Dose the patient being treated have any of the following conditions?

• Less than 12 years old.

• Pregnancy.

• Signs of infections (ear, throat or sinus infections) including fever, pus formation (pus like discharge from the nose), diarrhea, vomiting, or pain of the sinuses.

• Symptoms that have not resolved after a week of using over the counter products.

• COPD, asthma, or symptoms such as shortness of breathe, or wheezing.

• These symptoms have been occurring more than 4 days per week for more than 4 weeks, and are resulting in impaired sleep or other daily activities.

• Allergic to OTC medications or experience severe side effects from taking them.


Yes

No



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