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UK Online Pharmacy
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Available 24 hours a day, 7 days a week

Order Details:

Champix (2 weeks starter pack plus 28 x 1mg) - 1 month starter pack
Free Delivery
Order Total £139.95
Delivery FREE
Genuine Champix by
Pfizer logo

Secure Payment
Royal Mail Delivery



Step 2 - Read Our Waiver

Please click here to read the associated waiver with this consultation.

Step 3 - Answer the Medical Questionnaire

Please help us by answering a few simple questions about your medical history. Ukmedix has fully qualified GP's who will use these to enable their diagnosis and treatment of you. All answers are held in the strictest confidence.

When was your last full check up with your regular GP (general practitioner)?
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Have you been prescribed with this medication (Champix) before?
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Your sex?
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What is your height?
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What is your weight?
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How long have you been a smoker?
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How many do you currently smoke a day?
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Have you tried to quit smoking before and if so, how?
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Are you currently using anything to help you stop smoking?
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Have you ever been diagnosed with abnormal blood pressure?
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How would you best describe your blood pressure, in general? Click here for blood pressure information.
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Do you have/have you had cardiovascular problems?
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Is there a history of disorders in your family (medical or otherwise)?
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Is there a history of psychiatric illness or depression in your family?
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Are you breastfeeding?
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Are you thinking of trying for a child in the next 12 months?
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Do you suffer from any allergies or experience allergic reactions?
(e.g. hayfever, peanuts, penicillin)
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Do you suffer from epilepsy?
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Do you suffer from any form of renal impairment?
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Are you currently on insulin, warfarin or theophylline?
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Are you currently taking any medication?
(please include both prescription medication and OTC medicines e.g. St. John's wort)
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Is there anything else which you feel we should know about regarding your medical condition and request for treatment?
(e.g. any major surgeries, physical abnormalities, general medical problems not covered above)
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Do you feel that current/recent events in your life could be causing your condition?
(e.g. divorce/ bereavement/ stress at work)
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It is in your best interests if a doctor who prescribes for you can share information with your regular GP, e.g. by telling him or her what has been prescribed for you. If you agree that the prescriber can share information with your GP, please signify your consent by filling in his/her name and address here. (optional)
Have you read, understood and accepted the terms within the Champix waiver? Click here to read the waiver.
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Fields marked with  * are required.

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