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Specialist-Guided Migraine Assessment & Treatment Plan

Complete the form below to share your symptoms and medical history. A registered doctor will review your details and issue a personalised treatment plan or prescription if appropriate.

Migraine Treatment – €70

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Migraine Treatment Assessment

Migraine Treatment Prescription
We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.
What is your birth sex?*
What is your age?*
Are you looking to use the service for another adult or child in your care?*
Have you been diagnosed with Migraine by a doctor in the past?*
Are you looking for a prescription for opiates, topiramate, gapapentin or ergotamine?
Did you have your first migraine in the past 6 months?
YOUR MEDICAL HISTORY
This series of questions will help your doctor get a better understanding of your migraine and your medical history.
What medication are you looking for to treat or prevent your migraines?*
Are you currently using the selected medications?*
How frequent are your migraine attacks?
When were you first diagnosed?
Have you had an MRI brain in relation to your migraine diagnosis?*
Do you have any conditions affecting your heart or circulation including heart attacks, angina, heart failure, a stroke or mini stroke (TIA), or claudication (cramping pain in yours legs when you walk)?*
Have you had any health conditions such as high blood pressure, liver or kidney disease, epilepsy or fits, phenylketonuria or any other health conditions?*
Have you had any health conditions relating to your breathing such as asthma or any other health conditions?*
Have you had any health conditions relating to your eyes such as glaucoma?
Have you any other health conditions not listed above?
MEDICATION
Are you currently taking any medication or have you stopped taking any medicines in the last two weeks, including any over the counter or herbal medicines?*
Do you have you any allergies to medicines or tablets?
MORE ABOUT YOU
In this section we ask some questions about your physical characteristics and measurements. Answering these questions can help your doctor in making a more accurate assessment.
Can you tell us your height?
Can you tell us your current weight?
Do you currently smoke?
Do you ever drink alcohol?
CONFIRMATION
Medication can interact with many prescribed, over the counter and recreational drugs.*
Please confirm that this medication, if prescribed, is for your use only. Do you confirm that the medication, if prescribed, if for your use only?*
I agree to the terms and condition of doxonline?*
Total Amount: 20 €