High blood pressure consultation

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High blood pressure consultation

This service is for adults who have already been diagnosed with high blood pressure and are having it monitored. We check your readings, look for warning signs, and make sure the medicine you choose is safe for you. We cannot start treatment for someone who has never been assessed, and we cannot manage dangerously high blood pressure online. Please answer every question honestly.

Are you 18 years of age or over? *

Based on your answers, we can’t safely supply this online. Please read the guidance above and speak to your GP or practice nurse, or contact us at info@courierpharmacy.co.uk. If you made a mistake, change your answer to continue.

Do you believe you have the mental capacity to make decisions about your own healthcare? *

Has your high blood pressure been diagnosed by a doctor or nurse, with your blood pressure measured and monitored? *

We can only supply blood pressure medicine for people who have already been diagnosed and assessed. Please see your GP or practice nurse to have your blood pressure checked first. You can contact us at info@courierpharmacy.co.uk.

Which best describes you? *

I already take this blood pressure medicine and want to reorder it
I take blood pressure medicine but want to change to a different one
I have been diagnosed with high blood pressure but am not yet on medication

This online service is for reordering a blood pressure medicine you already take and are stable on. Switching to a different medicine, or starting treatment for the first time, needs a review with a prescriber so the right medicine and dose can be chosen and monitored safely. Please book a review with your GP or practice nurse, or contact us at info@courierpharmacy.co.uk.

Name *

First

Last

Date of birth *

Email *

Phone *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

What is your biological sex (sex registered at birth)? *

Male
Female

Your blood pressure

Please give a recent reading, ideally an average of home readings taken over several days. If you have a photo of your readings or a blood test, you can upload it below.

Most recent systolic reading (the top number, mmHg) *

Most recent diastolic reading (the bottom number, mmHg) *

When were these readings taken? (approximate date)

Optional: upload a photo of your blood pressure readings

Drag & Drop Files, Choose Files to Upload

Ensure file size is below 1MB. Accepted files: JPG, PNG, HEIC or PDF.

Is your most recent blood pressure 180/120 mmHg or higher? *

Your answer suggests you may need urgent medical attention. If you feel very unwell, call 999 now. Otherwise contact your GP urgently or call 111. We can’t supply blood pressure medicine online in this situation.

Have you had a blood test to check your kidney function and salts in the last 12 months? *

Please upload your recent blood test result

Drag & Drop Files, Choose Files to Upload

Ensure files size is below 1MB. Accepted files: JPG, PNG, HEIC or PDF. It should show the date and the kidney function and salts (U&E) results.

A recent blood test (kidney function and salts) is needed for most blood pressure medicines, especially water tablets and the “-pril” and “-sartan” medicines. Please upload a recent result if you have one, or our prescriber may ask you to arrange one.

Optional: upload your recent blood test result

Drag & Drop Files, Choose Files to Upload

Ensure file size is below 1MB. Accepted files: JPG, PNG, HEIC or PDF.

Warning signs, please read carefully

These can be signs that high blood pressure needs urgent attention rather than an online order.

Signs of dangerously high blood pressure or a serious problem right now:

a severe or sudden headache
chest pain or tightness
shortness of breath
sudden problems with your vision
weakness or numbness on one side, face drooping, or slurred speech
confusion, drowsiness or a fit (seizure)
a heavy nosebleed that will not stop

Do any of the signs listed above apply to you right now? *

Other symptoms to tell us about:

fainting or blackouts
episodes of a pounding heart with sweating and a severe headache
breathlessness when lying flat, or badly swollen ankles
coughing up blood

Do any of these other symptoms apply to you? *

Are you pregnant, breastfeeding, or trying for a baby? *

Blood pressure in pregnancy, breastfeeding, or when trying to conceive needs specialist care, and several blood pressure medicines are not safe at these times. Please see your GP or midwife. You can also contact us at info@courierpharmacy.co.uk.

Have you been told you have narrowing of the arteries to your kidneys (renal artery stenosis)? *

Which medicine would you like?

The best choice depends on your age, background and other conditions, and our prescriber will check your selection is appropriate. Beta-blockers and water tablets are not usually the first choice for blood pressure alone.

Please choose the blood pressure medicine you would like *

Ramipril (ACE inhibitor)
Lisinopril (ACE inhibitor)
Perindopril (ACE inhibitor)
Enalapril (ACE inhibitor)
Losartan (ARB)
Candesartan (ARB)
Eprosartan (ARB)
Irbesartan (ARB)
Telmisartan (ARB)
Olmesartan (ARB)
Amlodipine (calcium-channel blocker)
Felodipine (calcium-channel blocker)
Lercanidipine (calcium-channel blocker)
Lacidipine (calcium-channel blocker)
Bisoprolol (beta-blocker)
Atenolol (beta-blocker)
Metoprolol (beta-blocker)
Bendroflumethiazide (thiazide water tablet)
Indapamide (thiazide-like water tablet)
Furosemide (loop water tablet)
Bumetanide (loop water tablet)

Have you ever had an allergic reaction to the medicine you have chosen, or to another medicine in the same group? *

Safety checks for “-pril” and “-sartan” medicines

Have you ever had angioedema (sudden swelling of the face, lips, tongue or throat)? *

Have you been told you have a high potassium level, or significant kidney disease? *

Do you take a potassium supplement, a potassium-sparing water tablet (spironolactone, amiloride or eplerenone), or aliskiren? *

If you develop a persistent dry cough on a “-pril” medicine, tell us, as a “-sartan” medicine is usually a good alternative.

Safety checks for calcium-channel blockers

Have you been told you have significant narrowing of the main heart valve (aortic stenosis)? *

Have you had a heart attack in the last month, unstable chest pain (angina), or heart failure that is not controlled? *

Safety checks for beta-blockers

Do you have asthma, or a history of wheezing or breathing problems brought on by medicines? *

Do you have a very slow heart rate, heart block, or a problem with your heart’s natural pacemaker (unless you have a fitted pacemaker)? *

Do you have heart failure that is not well controlled? *

Do you have severe circulation problems in your hands or feet (peripheral arterial disease)? *

Safety checks for thiazide water tablets

Do you have gout, or have you been told you have a high uric acid level? *

Have you been told you have a low sodium level, a low potassium level, or a high calcium level? *

Do you have Addison's disease (an adrenal gland problem)? *

Safety checks for loop water tablets

Loop water tablets (furosemide, bumetanide) are usually used for fluid build-up or heart failure rather than for blood pressure alone, so our prescriber will check this is right for you.

Have you been told you have a low sodium or low potassium level, are dehydrated, or are unable to pass urine? *

Do you have Addison's disease (an adrenal gland problem)? *

Are you taking any other medicines not already mentioned? (including prescription, pharmacy, herbal or supplements) *

Please list them, with doses *

Do you have any allergies not already mentioned? *

Please give us more details on these allergies *

Do you have any other medical conditions not already mentioned? (including diabetes, kidney, liver or heart problems) *

Please provide more details *

Monitoring

Blood pressure medicines need ongoing checks. You should keep monitoring your blood pressure, attend your reviews, and have blood tests when asked, especially for “-pril”, “-sartan” and water tablets.

Please confirm you understand *

I understand I must keep monitoring my blood pressure, attend reviews, and have the blood tests my prescriber asks for, and that I will seek urgent help if I get any of the warning signs listed in this consultation.

Do you agree and consent to the following?

I am at least 18 years old and live in the UK.
I have the capacity to make decisions about your own healthcare
I shall be the sole user of any medication offered to me through this service.
I confirm all answers are provided by me and are truthful.
You understand the prescriber will take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
If prescribed a treatment, I will read the Patient Information Leaflet (PIL) that will be provided.
If prescribed a treatment, I will inform my GP of my treatment and contact them if I have any side effects associated with the treatment.
You agree to our terms and conditions, privacy policy and acceptable use policy
You are aware you will be subject to a soft check to validate your identity using LexisNexis.

Consent *

I agree to the statements above and give my consent for any treatment provided.

Are you registered with a GP in the UK? *

(Optional) Do you consent to us accessing your NHS Summary Care Record, or requesting further information on your medical history from your GP?

Summary care records

I consent

(Optional) Do you give us consent to write to your GP to share information about this supply?

Send information to GP

I consent

Product Category

Important

We review all orders to ensure you receive the best treatment possible. If what you ordered is unsuitable, we will refund part or all of your order.

If we decide that what you ordered is unsafe for you, based on the other information you provided, we won’t provide any treatments. However, we may call you and suggest alternatives.

High blood pressure consultation