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Jaysons Pharmacy :: Private Prescription :: Viagra 50mg

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Viagra 50mg

Private prescriptions for erectile dysfunction

Details

Quantity in stock 999 item(s) available

Size 50mg

Perscription Item Y

Price: �24.36

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Compulsory Information Sexual Health:

This is a sexual health , i.e a medicine, for your peace of mind you may enter information below which our pharmacist will read and advise on if required.

If you would like to contact our pharmacist first please click here

Do you have a valid private prescription?

Who is this for:
Patient's Name:
Patient's Address:
Patient's Phone:
Patient's Mobile:
What is the date of birth of patient:
Age of user of this product:
GP�s Name:
Practice Name and address:
Age Over 18 years:
Are you receiving any other treatment for Erectile Dysfunction:
Have you GP advised you against sexually activity:
Do you suffer from any of the following medical conditions Previous history of non-artetitic anterior ischaemic optic neuropathy, Hypotension,Recent stroke Unstable angina, Myocardial Infarction, Severe Liver Impairment, Moderate Severe Renal Impairment Bleeding disorder, Peptic Ulcer:
Do you take any of the following medications: Nitrates, Ritonavir antifungal, Nicorandil
List other medications that you take or use including over the counter medicines:

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