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Male
Female
Transgender (Male to Female)
Transgender (Female to Male)




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If yes, please describe your symptoms.


If yes, please list the conditions.






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- Melatonin may cause drowsiness or fatigue.

- Other possible side effects include headache, dizziness, and nausea.

- Serious allergic reactions to Melatonin are rare but seek medical help if you experience rash, itching/swelling, severe dizziness, or trouble breathing.

- Please read and understand the patient information leaflet for Melatonin 3mg tablets.

- Confirm that the information provided is accurate and complete.

- Agree to contact your GP or the prescribing service if any adverse effects occur.

- Consent to use this information for prescribing Melatonin for jet lag.


- I confirm that I have read and understood the information provided.

- I agree to the prescribed treatment plan.

- I understand the potential risks and benefits associated with the medication.

- I will inform my healthcare provider of any adverse effects or changes in my health.

- I consent to the use of my information for the purposes of medical treatment.