Your health and safety are our top priorities. To ensure we provide you with the most effective and appropriate treatment, it is crucial that you provide accurate and complete information about your health during our online consultation process. Accurate information helps us understand your condition better, assess any potential risks, and recommend the best possible medication for your needs. Providing false or incomplete information can lead to inappropriate treatment, potential health risks, and delays in receiving the care you need. Thank you for your cooperation and trust in our services.

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Male
Female
Transmale (Born a female)
Transfemale (Born a male)

If yes, please specify.



If yes, please specify.

If yes, please list them.

If yes, please describe.



Accurately describing your condition during our online consultation is essential for ensuring you receive the best possible care. Detailed and truthful information about your symptoms, their frequency, and their severity allows our healthcare professionals to make informed decisions about your treatment. Incomplete or incorrect descriptions can result in inappropriate medication, potential health risks, and delays in your care. Your honesty and thoroughness help us provide you with the most effective and safe treatment options. Thank you for your cooperation and trust in our services.

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Less than 3 days ago
3–7 days ago
More than 7 days ago

Left Ear
Right Ear
Both Ears

Pain
Itching
Swelling
Discharge
Hearing Loss
Not listed



If yes, please specify.

Yes
No
Unsure



Please take the time to carefully read the Agreement and Consent statements during our online consultation process. Understanding these statements is essential for your safety and for ensuring that you are fully informed about the treatment you will receive. The Agreement and Consent sections outline important information about the risks, benefits, and responsibilities associated with your medication. By reading and agreeing to these terms, you help us ensure that you are aware of and comfortable with the treatment plan. Your informed consent is crucial for providing you with the best possible care. Thank you for your cooperation and trust in our services.

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I confirm that I have read and understood the information about Otomize Ear Spray, including its benefits, possible side effects, and what to do if I experience concerns.

  • Otomize Ear Spray is used to treat acute, localised otitis externa (inflammation of the outer ear).
  • Possible side effects may include irritation, rash, or allergic reactions.
  • If my symptoms worsen or do not improve within 7 days, I must seek further medical advice.
  • Prolonged use may lead to skin sensitisation or the emergence of resistant organisms.
  • It contains ingredients such as methyl and propyl hydroxybenzoates, which may cause allergic reactions (possibly delayed), and stearyl alcohol, which may cause local skin reactions (e.g., contact dermatitis).

  • I understand that Otomize Ear Spray is intended for the treatment of acute, localised otitis externa.
  • I consent to the supply and use of Otomize Ear Spray under this PGD.
  • I understand that if my symptoms worsen or do not improve within 7 days, I should seek further medical advice.

  • I agree to report any severe or prolonged adverse reactions to my GP or pharmacist.
  • I understand that I must inform the pharmacist if I have any concerns about the treatment.