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Emergency Contraception Prescription

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Irish registered doctors 

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Basic Information

Step 1 of 3

Do you smoke, or have you recently quit smoking?
Do you have any medical conditions?
Are you allergic to any medication or do you have any allergies?
Are you taking any medication? This includes non-prescription, over-the-counter medicines as well as herbal remedies.
Have you ever had any major surgery?
Have you ever had a stroke or 'mini stroke'?
Have you had any heart problems, such as angina (chest pain) or a heart attack?
Have you recently stopped taking any medication?
Is there a history of any illness that runs within your family?
Do you have any liver or kidney problems?

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Calculate your BMI

Step 2 of 3

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Prescription Questionnaire

Step 3 of 3

Have your symptoms changed since they first appeared?
Do you have any difficulty swallowing pills or capsules?
Do you have any questions about the treatment?
Do you have a preferred pharmacy?
I confirm that I fully understood and have read completely all questions in this form and all of my answers are true and accurate, to the best of my knowledge.

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Important, please read!

At a glance

 

Irish Clinic can supply tablets for women to keep in reserve as a standby in case emergency contraception with a morning after pill is required.

 

These are single dose tablets to be used for "emergency contraception" after unprotected intercourse, where contraception has either failed or not been used.

 

Morning after pills work only if taken soon after intercourse, within 120 hours (5 days) or within 72 hours (3 days), depending on the treatment.

 

Treatments

 

Progesterone-only emergency contraceptive pills are available over the counter in many pharmacies in Ireland.

 

Doctors and family planning clinics sometimes offer to insert an IUCD (intrauterine contraceptive device) up to 5 days after unprotected intercourse. This prevents pregnancy and provides ongoing contraception.

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Basic Information

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Calculate BMI

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Questionaire

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