 10 Sachets\",\"9105370808643||Lactulose 3.3g\/5ml Oral Solution 500ml\",\"9105506140483||Lactulose Solution - 300ml\",\"9105324376387||Lamisil at 1% Athlete\",\"9105547460931||Lamisil AT 1% Athletes Foot Gel-15g\",\"9105469931843||Lamisil AT 1% Cream - 15g\",\"9105362911555||Lamisil AT 1% Cream - 3 x 7.5g\",\"9105470685507||Lamisil AT 1% Gel - 15g\",\"9105381884227||Lamisil AT 1% Spray - 15ml\",\"9105381916995||Lamisil Once 1% - Cutaneous Solution\",\"9105320739139||Laxido Orange Powder Sachets \u2013 30 Sachets\",\"9105506107715||Laxido Orange Powder Sugar Free\",\"9105276764483||Lemsip Breathe Easy 5s\",\"9105357373763||Lemsip Cold & Flu Lemon 10 Powder Sachets Fever Blocked Nose Sore Throat\",\"9105263427907||Lemsip Cough 180ml Muscus Cough & Catarrh\",\"9105314545987||Lemsip Cough For Chesty Cough \u2013 180ml\",\"9105281220931||Lemsip Cough for Mucus Cough & Catarrh 5ml oral solution\",\"9105357799747||Lemsip Max Cold & Flu Lemon - 10 Count\",\"9105314480451||Lemsip Max Cold & Flu \u2013 16 Capsules\",\"9105463443779||Lemsip Max Cold + Flu - 8 Capsules\",\"9105462788419||Lemsip Max Day & Night Cold & Flu Relief -full pack capsules\",\"9105316086083||Lemsip Max Day & Night Cold & Flu \u2013 24 Capsules\",\"9105465049411||Lemsip Max Flu Lemon - 10 Sachets\",\"9105303929155||LMX4 Lidocaine 4% Cream - 30g\",\"9105428676931||LMX4 Lidocaine 4% Cream\",\"9105459249475||Loratadine 10mg - Hay Fever & Allergy Relief Tablets\",\"9105370972483||Loperamide 2mg Capsules 30 capsules\",\"9105304715587||Loratadine 5mg\/5ml Oral Solution 100ml Peach Flavour\",\"9105268572483||Lunox Sleep Aid 25mg 20 Tablets\",\"9105132585283||Lunox Max Strength Sleep Aid 50mg\",\"9105156342083||Lyclear Dermal Cream Permethrin 5% - 30g\",\"9105256382787||Lyclear Express Lotion 100ml\",\"9105256546627||Lyclear Express Shampoo 200ml\",\"9105256481091||Lyclear Express Spray 100ml\",\"9105302487363||Lyclear Extra Strong 100ml\",\"9105256251715||Lyclear Lotion 100ml\",\"9105429496131||Maloff Protect 250mg\/100mg\",\"9105245241667||Maloff protect 250mg\/100mg tablets pack of 24\",\"9105320870211||Max Remedies Diarrhoea Relief - 6 Capsules\",\"9105311564099||Men\",\"9105489527107||Migraitan 50mg Migraine Relief - 2 Tablets\",\"9105489232195||Migraleve Migraine Pink & Yellow Complete\",\"9105489068355||Migraleve Pink (Codeine\/Paracetamol) -FULL PACK\",\"9105488740675||Migraleve Yellow (Codeine\/Paracetamol) - 24 Tablets\",\"9105322836291||Mintec Peppermint Oil For IBS Relief \u2013 84 Capsules\",\"9105242882371||Motusol 1% Diclofenac Gel 100g\",\"9105242685763||Motusol 2% Diclofenac MAX 50g\",\"9105199497539||Movicol 13.7g Sachets Chocolate (pack of 30)\",\"9105505714499||Movicol Plain Powder Sachets\",\"9105304027459||Movicol Powder Lemon & Lime - 30 Sachets\",\"9105294885187||Movicol Powder Sachets - 30 Sachets\",\"9105370710339||Movicol Sachets - 13.8g\",\"9105373626691||Murine Hayfever Relief 2% w\/v Eye Drops 10ml\",\"9105361961283||Murine Hay Fever Relief Eye Drops - 3 x 10ml\",\"9105317593411||Murine Dry & Tired Eye Drops - 15ml\",\"9105373987139||Murine Contacts Refresh & Clean Eye Drops 15ml\",\"9105374347587||Murine Irritation & Redness Relief Eye Drops 10ml\",\"9105368875331||Murine Natural Relief for Allergies Eye Mist 15ml\",\"9105374708035||Murine Refresh & Soothe Eye Mist 15ml\",\"9105322049859||Nasacort Allergy Nasal Spray - 30 Sprays\",\"9105296687427||Nasacort Allergy Nasal Spray \u2013 30 Spray\",\"9105320051011||Nexium Control For Heartburn And Acid Reflux (20mg) \u2013 14 Capsules\",\"9105475109187||Nexium Control For Heartburn And Acid Reflux 20mg\",\"9105475207491||Nexium Control For Heartburn And Acid Reflux 20mg \u2013 14 Capsules\",\"9105231446339||Nicorette Fruit 2mg Lozenge - 80 Lozenges\",\"9105230233923||Nicorette Gum Freshmint 2mg\",\"9105229807939||Nicorette Gum Freshmint 4mg\",\"9105229578563||Nicorette Gum Fruitfusion 2mg\",\"9105229021507||Nicorette Gum Fruitfusion 4mg - 105 Pack\",\"9105231249731||Nicorette Gum Icy White 2mg\",\"9105229316419||Nicorette Gum Icy White 4mg - 105 Pieces\",\"9105229906243||Nicorette Gum Original 4mg\",\"9105230889283||Nicorette Gum Original 2mg\",\"9105231774019||Nicorette Icy Mint 2mg Nicotine Lozenges\",\"9105228792131||Nicorette Inhalator 15mg\",\"9105267654979||Nicorette Inhalator 15mg 20 Pack\",\"9105231937859||Nicorette Invisi Patch 10mg - 7 Patches\",\"9105232036163||Nicorette Invisi Patch 15mg \u2013 7 Patches\",\"9105232265539||Nicorette Invisi Patch 25mg\",\"9105227940163||Nicorette Microtab Original 2mg - 100 Tablets\",\"9105228267843||Nicorette Nasal Spray 10mg - 10ml\",\"9105342890307||Nicorette Nasal Spray 10ml\",\"9105233150275||Nicorette Quickmist 1mg Cool Berry Mouthspray Bundle - 4 Pack\",\"9105233215811||Nicorette Quickmist 1mg Freshmint Mouthspray Bundle - 4 Pack\",\"9105233936707||Nicorette QuickMist Cool Berry 1mg Mouthspray\",\"9105233477955||Nicorette QuickMist Cool Berry 1mg Mouthspray Duo Pack\",\"9105233838403||Nicorette QuickMist Freshmint 1mg Mouthspray\",\"9105233772867||Nicorette QuickMist Freshmint 1mg Mouthspray Duo Pack\",\"9105232396611||Nicorette Quickmist SmartTrack Cool Berry Duo\",\"9105232953667||Nicorette Quickmist SmartTrack Freshmint 150 Sprays\",\"9105232757059||Nicorette Quickmist SmartTrack Freshmint Duo\",\"9105201398083||Nicotinell Fruit 2mg Gum - 204 Pieces\",\"9105189896515||Nicotinell Mint Gum 4mg - 96 Pieces\",\"9105254973763||NiQuitin (Step 2) 14 Clear Patches 1 Week 14mg\",\"9105255072067||NiQuitin (Step 2) 7 Clear Patches 1 Week 14mg\",\"9105255235907|