Myonlinedoctor Erectile dysfunction treatment Registration Page

Have you taken Dianette before?

Yes No

Were there any side effects?

Yes No

Who has suggested you try this medication?

Do you suffer from acne?

Yes No

Are you having acne treated currently?

Yes No

Do you have oily skin?

Yes No

Do you have an excess of facial hair?

Yes No

Have you been diagnosed with polycystic ovarian syndrome?

Yes No

Are you taking any oral contraception?

Yes No

Have you or any other family member had heart or vascular disease?

Yes No

Do you have any of the following:

Previous or existing severe liver disease or cancer of the liver
Dubin-Johnson or Rotor syndromes
Severe high blood pressure
Major surgery with prolonged immobilisation
History of migraine with focal aura
Sickle-cell anaemia
Breast or uterine cancer or a history of these conditions
Severe diabetes with vascular changes
Disorders of lipid metabolism
History in pregnancy of pruritus
Cholestatic jaundice
Deteriorating otosclerosis
Herpes gestationis
Undiagnosed abnormal vaginal bleeding
Pregnancy
Lactation

REASONS FOR IMMEDIATE DISCONTINUATION OF TREATMENT: First signs of thrombophlebitis or thromboembolism or appearance of risk factors, pain or tightness in the chest, unexplained severe calf pain or swelling, occurrence of migraine for first time, unusually severe, frequent or prolonged headache, acute visual or auditory disturbance, increase in epileptic seizures, significant increase in BP, hepatitis, jaundice, liver enlargement, generalised itching, severe upper abdominal pain, onset of severe depression, pregnancy. Prolonged immobility, leg injury. Discontinue 6 weeks before major elective surgery—reinstate 2 weeks after full mobility restored.

I have read the following information and agree to stop taking Dianette if any of these symptoms occur

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