FAQs

Acid reflux and indigestion are common gastrointestinal (GI) side effects with GLP-1 medications like Mounjaro and Wegovy.

These injections work by:

• slowing stomach emptying (food stays in the stomach longer)
• reducing appetite and changing digestion
• altering gut hormone signals

Because food remains in the stomach longer, this can increase:

• heartburn
• acid reflux
• bloating / nausea
• a feeling of heaviness or “food sitting in the chest”

You may notice:

• burning pain in the chest or throat (heartburn)
• acid taste in the mouth
• regurgitation (food/acid coming back up)
• belching / burping
• upper stomach discomfort
• nausea after eating
• bloating / wind
• worse symptoms at night or when lying flat

Symptoms are most common:

• during the first few weeks of treatment
• after dose increases
• if meals are too large, too fatty, or eaten quickly

Eating habits

• Eat smaller meals (half portions)
• Eat slowly and chew well
• Stop eating as soon as you feel full
• Avoid eating late — finish food 3–4 hours before bed
• Avoid drinking large amounts during meals (sip instead)

Some foods trigger reflux more strongly with GLP-1 medication:

Reduce or avoid:

• greasy, fried food
• spicy meals
• tomato-based sauces
• citrus fruits/juices
• chocolate
• peppermint
• coffee / energy drinks
• fizzy drinks
• alcohol
• very large high-fat meals

Helpful choices:

• small portions of lean protein
• simple carbohydrates (rice, oats, toast)
• low-fat foods
• soups and soft foods if symptoms are bad
• ginger tea / peppermint may help nausea (but peppermint can worsen reflux in some)

• Sleep with head raised: use extra pillows or raise head of bed slightly
• Do not lie down after eating: stay upright for at least 2–3 hours
• Wear loose clothing: tight waistbands increase reflux
• Reduce smoking (if applicable)
• Maintain hydration: dehydration can worsen nausea/acid symptoms

First line (quick relief)

Gaviscon / alginates

• coats the stomach and prevents acid reflux
• best taken after meals and before bed

Antacids (e.g. Rennie)

• neutralises acid for short-term relief

Proton Pump Inhibitors (PPIs), available over – the – counter in a pharmacy

Examples: omeprazole,  esomeprazole

These reduce acid production and can be very effective if reflux is frequent.

If you are experiencing symptoms most days, and need reflux medication daily for more than 1–2 weeks, speak to your GP.

If you take other tablets (e.g., antibiotics, levothyroxine, iron, bisphosphonates):

• reflux medication may affect absorption
• GLP-1 meds slow stomach emptying, which can delay the effect of oral medicines

Separate doses where possible and ask a pharmacist if unsure.

Stop and seek urgent medical advice if you experience:

• severe chest pain (especially with sweating, breathlessness, pain radiating to arm/jaw)
• vomiting blood or black/tarry stools
• difficulty swallowing or food “sticking”
• persistent vomiting or inability to keep fluids down
• severe abdominal pain (especially upper abdomen radiating to back)

These may suggest a serious condition requiring assessment.

Acne can be influenced by several factors, including:

• Hormonal changes (common during puberty, menstrual cycles, pregnancy)
• Excess oil (sebum) production
• Blocked pores
• Bacterial growth on the skin
• Genetics
• Certain medicines or skincare products

Acne is not caused by poor hygiene, although gentle cleansing can help manage symptoms.

There are several UK‑licensed treatments that may help manage acne. The appropriate option depends on the type and severity of your symptoms.

Topical treatments (applied to the skin)

These may include ingredients such as:

• Benzoyl peroxide
• Retinoids (e.g., adapalene)
• Topical antibiotics (available on prescription)
• Azelaic acid

These treatments help reduce inflammation, unblock pores, and limit bacterial growth. Treatment outcomes can vary between individuals, and improvement may take several weeks.

Oral treatments (prescription‑only)

For moderate to severe acne, a prescriber may recommend:

• Oral antibiotics
• Hormonal treatments (for some individuals)
• Other prescription‑only medicines, depending on clinical suitability

A UK‑registered prescriber will review your consultation to determine whether a treatment is appropriate and safe.

• Not all treatments are suitable for everyone
• Some acne medicines can cause skin irritation, dryness, or sensitivity to sunlight
• Certain treatments must not be used during pregnancy or breastfeeding
• Always read the Patient Information Leaflet (PIL) before use
• Use treatments exactly as directed by a healthcare professional

1. Complete a confidential online consultation
   Your answers are reviewed by a UK‑registered prescriber.
2. Treatment recommendations
   If appropriate, treatment options will be recommended to you
3. Fast, discreet delivery
   Medicines are dispensed by our GPhC‑registered pharmacy and delivered in plain, secure packaging.

We may contact you if further information is required.

You should speak to a GP or healthcare professional if:

• Your acne is severe, painful, or leaving scars
• Over‑the‑counter treatments have not helped after several weeks
• You are pregnant or breastfeeding and need treatment advice
• You experience side effects from acne medication
• You have concerns about your skin or overall health

Seek urgent medical attention if you experience symptoms of a severe allergic reaction, such as difficulty breathing, swelling of the face or throat, or a widespread rash.

Acne is a very common condition, and many people find that a combination of consistent skincare, lifestyle changes, and medical treatment can help improve symptoms over time. If you’re unsure which option is right for you, our pharmacy team can provide general guidance.

Our registered pharmacists can provide advice on pharmacy treatments for acne. Book an online consultation with us.

Online consultations are not suitable for all conditions. In some cases, we may advise you to see your GP or another healthcare professional for a face-to-face assessment.

Many people experience back pain throughout their lives, and for some, there is no apparent cause or reason to be concerned. For some people, it can be due to injury, the body’s mechanics or even lifestyle factors. 

By speaking with a registered pharmacist, you can discuss your symptoms and receive advice on managing back pain or whether further medical assessment is needed.

Non-specific back pain

Non-specific back pain is common in the UK. This pain cannot be traced to a single issue and is often caused by a combination of factors. 

• Muscle strain or ligament strain
• Poor posture or staying in one position too long
• Sudden increase in activity
• Sedentary lifestyle
• Stress or poor sleep
• Being overweight
• Deconditioning (weak core/back muscles)

Mechanical causes of back pain

• Slipped (Herniated) Disc: Can cause lower back pain
• Sciatica: Pain radiating from the lower back down the leg
• Facet Joint Pain: Pain from small joints in the spine
• Spinal Stenosis: Narrowing of the spinal canal

Inflammatory conditions 

Ankylosing Spondylitis: Stiffness and pain, especially in the morning

Osteoarthritis: Wear and tear of spinal joints

Lifestyle & psychosocial factors: These don’t “cause” damage but strongly influence pain levels. They can include: 

• Stress, anxiety, low mood
• Poor sleep
• Work‑related strain
• Low physical activity
• Smoking (affects blood flow to spinal tissues)

More serious causes 

These are uncommon but require urgent medical attention.

• Fracture: Usually after trauma or in people with osteoporosis
• Infection: Fever, feeling unwell, severe pain
• Cancer: Very rare. Unexplained weight loss, night pain, history of cancer
• Cauda Equina Syndrome (Emergency): Numbness around genitals/buttocks & loss of bladder or bowel control

Many people may prefer to manage their symptoms at home, but it’s important to seek professional support if you notice your symptoms worsening or if you are struggling to carry out everyday tasks. 

• Remain active and try to continue with daily activities
• Take anti-inflammatory medications, including ibuprofen*, if you can
• Use an ice pack to help reduce swelling 
• Use a heat pack to reduce tension and relax muscles
• Do some gentle exercises and stretches to ease back pain 

When it comes to reducing back pain, it’s really important to keep moving and not to stay seated or lying down in the same position for prolonged periods. 

*Pain relief medicines such as paracetamol or anti-inflammatory medicines like ibuprofen may help some people. Always follow the instructions on the label and speak to a pharmacist if you are unsure whether these medicines are suitable for you.

Seek routine support from a pharmacist or GP if your back pain:

• Has not improved after a few weeks of home treatment
• Is stopping you from doing day‑to‑day activities
• Is severe or getting worse over time
• Is making you feel worried, or you are struggling to cope

Seek more urgent advice if you experience the following symptoms: 

• High temperature
• Unexplained weight loss
• A lump or swelling in your back
• Pain that does not improve with rest or is worse at night
• Pain made worse by sneezing, coughing or going to the toilet
• Back pain in the upper spine that is severe, persistent, or associated with other symptoms such as chest pain or fever

Seek emergency support if you have back pain and experience the following symptoms: 

• Pain, tingling, weakness, or numbness in both legs
• Numbness or tingling around the genitals or buttocks
• Loss of bladder or bowel control
• Difficulty starting or stopping urination
• Back pain after a serious accident (e.g., car crash)
• Chest pain alongside back pain

These symptoms require immediate emergency assessment.

• Advice and over-the-counter pain relief from a pharmacist
• Exercise programmes or physiotherapy
• Manual therapy 
• CBT 

At Medicine Marketplace, we can support you with advice and treatment options for back pain. During an online consultation, our pharmacists can assess your symptoms and recommend appropriate treatment or advise you whether to see a GP or another healthcare professional.

Book a free consultation today.

• Abdominal distension
• Visible swelling of the abdomen area
• Increased gas or flatulence
• Feeling uncomfortable after meals
• Stomach pain or discomfort
• Stomach rumbling or making noises

The risk of developing these symptoms is generally highest during the initial weeks of treatment and when dose is increased. Symptoms usually improve as your body adjusts to the medication.

Dietary Recommendations:

• Eat smaller more frequent meals, rather than large portions
• Chew food thoroughly and with mouth closed to aid digestion
• Limit introducing more air into the stomach, such as, chewing gum, carbonated beverages and alcohol.
• Stay well – hydrated, frequent small sips of water rather than large volumes.
• Avoid food triggers that can cause gas, like cabbage, beans or lentils

Supplements and Medical Intervention

• Peppermint tea, peppermint oil capsules or fennel seeds can help by relaxing the gut and reducing bloating
• Preparations that contain simethicone, like Wind-eze or Deflatine can help
• Medications like Gaviscon Double Action or Wind – Setler may provide relief.
• Probiotics specifically formulated for bloating can be tried to prevent bloating.

Lifestyle Adjustments

• Gentle walks after meals can help encourage digestion
• Eat slowly by practising mindful eating
• Maintaining a good posture whilst eating can help reduce pressure on the stomach
• Identify food triggers by keeping a food diary.

Follow the prescribed dosing schedule, as rapid dose increases might worsen your symptoms. You can consider temporary slowing dose escalation or reducing the dose of your medication if side effects are too troublesome.

• Persistent bloating for more than 2-3 weeks with no improvement
• Severe or worsening abdominal pain
• Bloating that causes severe distress or impacts daily activities
• Signs of dehydration (dizziness, dark urine, light headedness, dizziness)
• You feel a swelling or lump in your stomach

Stomach ache that came on very suddenly or is severe

• It hurts to touch your stomach
• You’re vomiting blood or your vomit looks like ground coffee
• Your stools are black or bloody
• You cannot pass wind, urinate or pass bowel movements
• You have difficulty breathing
• You have chest pain

For most patients, bloating is a temporary side effect that improves as the body adjusts to the GLP – 1 medication. Patients reporting bloating, experienced significant improvement or resolution with appropriate dietary modifications and supportive care.

GLP – 1 related bloating typically follows a pattern related to injection timing or dose
changes, and usually patients are able to identify food triggers by keeping a food
diary. Bloating will not impact the absorption of injected GLP – 1 medications,
However, persistent bloating may affect overall health and nutrition.

If you have any questions or need assistance, please don’t hesitate to reach out on
https://forms.medicinemarketplace.com/251345635207050 Or call 0330 1755747,
option 3, and we will be happy to help.

The data you share with us to enable us to fulfil your order is completely confidential and will only be available to our pharmacy staff and prescribers.

We use plain packaging without any branding or labels.

You do not need an existing prescription to order from our treatments. You will be required to answer a number of questions on a short form which will be reviewed by one of our prescribers to ensure your suitability for the treatment. Our prescriber will issue you a private prescription.

We will not notify your GP of your treatment unless you specifically request us to do so.

Contact us at Medicine Marketplace on medicines@medicinemarketplace.com or your GP if the side effect of a prescribed treatment is minor. Seek immediate medical attention if side effects are severe by calling 111 for NHS emergency services, or if the side effects are life threatening, call 999.

The Patient Information Leaflet, listing known side effects, is available on all our treatment listings.

You can contact our support team by email using this form, or by telephone on 0330 175 5747 – select option 3 for Medicine Marketplace.

The postal address of our dispensing pharmacy is:
Medicine Marketplace,
Moor Park Avenue,
Preston,
PR1 6AS UK

Our online shop medicinemarketplace.com is a trading name of Medicine Marketplace Limited.

Our high street pharmacy chain and pharmacy dispensing service is HBS Pharmacy, and we have our own line of Food Supplements and Prescription Only Medicines as HBS Healthcare.

We are regulated by the General Pharmaceutical Council.
We are registered to sell medicines online by the Medicines and Healthcare Regulatory Authority.

Medicines
For safety reasons, we cannot accept the return of medicines as the pharmacy is not able to reuse them. If you have unwanted medicine, please take it to a local pharmacy for safe disposal.

Damaged or faulty goods
If your order is damaged or faulty, keep everything you’ve received (including the packaging) and send us a message us through your account. In the message, please include the order number and a photo of the damaged goods.

Once we’ve checked what happened, we’re usually able to send you a replacement order.

You can either send the damaged goods back to us, or dispose of them safely (see above).

Constipation can cause:

• Fewer bowel movements than usual (often fewer than 3 per week)
• Hard, dry, or lumpy stools
• Straining or pain when opening your bowels
• A feeling that your bowel hasn’t fully emptied
• Abdominal discomfort or bloating

Most cases of constipation are mild and can be managed with some lifestyle adjustments:

• Increase fibre intake: Eat more fruit, vegetables, beans, and wholegrains. Try and eat the recommended 30 grams of fibre each day, which can be challenging if you’re not feeling hungry. You can try adding fibre, like psyllium husk, to your diet.
• Stay hydrated: Aim to drink plenty of water each day. At least 2-3 litres of water each day (8-12 cups) will help regulate the system.
• Stay active: Regular physical activity (like walking) helps stimulate bowel movements. The recommended 150 mins a week can be achieved several ways. Visit the NHS live well pages for more information on how to achieve this: https://www.nhs.uk/live-well/
• Establish a routine: Try to go to the toilet at a regular time each day, especially after meals.
• Avoid delaying going to the toilet when you feel the urge.

If constipation continues despite lifestyle changes, you may benefit from Laxatives:

• Bulk formning laxatives work by increasing or adding bulk or weight to stools, in return this stimulates bowel movement. Bulk laxatives include Fybogel (Ispaghula Husk and methylcellulose.
• Osmotic laxatives like lactulose or macrogol, can take 2-3 days to see effect. They draw water from your body into your bowels to soften your stools and make them easier to pass.
• Stimulant laxatives, such as senna, bisacodyl and sodium picosulphate. These should be limited to maximum 3 days use. These can take up to 8 hours for relief. These stimulate the muscles that line your gut, aiding them to move stool along your back passage.
• Stool softeners can be used to allow water to pass into your stools to soften it and make it easier to pass. Stool softeners include Arachis Oil and Docusate.
• Suppositories like glycerin suppositories can help soften and lubricate the blockage so it passes more easily. These suppositories take 20-30 minutes to take action.

It is difficult to determine if a particular laxative will work better than another. Unless you have used a laxative before and are aware it works for you, please follow the guidance below:

• Start with a bulk laxative
  • If your stools remain hard: you can switch to an osmotic laxative.
  • If your stools are soft but still difficult to pass: Try taking a stimulant laxative

If your constipation has not improved after taking laxatives for a week, speak to your GP.

Contact your GP or seek urgent medical attention if you experience:

• Severe or persistent abdominal pain
• Vomiting with constipation, or inability to pass wind or stool
• Swelling of the abdomen
• Blood in your stool or black, tarry stools
• Unexplained weight loss or fatigue
• Constipation lasting more than 7 days

Fibre is required for bulk, water is required for lubrication and routine is required for rhythm. When these fall apart as a result of stress, grief, travel, medications or life, your gut and digestive system can be affected.

The good news constipation as a side effect is temporary and can be easily managed.

If you have any questions or need assistance, please don’t hesitate to reach out on

https://forms.medicinemarketplace.com/251345635207050 Or call 0330 1755747, option 3, and we will be happy to help.

The combined pill contains two hormones: ethinylestradiol (oestrogen) and a progestogen. It mainly works by preventing ovulation, thickening cervical mucus, and thinning the womb lining.

Effectiveness

• Over 99% effective with perfect use

• Around 91% effective with typical use

How to take it

Usually taken daily for 21 days followed by a 7-day break (or continuously, depending on the formulation and clinical advice).

Potential benefits

• More regular, lighter and less painful periods

• May improve acne

• Can reduce symptoms of PMS

• Reduces the risk of ovarian and endometrial cancer

Risks and side effects

Common side effects may include:

• Nausea

• Breast tenderness

• Headaches

• Breakthrough bleeding

Less common but serious risks include:

• Blood clots (venous thromboembolism)

• Stroke

• Heart attack

The risk of blood clots is small but higher than that of non-users. Risk is higher in smokers over 35, those with obesity, migraine with aura, certain cardiovascular conditions, or a history of clotting disorders.

Not suitable for:

• Smokers aged 35 or over

• People with migraine with aura

• Those with certain heart, liver or clotting conditions

• Uncontrolled high blood pressure

A full medical assessment is required before prescribing.

The mini pill contains a progestogen only (such as desogestrel). It mainly thickens cervical mucus and, in some types, suppresses ovulation.

Effectiveness

• Over 99% effective with perfect use

• Around 91% effective with typical use

How to take it

Taken daily at the same time every day, without a break. Timing is important. Some types have a 3-hour window, others (e.g. desogestrel) have a 12-hour window.

Potential benefits

• Suitable for those who cannot take oestrogen

• Can be used while breastfeeding

• May reduce period pain

Risks and side effects

• Irregular bleeding or spotting

• Periods may stop altogether

• Acne or breast tenderness

• Mood changes

It does not carry the same increased clot risk as combined pills.

The patch releases oestrogen and progestogen through the skin into the bloodstream.

Effectiveness

Similar to the combined pill when used correctly.

How to use

One patch is worn for 7 days and changed weekly for 3 weeks, followed by a patch-free week.

Risks and considerations

Carries similar risks to the combined pill, including a small increased risk of blood clots. May cause:

• Skin irritation

• Breast tenderness

• Headaches

This method is not suitable for individuals with contraindications to oestrogen.

A small flexible ring placed inside the vagina that releases oestrogen and progestogen.

Effectiveness

Comparable to the combined pill when used correctly.

How to use

Inserted for 3 weeks, removed for 1 week.

Risks

Same hormonal risks as other combined methods, including a small increased risk of clotting. Some users report:

• Vaginal irritation

• Discharge

• Headaches

An injection containing progestogen (e.g. medroxyprogesterone acetate).

Effectiveness

Over 99% effective when used correctly.

Duration

Given every 8–13 weeks, depending on the product.

Benefits

• Long-acting

• No daily action required

• May stop periods

Risks and considerations

• Irregular bleeding

• Weight gain

• Mood changes

• Possible reduction in bone mineral density with long-term use

• Delay in return to fertility (can take several months)

A small flexible rod inserted under the skin of the upper arm that releases progestogen.

Effectiveness

Over 99% effective.

Duration

Effective for up to 3 years.

Side effects

• Irregular bleeding patterns

• Headaches

• Acne

• Breast tenderness

Fitted and removed by a trained clinician.

A small T-shaped device which is placed in the uterus.

Over 99% effective.

Copper IUD (Hormone-free)

• Effective for 5–10 years

• May make periods heavier or more painful

• Can be used as emergency contraception

Hormonal IUS

• Releases progestogen

• Lasts 3–8 years (depending on brand)

• Often reduces or stops periods

Risks

• Discomfort during fitting

• Small risk of perforation (very rare)

• Small risk of infection shortly after fitting

A barrier method that prevents sperm from reaching an egg.

Effectiveness

• Around 98% with perfect use

• Around 82% with typical use

Benefits

• Offers some protection against STIs

• Hormone-free

• Available without prescription

Used after unprotected sex or contraceptive failure.

Options

• Levonorgestrel pill (within 72 hours)

• Ulipristal acetate (within 120 hours)

• Copper IUD (within 5 days)

Emergency pills may be less effective in individuals with higher body weight/BMI.

Ulipristal acetate should not be used if hormonal contraception has been taken within the previous 7 days, and hormonal contraception should be delayed for 5 days after taking ulipristal.

• All prescription contraceptives require a clinical suitability assessment.

• Patients are reminded to read the Patient Information Leaflet supplied with their medicine.

• Patients should seek urgent medical attention if they suspect a blood clot (e.g. unexplained leg pain/swelling, chest pain, shortness of breath).

• Contraception does not protect against STIs.

• Seek medical advice if you think you may be pregnant.

Which method of contraception is the most effective?

The most effective methods are the implant and intrauterine devices (IUD/IUS), which are over 99% effective. The injection is also highly effective when given on time. That being said, it’s important to follow all professional guidance when using these methods to promote effectiveness.

What happens if I miss a pill?

Missed pill advice depends on the type of pill and how many pills have been missed. Always check the Patient Information Leaflet. In general, if one combined pill is missed, take it as soon as remembered. If two or more are missed, additional precautions may be required.

If you are on the progestogen-only pill (mini-pill) and are more than 3 hours late (or 12 hours for desogestrel), take it as soon as remembered and use condoms for 2 days.

Additionally, if you take a pill and then vomit or have diarrhoea, you may need to treat this as a ‘missed pill’. Always read the guidance in your leaflet and ensure you take any necessary precautions outlined if you do not wish to become pregnant.

What should I do if I take contraception but need another medication for something else?

If you take contraception, but you need medication for another issue, make sure to inform the healthcare professional who is prescribing the medication. They will check for any interactions to ensure that your contraception continues working as it should.

Can I use contraception while breastfeeding?

Yes, but only some options are considered safe to use during this time. Progestogen-only methods (mini-pill, injection, implant) are safe. Combined methods (pill, patch, ring) should usually be avoided in the first 6 weeks.

Speak to a medical professional if you aren’t sure what steps to take, and they can assist you.

When should I stop using contraception?

There is no exact rule on when a person should stop taking contraception. In most cases, people are advised to continue taking contraception until age 55 or for one year after their period stops when over 50. Seek personalised advice.

If you have any other questions regarding contraception use or you’d like to discuss your options, please don’t hesitate to book a consultation with us. We provide expert advice through consultations 7 days a week from 9 am until 10 pm.

• Frequent, loose, or watery stools
• Abdominal cramping or pain
• An urgent need to have a bowel movement
• Bloating or discomfort
• Nausea
• Dehydration (which may cause dizziness, dry mouth, or fatigue)

The risk of developing these symptoms is generally highest during the initial weeks of treatment and following dose increases, with symptoms usually improving as your body adjusts to the medication.

Dietary recommendation:

• Drink plenty of clear fluids to prevent dehydration and stay well – hydrated with electrolyte containing fluids.
• Eat as normally as possible. Try and include fruit juices and soups, which will provide sugar and salt, and also foods that are high in carbohydrate, like breads, pasta, potatoes or rice.
• Avoid triggers such as spicy foods, caffeine, alcohol and fatty or fried foods.
• Eat smaller, frequent meals rather than large portions.
• Consume soluble fibre sources like oats and psyllium husk to add bulk to stools.

Supplements and Medical Interventions:

• Replenish electrolyte lost, with balanced supplements like ORS or Dioralyte sachets to prevent dehydration.
• Over – the – counter medications like loperamide (Imodium) can be used and use should be limited to less than 3 days.
• Bismuth subsalicylate (Pepto-Bismol) used for mild to moderate gastro intestinal symptoms
• Probiotics can be tried specifically formulated for diarrhoea.

Lifestyle Adjustments

• Maintain a food diary to identify specific food triggers
• Identify stress triggers that may worsen symptoms.
• Ensure easy access to toilets when outside the home.
• Consider timing activities around predictable bowel patterns.

You can also consider reducing the dose of your medication if side effects are too troublesome or persist.

• Diarrhoea lasting more than 2-3 days with no improvement.
• Signs of dehydration, e.g. increased thirst, dark urine, light headedness, dizziness.
• Blood or mucus in stools
• Severe abdominal pain
• Fever

For most patients, diarrhoea is a temporary side effect that improves as the body adjusts to the GLP – 1 medication. Patients reporting diarrhoea, experienced significant improvement or resolution with appropriate dietary modifications and supportive care.

GLP – 1 related diarrhoea typically follows a pattern related to injection timing or dose changes and is not accompanied by fever. Infectious gastroenteritis (Infectious diarrhoea) often presents with a fever, can affect others around you, and has a more sudden onset.

Diarrhoea generally does not impact absorption of injected GLP – 1 medications. However, persistent diarrhoea may affect overall health and nutrition.

If you have any questions or need assistance, please don’t hesitate to reach out on support@medicinemarketplace.com or call 0330 1755747, option 3.

There are a couple of options which can be used for emergency contraception, including a one-time oral tablet or an IUD (intrauterine device).

IUD for emergency contraception

The IUD is the most effective method of emergency contraception, and is also known as a type of coil. The IUD is a non-hormonal device which releases copper into the uterus. The release of copper acts as a spermicide, rather than using hormones to prevent ovulation, like some other coils do (IUS).

Copper IUDs are recommended as the first line of action for emergency contraception because they are highly effective, regardless of any other medication the woman is using.

As well as being an effective choice in emergencies, they can also provide ongoing contraception, with some lasting for between 5 and 10 years before removal and replacement (if necessary).

Oral tablet for emergency contraception

Oral tablets can also be used as a form of emergency contraception. They may also be known as emergency hormonal contraception or EHC. A pharmacist can provide them to women who do not wish to conceive following unprotected intercourse. Some eligibility criteria must be met before sale or supply.

Which types of oral emergency contraception are available?

Ulipristal is usually the best EHC option, as it can be taken up to 120 hours after unprotected sexual intercourse, and needs no dose adjustment for women who are overweight or obese.

Levonorgestrel can be used by women who want to start a hormonal contraceptive immediately after EHC, or who are on enzyme-inducing medicines.

It’s important to speak with a pharmacist about your options before making a decision. They can help to ensure that you get the most suitable option for your needs.

Emergency contraception does not provide any protection from sexually transmitted infections (STIs). Therefore, it is really important to take steps to avoid these and seek medical advice if you are concerned about any symptoms of infection.

By seeking early medical advice and being treated, you can reduce the risks of further issues. The only method that reduces the risk of STIs is condoms. They provide a barrier to skin-to-skin contact and fluid transfer.

The risks of STIs remain the same for long-term contraceptive methods, including the pill, injection, IUS and others.

Condoms are the only method that can reduce the risk of STIs, but they do not provide 100% protection.

Selecting the right contraceptive for you is a personal and important decision. What works for one person may not be suitable for another. The good news is that there are many safe and effective methods of contraception available in the UK.

Here is a quick overview of the most common methods, so that you can begin thinking about your options. When you are ready, you can speak to a professional about beginning one of the methods.

Combined pill

The combined pill contains two hormones – oestrogen and progestogen. It works by preventing ovulation (the release of an egg) and thickening cervical mucus to stop sperm from reaching an egg.

Mini pill

The mini pill contains only progestogen. It mainly works by thickening cervical mucus and, in some cases, stopping ovulation.

Contraceptive patch

The patch releases oestrogen and progestogen through the skin.

Vaginal ring

The vaginal ring is a small, flexible ring placed inside the vagina. It releases oestrogen and progestogen.

Contraceptive injection

An injection of progestogen that prevents ovulation.

Contraceptive implant

A small rod inserted under the skin of your upper arm that releases progestogen.

Coil (IUD or IUS)

A small T-shaped device is placed in the uterus.

Copper IUD: Hormone-free and can last 5–10 years.

Hormonal IUS: Releases progestogen and lasts 3–8 years (depending on type).

Condoms

Condoms are barrier methods that stop sperm from reaching an egg.

If you need further guidance on emergency contraception, then it’s important to act quickly. The sooner you get advice and treatment, the higher the effectiveness. Book a consultation today with our registered pharmacist.

Online appointments are available 7 days a week from 9 am to 10 pm.

ED can be linked to a range of factors, including:

• Physical causes: cardiovascular conditions, high blood pressure, diabetes, high cholesterol, hormonal changes, nerve damage
• Lifestyle factors: smoking, alcohol consumption, recreational drugs, lack of physical activity
• Psychological causes: stress, anxiety, low mood, relationship concerns
• Medication side effects: some prescription medicines may contribute to ED

A clinical assessment helps identify whether ED may be linked to an underlying health condition.

Several medicines are licensed in the UK for the treatment of erectile dysfunction, including sildenafil, tadalafil, vardenafil, and avanafil.

These are prescription-only medicines (POMs) and are only supplied following a clinical assessment by a qualified prescriber to ensure they are safe and appropriate for you.

These medicines work by increasing blood flow to the penis during sexual stimulation. They do not increase sexual desire and will only work when aroused.

Like all medicines, ED treatments can cause side effects. Common side effects may include headaches, flushing, indigestion, nasal congestion, dizziness, and visual disturbances. Serious side effects are rare but require immediate medical attention.

ED medicines may not be suitable if you have certain heart conditions, low blood pressure, a recent stroke or heart attack, or are taking interacting medications.

Prescriptions are issued by UK-registered independent prescribers (such as doctors or pharmacist prescribers), regulated by their respective professional bodies.

We may need to verify your identity and contact your GP (with your consent) to ensure safe prescribing.

• ED medicines are not suitable for everyone
• They must not be taken with nitrates or certain heart medications
• A pharmacist or prescriber will review your answers to ensure the treatment is safe and appropriate
• Always read the Patient Information Leaflet (PIL) before use

1. Complete a confidential online consultation
   Your answers are reviewed by a UK‑registered prescriber.
2. Clinical decision
   If appropriate, a prescriber will recommend a suitable treatment and issue a prescription.
3. Dispensing and delivery
   Medicines are dispensed by our GPhC-registered pharmacy and delivered in plain packaging.

We may contact you if further information is required.

You should speak to a GP or healthcare professional if:

• ED occurs suddenly or frequently
• You have chest pain, shortness of breath, or symptoms of heart disease
• You have underlying health conditions such as diabetes or high blood pressure
• You experience side effects from ED medication
• You have concerns about your sexual health or mental well-being

If you experience a prolonged or painful erection lasting more than 4 hours, seek immediate medical attention.

• Lose weight if you’re overweight
• Stop smoking
• Eat a healthy diet
• Exercise daily
• Try to reduce stress and anxiety
• Do not drink more than 14 units of alcohol a week
• Do not cycle for a while if you cycle for more than 3 hours a week

ED is a common and treatable condition, and many people find that lifestyle changes, counselling, or medical treatment can help. If you’re unsure which option is right for you, our pharmacy team is available to provide general guidance.

If you are concerned about ED, then you can book a confidential online consultation with our pharmacists. Appointments are available seven days a week in the comfort of your own home.

Hirsutism can be influenced by several factors, including:

• Hormonal changes, such as increased androgen levels
• Polycystic Ovary Syndrome (PCOS)
• Genetics or family history
• Certain medicines
• Natural variations in hair growth patterns

A clinical assessment helps determine whether treatment is appropriate and whether further investigation is needed.

A prescriber may consider licensed treatment options where appropriate, following a clinical assessment.

Eflornithine Cream (Prescription‑Only Medicine)

Eflornithine cream is a topical treatment licensed in the UK to help slow the growth of unwanted facial hair. It is applied to affected areas and may help reduce the rate of hair growth over time. Availability of this treatment may vary in the UK.

Common side effects may include skin irritation, redness, or acne.

• Eflornithine cream is not suitable for everyone
• It may take several weeks of consistent use to see an effect
• A UK‑registered prescriber will review your consultation to ensure the treatment is appropriate
• Always read the Patient Information Leaflet (PIL) before use

Treatment should be used exactly as directed by a healthcare professional.

Some people may also choose to combine medical treatment with cosmetic hair‑removal methods such as threading, waxing, or laser treatment.

1. Complete a confidential online consultation
   Your answers are reviewed by a UK‑registered prescriber.
2. Select your treatment
   If suitable, a prescription will be issued.
3. Fast, discreet delivery
   Medicines are dispensed by our GPhC‑registered pharmacy and delivered in plain, secure packaging.

We may contact you if further information is required.

You should speak to a GP or healthcare professional if:

• Excess hair growth appears suddenly or worsens quickly
• You have symptoms such as irregular periods, acne, or weight changes
• You are pregnant, planning pregnancy, or breastfeeding (treatment may not be suitable)
• You experience side effects from treatment
• You are unsure whether treatment is suitable for you
• You develop symptoms such as a deepening voice or increased muscle mass

If you develop severe skin irritation, swelling, or signs of an allergic reaction, seek medical attention promptly.

Excess facial hair is a common concern, and many people find that a combination of medical treatment and cosmetic approaches helps them manage symptoms effectively. If you’re unsure which option is right for you, our pharmacy team can provide general guidance.

Our pharmacy team can provide general information and support on excess facial hair. Request an online consultation if you would like to explore suitable options.

Online consultations may not be suitable for all conditions, and in some cases, a face-to-face assessment may be required.

• Patches of skin that appear red, darker, or otherwise discoloured
• Areas that feel itchy or look scaly, sometimes with a fine, dry‑skin‑like flaking
• Sore patches that may include small spots filled with pus

Fungal infections develop when fungi multiply on the skin’s surface. Common causes and contributing factors include:

• Warm, humid environments
• Sweating or tight clothing
• Shared towels, clothing, or sports equipment
• Weakened immune system
• Minor skin damage or irritation

Common types of fungal skin infections include:

• Athlete’s foot (tinea pedis)
• Ringworm (tinea corporis)
• Jock itch (tinea cruris)
• Fungal nail infections
• Yeast infections such as thrush

A clinical assessment helps determine the most appropriate treatment.

There are several UK‑licensed antifungal treatments that may help to treat fungal infections. The right option depends on the type and location of the infection.

Treatment recommendations are based on clinical suitability and UK prescribing guidelines.

Some treatments may be available following a clinical assessment through our UK-registered pharmacy. Treatment is only supplied where it is safe and clinically appropriate, and not all options are suitable for every patient. Some treatments may not be suitable for children, pregnant or breastfeeding individuals.

Topical skin treatments:

• Clotrimazole
• Miconazole
• Terbinafine
• Ketoconazole

Nail treatments:

Amorolfine (for fungal nail infections only)

Oral Antifungal Medicines (prescription‑only)

For more persistent or widespread infections, a prescriber may recommend oral antifungal medicines. These are only supplied when clinically appropriate.

• Not all treatments are suitable for everyone
• Some antifungal medicines may interact with other medications
• A UK‑registered prescriber will review your consultation before prescribing
• Always read the Patient Information Leaflet (PIL) before use
• Use treatments exactly as directed by a healthcare professional

1. Complete a confidential online consultation
   Your answers are reviewed by a UK‑registered prescriber.
2. Select your treatment
   If suitable, a prescription will be issued.
3. Fast, discreet delivery
   Medicines are dispensed by our GPhC‑registered pharmacy and delivered in plain, secure packaging.

We may contact you if further information is required.

You should speak to a GP or healthcare professional if:

• Your symptoms are severe or spreading
• Over‑the‑counter treatments have not improved symptoms after several weeks
• You have a weakened immune system
• The infection is on your scalp or face
• You experience side effects from treatment
• You are unsure whether your symptoms are caused by a fungal infection
• The area is painful, swollen, or producing discharge
• You have diabetes
• The infection is recurrent or not responding to previous treatment

Seek urgent medical attention if you develop signs of a severe allergic reaction, such as swelling, difficulty breathing, or widespread rash.

• Clean the affected skin gently each day.
• Make sure you dry the area thoroughly after washing, especially in skin folds and between the toes.
• Choose loose‑fitting clothing made from cotton or other breathable fabrics.
• If the infection affects your toenails, keep your feet dry and trim your nails regularly.
• Wear breathable, well‑fitting footwear and cotton socks, changing them daily. Consider replacing older shoes that may still carry fungal spores.
• Wash clothing, bedding, and towels frequently.
• Try to avoid scratching the affected area, as this can spread the infection to other parts of the body.

Fungal skin infections are common and usually respond well to appropriate treatment. Keeping the affected area clean and dry, avoiding shared personal items, and completing the full course of treatment can help prevent recurrence. If you’re unsure which option is right for you, our pharmacy team can provide general guidance.

Online consultations are not suitable for all conditions. If your symptoms are unclear or suggest a more serious condition, we may advise an in-person assessment.