SleepClinic – Dickson Chemist

Do you struggle sleeping through the night?

Our service provides medications that can significantly improve sleep duration and quality.

Unlike “sleeping tablets” such a Zopicline, Temazepam, Diazepam etc – the newer classes of medicines are not addictive, and don’t stop working after you have taken them for a while.
Unlike traditional “sleeping tablets” the new medications available do not interfere with REM sleep – meaning you have a higher quality of sleep for longer.
Speaking to a real prescriber expert on the phone – they will discuss strategies to improve your sleep quality, and assess if you are suitable for medical intervention.
Our 2 main sleeping medications are prescribed monthly and are Melatonin (£49.99) or Quvivic (daredoxitant) (£59.99)
Both of these medications are proven to improve sleep duration and quality of sleep.
Sleep quality is directly related to many heath conditions – a good sleep can improve your overall health.
Quick and easy repeat prescriptions posted discretely to your home
COST: Consultation for £50 to join our clinic and have your appointment with our expert – medications are paid separately depending on what is prescribed.

Ready to improve your sleep and feel better, more refreshed and energised? Click NEXT below.

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Lets find out all about you!

Please fill in the form below giving as much detail as you can. If you need to stop you can save the form and come back to it later by pressing the button at the bottom of the page..

Name

Your full name as it appears on your ID

Address

Address Line 1

City

State / Province / Region

Postal Code

Date of birth

Phone Number (MOBILE BEST)

Email

(A copy of this consultation is emailed to you)

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Suitability for therapy

Before we proceed to a consultation, we need to get some baseline information from you – this seems like quite a lot, so if you need to save this part of the form you can and you can come back to it later on. The button is at the bottom of the page.

Have you any history of epilepsy / convulsions / fits / seizures? YES NO

Yes
No

Do you have frequent coughs, colds, or allergies?

Yes
No

Do you drink caffeinated drinks (e.g. tea, coffee, cola)? YES NO

Yes
No

What would you say is your main sleep problem?

Getting to sleep to begin with
Waking up throughout the night
Waking up early in the morning and being unable to go back to sleep

Do you sleep alone or with someone else

Alone
Someone Else

your this If

Have you tried other medications to help with your sleep?

Yes
No

In order for us to proceed, you must have had at least 3 episodes of disturbed sleep a week, for at least 3 months. Is this an accurate representation of your current sleep pattern? (or you have at least this much disturbance)

Yes
No

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Get your smile on 🙂

We need a full length picture of you – standing straight upright. In a mirror – or get your friend to do it for you. This is to comply with new legislation checking that your photographic ID matches who we are speaking to. A date/time stamp is attached to the photograph you take – so please take a fresh one or the check will fail. Thanks!

Say Cheese! Upload a full length picture of you!

Click or drag a file to this area to upload.

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Finally we need photographic ID

The law in the UK requires us to verify that you are who you say you are by providing us with government issued ID like a passport, or drivers license. We use this to check against the photo you took earlier – and is required by UK regulations for prescribing at a distance. This must be clear and legible.

Your photographic ID

Click or drag a file to this area to upload.

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Now a little about you

This is where we need a few bits of information to make sure Mounjaro (or similar therapies) are safe for you. Please be honest and tell us everything you can.

If you have any other conditions than listed above, please list them below. The more we know the better so please take your time!

Please list all medicines you take regularly – if none leave this part blank

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Informed Consent

To comply with UK legistlation we need you to agree to the following statements – just tick the boxes! (Nearly done though!)

Medications prescribed for sleep assistance are not designed for long term use, but to help develop a healthy sleep pattern.

Got it!

Some drugs used for sleep, such as Melatonin, may be prescribed in unlicensed doses – meaning the medicine we use is being used in a form or dose that is not made by a pharma company, or is being used outwith the scope originally intended. This is a decision made between the prescriber and the patient to get the best therapy for an individual patient.

I understand – no-one in my direct family has thyroid cancer (including myself)

Before you scheduled appointment, you will be sent a sleep questionnaire. A more in depth look at your sleep patterns and how our team can best assist you. This needs to be completed at least 12 hours before your scheduled appointment time and is compulsory. It enables us to be fully informed and have the best tools to get you the most effective outcome from your consultation.

Got it – i’ll fill in the emailed form!

If you are pregnant, breast feeding or planning to get pregnant – then no sleep aids are suitable as they all can cause potential harm to an unborn foetus or a breastfeeding baby. Do not proceed if this applies to you.

Got it!

I understand that by joining the clinic I will have to first speak to an expert prescriber, then to a clinician at least once a month initially then every 3-6 months. Getting supply on an ongoing basis is dependent on having these conversations truthfully and honestly. I have to pay for the medicines prescribed separately – I understand they are not included as part of the cost of the consultation.

Got it!

I formally consent for my data to be used for the purposes of Dickson Chemist providing a consultation for sleep clinic activities. I have been truthful and honest in my questions and will let them know if anything changes.

Got it!