Anaphylaxis Treatment (Adrenaline Pens)

A licensed doctor reviews your answers before recommending this treatment.

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Treatment

Anaphylaxis Treatment (Adrenaline Pens)

€25 — reviewed by a licensed doctor before your treatment is confirmed.

Dados do paciente

Nome completo do pacienteEmailTelefone

Data de nascimento

Enter a date up to 21/10/2026.

PPS number (opcional)

Necessário em documentos médicos no seu país. Pode preencher depois no seu perfil.

Farmácia preferida (opcional)

Escreva pelo menos 2 caracteres para pesquisar.

A minha farmácia não está na lista

IE · Adrenaline auto-injector · Full

This form is for repeat prescriptions of adrenaline auto-injector pens (EpiPen, Jext, or Emerade) for a known severe allergy you've already been diagnosed with.

Your allergy

What are you allergic to, and roughly how many anaphylactic reactions have you had?

Have you ever been assessed by an allergy specialist for this?

How many in-date pens do you currently have?

Are you requesting one pen or two?

Have you ever actually used a pen for a real reaction?

Have you (or whoever might need to use this on your behalf) had training on how to use the device — for example with a trainer pen?

Height and weight

Height (cm)

Approximate weight (kg)

Your health

Do you also have asthma?

Are you currently taking a beta-blocker for blood pressure or a heart condition?

Do you have any heart disease?

How do you currently store your pens?

Do you carry a medical alert bracelet/card, and do you have a written allergy action plan from a specialist?

Morada do paciente

Necessária para documentos médicos e materiais físicos.

MoradaApartamento / unidade (opcional)CidadeEircode (optional)

Consentimento de partilha de dados (RGPD)

Confirmo que os dados acima são precisos e consinto numa videoconsulta com o clínico selecionado.Consinto que os meus dados pessoais e médicos sejam processados pela Global Health e partilhados com as suas clínicas tratantes e rede médica — incluindo clínicas noutros países — para efeitos de cuidados, melhoria do serviço e segurança. Política de PrivacidadeQuero receber atualizações da consulta por WhatsApp (opcional)