Assessment for Sleep Support

Melatonin can increase sleepiness or lower blood pressure, especially when taken with certain medications.

Do you understand that if you experience dizziness, light-headedness, confusion, or excessive sleepiness, you should stop taking melatonin and seek medical advice?

Do you understand that melatonin should: Be taken once daily, 1–2 hours before bedtime in your new time zone. It should only be taken between 8pm and 4am and be used for no more than 5 days? 

Do you understand that melatonin should not be taken with alcohol, that it can cause drowsiness so you should avoid driving or operating machinery for at least 8 hours after taking it?

Do you understand that you should read the patient information leaflet before taking this medicine including the side effect and risk profile? some studies suggest possible risks with long-term use, which are still being researched

I confirm that I will contact the pharmacy and inform my GP if I experience side effects, start new medication, or if my health changes

I understand that the information provided in this assessment will be reviewed by a licensed pharmacist before my order is processed. 

I consent to my personal and medical information being used to assess my suitability for the prescribed medication.

I understand that my information will be kept confidential and used solely for the purpose of this assessment. 

I confirm that the information provided in this assessment is accurate and complete to the best of my knowledge.

I understand that providing false information may result in my order being cancelled and may have health implications.