Your 2 minute consultation

0% complete

You'll need

Before you get started, it's a good idea to make sure you have the following information to hand:

  • Weight and height
  • Photo of your face
  • Photo of your ID
  • Photo of your previous prescription or dosage label on the bottle

About you

Our doctors need to learn a little bit about you to help understand your condition.

What's your biological sex?

  • Male
  • Female

Cellphone number (mandatory)

e.g.5556661234. Please do not add +1. Enter only 10 digits, no spaces. * By entering your number, you agree to receive mobile messages related to your order.

What state do you live in?

What's your date of birth?

What do you weigh?

Use kg

How tall are you?

Use cm

Your health

We need to see if your medical history could affect the treatment options.

Do you smoke?

On average, how many units of alcohol do you drink in a week?

If you're not sure, you can calculate the number of units using our guide here: How many units of alcohol do I drink?

Are you pregnant or planning to become pregnant?

Are you currently breastfeeding?

Do you have any known allergies to any medications or substances?

Other than eczema, do you have any skin problems?

Have you previously been prescribed any steroid medication (eg. hydrocortisone, beclometasone, betamethasone?)

Are you currently taking any prescription-only medications, alternative medications or recreational drugs?

Do you have any of the following conditions?

Acne

Rosacea

Perioral dermatitis

Untreated infected skin lesions

Congestive heart failure

Diabetes

Glaucoma

Ulcerative colitis

High blood pressure

Hypothyroidism (low thyroid function)

Epilepsy

Diverticulitis

Peptic ulcer

None of the above

Have you recently suffered a heart attack (myocardial infarction)?

Other than those already mentioned do you have any other significant medical conditions, illnesses or past surgical procedures?

Eczema

These questions let our doctor know how Eczema affects you

Which type(s) of eczema do you have?

Contact dermatitis

Atopic dermatitis / flexural eczema

Neurodermatitis / lichen simplex chronicus

Dyshidrotic eczema / pompholyx

Nummular eczema / discoid eczema

Seborrheic dermatitis

Stasis dermatitis / gravitational dermatitis / venous eczema

Not sure

None of the above

Which of the following skin symptoms do you have?

Itchy skin

Dry of sensitive skin

Inflamed or discoloured skin

Rough, leathery or scaly patches of skin.

Oozing or crusting of the skin

Swollen areas of skin

Burning of the skin

Bumps or blisters

White-scaly plaques

Broken skin with pus or blood

Red or discoloured patches of skin

None of the above

Which areas of your body are affected by your eczema?

Face

Eyelids

Ears

Eyebrows

Scalp

Neck

Chest

Back

Upper arms

Forearms

Inside of the elbows

Wrists

Hands

Fingers

Palms

Anal region

Genitals

Thighs

Back of knees

Lower legs

Soles of the feet

Other areas of skin

None of the above

Do you have any triggers for your symptoms?

Soap

Perfume

Hot weather

Cold weather

Alcohol

Stress

Chemicals (household cleaners, detergents)

Other

I do not have any triggers

My symptoms are always present

How long do your symptoms generally last for?

Do your symptoms keep you from sleeping?

Who first diagnosed your eczema?

When were you first diagnosed with eczema?

Approximately when was your eczema diagnosed?

When was your last eczema review by your doctor?

Approximately when was your last review?

What treatment are you currently using for your eczema?

What are you using? How often do you use this treatment?

Please provide clear pictures of your previous prescription(s) or the prescription label(s) on the medication. This helps our physicians to complete the medical evaluation much faster and helps us offer better care

Choose file / Upload

I cannot provide an image at this time

You can place an order without providing images just now but please send these as soon as possible to avoid delays to your order. You can email these pictures to help@medzino.com or text them to (888) 772-2270 referencing your full name and your order number.

Have you tried any other medications to treat your eczema?

Is there any other information you would like to share with us, to help our doctors make an informed and fair decision?

Your consent

We need to make sure that you are aware of and agree to some criteria before you choose your medicine.

I agree to the terms and conditions

  • I confirm I am 18 years old or above
  • I am using this service on my own behalf and of my own free will and any treatment or advice is for my sole use only
  • I understand my consultation will not be passed to the Medzino clinical team until I have successfully completed payment
  • I will read the patient information leaflet supplied with the medicine or obtain it from the Mezino website; especially the side effects and dosages.
  • I take responsibility to inform my own regular doctor of the online consultation or any changes in my circumstances.
  • I agree to the Medzino terms and conditions.
Ship Icon

Need help?

Speak to our friendly team
for an instant answer:

(888) 772-2270

Email us

help@medzino.com

Message us

Leave us a message