Cloud Pharmacy

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Medical Questions

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1
Your Health
The information you provide us is treated with absolute confidentiality and will be reviewed by our experienced UK prescribers. We ask the following questions to provide the prescriber with an appropriate level of information to make an informed decision on whether the treatment is suitable or not.

Do you suffer from any allergies?

NoYes

Please provide details including which allergies and what symptoms you experience.

Are you aware that all close contacts of anyone with scabies should be treated?

NoYes

It is recommended that all members of the household are treated, even if symptoms are not present (it can take four to six weeks for symptoms to appear). Everyone should ideally be treated at the same time.

It is recommended that all members of the household are treated, even if symptoms are not present (it can take four to six weeks for symptoms to appear). Everyone should ideally be treated at the same time.

Is anyone in the household:

Pregnant or breastfeeding
Under 2 years old
Have a weak immune system

NoYes

Sorry, your answer indicates that this medicine may not be suitable for you to purchase online. Please contact us for further advice.

Do you confirm the following:

I am not allergic to Permethrin or Lyclear Dermal Cream (patient information leaflet)
I know not to use corticosteroid creams (often used to treat eczema) while being treated for scabies, as this can make the scabies infection worse
I have read the information on Scabies and will contact Cloud Pharmacy if I am unsure

NoYes

Sorry, your answer indicates that this medicine may not be suitable for you to purchase online. Please contact us for further advice.

Are you aware of how much cream you will need to treat yourself and your close contacts?

Anyone over 12 years: Apply 30 g of cream (one tube)
6 - 12 years: Apply up to 15 g of cream ( ½ of a tube)
2 to 5 years: Apply up to 7.5 g of cream ( ¼ of a tube)
Under 2 years: See a doctor for treatment.

NoYes

Please ensure you familiarise yourself with this.

2
Consent

Do you agree to the following:

You understand the prescriber will take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
You are aware you will be subject to a soft check to validate your identity via Experian
You will read the Patient Information Leaflet supplied with your medication
You agree to Cloud Pharmacy terms and conditions and privacy policy.
The treatment is solely for your own use
You have answered all the above questions accurately and truthfully
You will inform your GP of this purchase if appropriate

NoYes

Sorry we can't offer you this treatment, please contact your GP.

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Our patient experience team is available Monday to Friday 9am-5pm. If you require urgent assistance, do not use this service. Call 111, or in an emergency call 999.

3 Houston Interchange Business Park, Livingston, West Lothian, EH54 5DW, United Kingdom

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