Insomnia
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Insomnia key facts
Insomnia (sleeplessness) is a common sleep disorder affecting millions of people around the world. Symptoms include trouble falling asleep, staying asleep, or a combination of both. Here, we will take a closer look at the causes, symptoms, diagnosis, and treatments available.
What is Insomnia?
Insomnia is when you find it difficult to fall asleep, stay asleep, or have restless sleep. Insomnia is a symptom rather than the disease itself. Symptoms of insomnia may range from mild to severe and include a lack of sleep leading to daytime sleepiness, tiredness, changes in mood and an impaired quality of life.
Types of Insomnia
Insomnia can be classified into two main types:
- Acute insomnia (short-term insomnia) is temporary and lasts for a few days or weeks. It is often caused by stress, illness, or a change in sleep patterns
- Chronic insomnia (long-term insomnia) may continue for at least 3 nights each week for 3 months or more
Primary and Secondary causes of Insomnia
Primary insomnia is associated with sleep problems not directly linked to other underlying medical or psychiatric conditions. Primary insomnia is often associated with stress, poor sleep hygiene, or other psychological factors. Secondary insomnia on the other hand occurs because of other health problems or factors that disrupt your sleep-wake cycle.
Diagnostic process and sleep study
Diagnosis involves a medical review, an assessment of your sleep patterns, and an evaluation of any underlying causes that may be causing your insomnia. A study to monitor your breathing and brain activity during the night may be considered in some cases.
Causes of Insomnia
Several risk factors can increase your risk of developing insomnia and prevent a good night’s sleep.
- Mental disorders can greatly affect sleep quality
- Other sleep disorders such as sleep apnea or restless legs syndrome
- Medical conditions such as neurological conditions, chronic pain, or hormonal imbalances
- Antidepressants or medication for asthma or high blood pressure
- Over-the-counter treatments containing stimulants
- Excessive consumption of caffeine, alcohol or substance abuse
- Irregular sleep schedules due to jet lag, affecting your circadian rhythm
- Poor sleep hygiene, which can also contribute to trouble sleeping
- Hormonal changes during pregnancy, menopause, and the menstrual cycle
- Age-related changes in underlying health conditions, especially in older adults
- Family history of insomnia
- High levels of stress
- Shift work
Impact on physical and mental health conditions
Chronic sleep deprivation increases the risk of developing conditions such as diabetes, obesity, and cardiovascular disease. Depression and anxiety, are often linked to insomnia making symptoms worse. Insomnia can also affect memory, thought processes, and your overall quality of life. Therapy, medication, and lifestyle modifications can all help manage insomnia and mental health disorders.
Treatments for Insomnia
Sleep aids should be taken as prescribed by a healthcare professional, as they can cause side effects and be addictive. Some over-the-counter medications such as antihistamines may also cause drowsiness as a side effect, but treatment with these should only be short-term
Herbal supplements or homeopathic treatments include melatonin, valerian root, and lavender. Speak to a healthcare professional before starting these treatments, especially if you have other medical conditions or are taking other medications.
Sleep hygiene and lifestyle changes
Good sleep hygiene and making lifestyle changes can help regulate your sleep-wake cycle and promote restful sleep. These include:
- Keeping to a sleep schedule
- Creating a relaxing bedtime routine
- Optimizing the sleep environment
- Avoiding caffeine and nicotine close to bedtime
- Getting regular exercise
Cognitive behavioral therapy for Insomnia
Cognitive behavioral therapy for insomnia (CBT-I) aims to identify and modify thoughts and behaviour, that contribute to sleep difficulties.
CBT-I may include various types of therapy, including sleep restriction therapy, relaxation training, stimulus control therapy, and cognitive restructuring.
Relaxation and mindfulness
Deep breathing exercises, progressive muscle relaxation, and meditation, can all help to calm your mind and prepare you for sleep.
Insomnia in certain age groups
Common causes of insomnia in children include stress, anxiety, irregular sleep, and the use of electronic devices at night. Healthy bedtime routines and sleep habits will help to improve quality of sleep.
We may experience changes in our sleep patterns as we get older. Medical conditions, medication, changes in hormone levels, and lifestyle can all affect the sleep cycle of older adults. Healthy bedtime routines and sleep habits will help to improve quality of sleep.
Preventing Insomnia
- Promote good sleep habits from an early age
- Create an optimal sleep environment. Maintain a comfortable temperature, reduce noise and light, use good quality bedding, and ensure the bedroom is used only for sleep
- Manage stress and self-care. Exercise, hobbies and mindfulness can help manage stress and promote better sleep
Sleep schedules
Going to bed and waking at the same time every day will help regulate your internal body clock and achieve better sleep quality. This will train your brain to associate sleep with certain times, making it easier to fall asleep.
Regular exercise
Regular exercise will help to reduce stress, relax, and improve your overall physical health. 30 minutes of moderate exercise each day of the week should be the goal, but avoid exercising too vigorously near bedtime as this will interfere with your sleep.
Dietary choices
Avoid caffeine, nicotine, or alcohol close to bedtime, as these may affect your sleep patterns. Also, add foods into your diet that promote sleep, such as foods high in tryptophan, such as turkey, nuts, or seeds and those that contain melatonin, such as tart cherries and kiwi fruit.
When to consult a healthcare provider
Consult a healthcare provider if insomnia continues to affect your daily life, or if you have chronic insomnia or other health conditions. They may prescribe sleeping pills for a short time.
Finding a sleep specialist or therapist
Sleep therapists can offer cognitive behavioral therapy and other medications when necessary for insomnia. You may be asked to keep a sleep diary to track your sleep patterns. Online directories or referrals from primary care can help find suitably qualified professionals.
Conclusion
Understanding the causes, symptoms, and treatments available for is essential to manage sleep insomnia. Having healthy sleep habits and managing underlying factors can improve the quality of your sleep and help you regain control.
Sources
Service Guide
Everything you need to know about Getting Treated Privately for Insomnia
What does the Get Treated Privately service for Insomnia do?
The Get Treated Privately service is a private prescribing service which is designed for adults aged 18 years and over, who are experiencing health issues and who would like to receive a fast-track assessment and if applicable, a treatment plan from a qualified prescribing clinician. Treatments for Insomnia are dispensed and delivered to your home or workplace from our regulated online pharmacy.
Is this a safe Insomnia prescribing service?
Yes. Our formulary of medications prescribed for Insomnia are controlled, governed, and continuously risk-assessed by our Medical Director, Dr. Aseel Hamoud. Unlike other prescribing services which operate using faceless questionnaires, our Insomnia prescribing service is conducted through remote video consultations, also known as synchronous consultations. This builds patient safety and prescribing appropriateness into our service, ensuring our prescribing clinicians can be satisfied with who and what they are treating. There is no guarantee of supply of medications, and any prescriptions supplied are at the sole discretion of our clinician prescriber. There is no charge for the Insomnia consultation.
What is a prescribing clinician and is it safe for me to use them on the NowPatient platform?
Our prescribing clinicians are board-certified pharmacists, nurses, or doctors who can also prescribe any medicine for any medical condition, subject to accepted accreditation and good clinical practice. They are all registered with their respective regulatory bodies. For example, a pharmacist independent prescriber is registered with the General Pharmaceutical Council (GPhC). Each prescribing clinician undergoes an extensive background check including a disclosure and barring service check (DBS). In addition, they undergo a rigorous license verification process. When you book an appointment with our prescribing clinicians you will see their full name, license number, and any specialized credentials they have.
Is the service available worldwide?
Yes, you can get treated privately for Insomnia worldwide.
Do I need to pay for this service?
Yes. This is a private service. You do not need to pay for the consultation. You only pay for the cost of the Insomnia treatment that you are prescribed.
How do I book a consultation?
Once you have logged into your account, you will need to navigate to the Get Treated Privately service card which is located as a service item on the dashboard.
Using the action button on the service card, you can select one of the following – ‘Search Treatments’ or ‘Search Conditions’. From here you can search for Insomnia.
Depending on the search type and the product/condition that you would like to get treated, you will be taken to a consultation booking screen. Follow the simple steps to complete your booking. During the booking confirmation, you will be able to select a date and time that is convenient for you, along with the preferred language and gender of the prescribing clinician you wish to choose. You will then see a list of all available expert clinicians who are trained to assess the medication or condition chosen. Once you have confirmed your booking, you will see a summary of the appointment including preliminary information about the consultation. At this point, you will also be able to add a reminder to your calendar. Always ensure your account health profile is up to date before any consultation. This ensures that our clinicians have the most up-to-date information about your current health status and anything that may influence their prescribing decisions. You will receive a push notification, SMS notification and email reminding you of your consultation, 30 minutes before the virtual consultation is due to start.
Depending on certain medications which require our clinicians to have your up-to-date blood pressure readings, you may be required to submit a virtual blood pressure check, using your smartphone or device. We will provide you with full instructions, when this is required.
What happens during the remote video consultation?
During the consultation, the clinician will ask you a series of questions that will allow the clinician to assess your condition and potential treatment options for Insomnia. At the end of the consultation, the clinician will decide which treatment options are safe and suitable option for you.
If it is, the clinician will discuss the treatment option, so that you can jointly agree on the treatment plan. Once you have jointly agreed on a treatment plan, the clinician will issue a prescription treatment for your Insomnia which will be available in your Cart at the end of the consultation.
Also, with your consent, the clinician may wish to inform your doctor of the treatment that was prescribed. We recommend that you agree to this since your doctor is responsible for your overall care and they should have a record of this consultation and medication prescribed. In addition, our clinician may take the opportunity to advise you on your overall health including advice on healthy living or stop smoking.
What happens at the end of the Insomnia consultation?
At the end of the consultation, you will receive a notification which will summarise the outcome. It will also advise you if any referrals were made to your doctor, along with any other advice that was given to you by the clinician.
If a referral letter was issued to your doctor, you will be able to view a copy of this in the ‘Documents’ section of the dashboard.
If you were prescribed a treatment, it will now be available in your Cart.
When you go to your Cart, you will be able to select the treatment, checkout and make payment. Once the checkout is complete, your prescription order will be sent to our regulated online pharmacy for processing.
What if the prescriber does not prescribe a treatment for Insomnia?
We operate a safe prescribing service. This means that our prescribing clinicians always exercise their clinical judgment when prescribing . Unfortunately, we do not operate a self select service where you can choose a medication and simply buy. If the clinician that sees you does not prescribe anything, then you will not be charged.
Will I get status updates for my order?
Yes. When your Insomnia treatment is approved, and after you have checked out and paid for your order, we will keep you fully updated with the status of your order. Every time the status of your order changes, you will be notified immediately. These notifications will appear in the ‘Notification Feed’ section on the dashboard.
How will my Insomnia treatment be delivered?
All orders are shipped in discreet and unmarked packaging. This means it is suitable for delivery wherever you require (home, work, or a neighbour).
For thermo-sensitive orders (e.g. Insulin or weight loss injections) we use cold chain-validated packaging. Your parcel will normally receive an estimated delivery window from the courier on the day of delivery.
For your protection and safety, your first order can only be delivered to the address that is registered with NowPatient. Future orders can be delivered to any other address, for example, your workplace.
Do you ship cold-chain or temperature sensitive products?
Yes. We use a specialist courier service for all thermo-sensitive deliveries. This is to ensure that cold chain integrity is always maintained and thus the product quality, safety and efficacy.
Learn more about how we handle the delivery of temperature sensitive products.
Where do you deliver?
We currently deliver to all postcodes/zipcodes worldwide. Some postcodes in rural areas may have a slightly longer delivery time.
When will my order arrive?
We aim to ship all orders placed Monday – Friday before 3pm on the same day. Orders placed outside these times will be shipped the next working day. All deliveries are shipped by Royal Mail, which delivers Monday through Saturday in the UK. For deliveries outside of the UK, please check with your national postal service for accurate delivery days.
Our delivery options have the following delivery times:
- UK – Royal Mail Tracked 24 & Signed for Delivery – Next day delivery
- Europe – Royal Mail Tracked – Typical delivery of 3-5 working days
- Worldwide – Royal Mail – Typical delivery of 5-7 working days. If a tracked option is available for your country via Royal Mail, this service will be applied.
What should I do if my order has not arrived?
Delivery is normally made promptly after your dispatch notification is received. You can check the tracking details of your Insomnia order in the ‘Notification Feed’ section of the dashboard, at any point after dispatch.
Unfortunately, packages can sometimes get lost in the delivery system. If after 10 days you have not received your delivery, please contact us and we will do all we can to resolve the problem.
Can you prescribe GLP-1 weight loss injections?
Yes. However, with GLP-1 weight loss medications, the license requires that there are support resources put in place as part of the plan including coaching for a healthy lifestyle, exercise, and diet. Our clinicians will discuss this with you, if you are prescribed this type of treatment.
You can learn more on our Weight Loss Programs feature page.
What’s included with my order?
If you are ordering a treatment for Insomnia, your order will contain your medication only.
If you are ordering weight loss injections, your order will contain:
- Your prescription of pre-filled weight loss injection pens
- Needles
- Sharps bin for safe disposal of needles (if ordered as part of the bundle)
Can I reorder my medication, if I have already been prescribed a course?
Yes. However, as a responsible prescribing service, we do not issue more than one monthly cycle of medication at a time.
This means that, if you would like to reorder, you will need to rebook a consultation.
This is important, because it allows our clinicians to keep track on the progress of your treatment plan and ensure that the medication remains safe and effective for you.
What is the earliest I can reorder my medication or treatment?
14 days after you have received your first monthly supply of medication, we will send you a notification to advise you that you are eligible to reorder your medication. To ensure that we are able to safely prescribe the Insomnia medication for the next supply, you will need to rebook a consultation.
This ensures that our clinician can check in on your treatment plan and ensure it is working as intended and continues to be safe, suitable and appropriate for you.
How do I reorder my Insomnia?
When you are eligible to reorder your next Insomnia prescription, we will send you a notification reminder. This notification reminder will request that you book a consultation with a NowPatient Clinician.
You should book a suitable time and date for the consultation.
At the end of the consultation, the clinician may advise you to either
- Stop the treatment
- Stay on the current dose
- Increase the dose
If our clinician deems it safe for you to continue the medication used to treat Insomnia, the prescription will be added to your cart, from where you can checkout.
Delivery will be made in line with our delivery timescales.
As a responsible prescribing service, we will always monitor your Insomnia treatment plan to ensure that it remains safe, effective and suitable for you.
How do I reorder weight loss medication?
Our weight loss programs are built to closely monitor treatment progress and safety. Please refer to the Weight Loss Programs Service Guide that explains how you can reorder or step edit your dose.
About Telehealth
Everything you need to know about video consultations
Watch the video below for a rundown of how NowPatient’s remote video consultations work:
Are remote video consultations right for me?
Remote video consultations or synchronous consultations are suitable for many patients who do not need a physical examination and who can communicate via video. Remote video consultations might not always be suitable – for example, if you need a test or physical examination. If that is the case, you will need to attend your doctor’s practice.
Although our Clinicians are clinically trained in various services that we provide, they are not a substitute for your doctor if you have a serious illness or life-threatening condition. If at any time during your remote video consultation, you feel that you would like to end that consultation, then you can say so and the consultation will be ended.
How do I know if the remote video consultation service is safe?
NowPatient has specific safeguards and protocols in place that ensures the service we provide you is safe, secure and effective. Our video technology platform is certified to the highest industry standards of data security and clinical governance.
Do I need to verify my identity during the remote video consultation?
Yes, for your safety and to ensure that the service we provide you, complies with regulations, our clinicians will request that you hold up your ID at the start of your virtual consultation to verify your identity.
Can I have a chaperone (carer, friend, family member) join a remote video consultation?
Yes. If they are in the same location as you, it is possible to have someone with you during your video consultation. You should let your clinician know if you have someone with you at the start of your appointment. You may be asked what relationship the chaperone has to you.
How can I be sure that you are handling and protecting my data securely?
We not only meet the UK and US standards for data security but we exceed them. We demonstrate this by regularly auditing our systems, both internally and externally.
Our various externally audited accreditations such as ISO27001, DTAC, DSPT, and Cyber Essentials + demonstrate our compliance with global security standards and should give you peace of mind.
How is my data stored?
NowPatient’s commitment to data residency is a key priority, and to that end, we only house data in validated data centers. We pledge that UK-based data remains solely in the UK, while US data is governed by HIPAA-prescribed data security protocols.
The data centers we use align with the highest standards of security and privacy, which is demonstrated by a programme of regular external audits to demonstrate the efficacy of safeguards against contemporary threats.
Are my consultations confidential?
Yes, we follow strict General Data Protection Regulations (GDPR) which came into force in May 2018. This places legal requirements on ourselves to ensure your personal data is managed securely with the utmost confidentiality. Records are maintained of the processing that is carried out and reported when breaches of the regulation do occur. Our platform is also HIPAA compliant which means we are able to handle PHI (Personal Health Information) securely.
Can I select which clinician I have my consultation with?
Yes. NowPatient allows you to choose from a pool of clinicians based on competencies, gender and languages spoken.
Will my doctor be informed of any consultations I have through the app?
We recognize that your doctor is responsible for your overall care. Our clinicians will communicate with your doctor if they have concerns or recommendations that could be beneficial for your overall care. Referrals are only made upon your explicit consent or if they form part of the terms of service that you consent to.
Do remote video consultations save money for health systems?
The traditional healthcare model encourages patients with health concerns to visit their doctor or pharmacy to seek a consultation. NowPatient is the first remote video consultation service that connects patients to a multi-disciplinary team of clinicians.
It allows patients to book a consultation with a clinician from anywhere in the United Kingdom and the United States. Consultations can be conducted using a smartphone, tablet or PC.
Are remote video consultations safer than online questionnaires?
NowPatient only provides its services in real time over a live video feed. This is called synchronous telehealth. We believe it is the safest way for you to receive remote care because it is in real-time. It is especially beneficial in an emergency situation as the clinician and patient can visually see each other. The clinician can ask all the questions they need to make a diagnosis or build a treatment plan during the consultation. Equally, any concerns you have can be addressed at the point of consultation.
Some providers use a low-tech approach for conducting clinical services such as a questionnaire or quiz. Although it may be suitable for low-risk clinical services, it often means you will not have any face-to-face interaction nor be able to raise concerns about treatment or diagnosis, in real-time, with the clinician who is providing your care.
What quality of care can I expect to receive from a remote video consultation?
Your remote video consultation, conducted by a NowPatient clinician, will always seek to provide you with safe, high-quality care. Your health and well-being is our priority. We continuously monitor and assess the services we provide you to ensure that it is safe, effective, caring and well-led.
Why am I being asked to provide my Blood Pressure reading?
For certain treatments and services, our clinicians require you to provide your most up-to-date blood pressure reading. This is to ensure that the service or treatment being considered is both suitable and safe for you.
If I don’t have a Blood Pressure monitor, how can I provide my readings?
The NowPatient app uses a new approach to measuring blood pressure using your smartphone camera held in front of your face. It is the world’s only blood pressure check without a cuff or wearable.
Is the remote blood pressure monitor safe and medically accurate?
Yes. It Is classified as a Medical Device. It conforms to EU CE and UKCA Class I Medical Device standards. There is also an impending CE Class IIa conformity, expected in Q2 2025.
How does the remote blood pressure monitor actually work?
The diagram below outlines how NowPatient’s blood pressure reading works:
When and how is my remote blood pressure reading taken?
At the point of booking any service or treatment, we will let you know whether there are any requirements for an up-to-date blood pressure reading.
If you are required to give a reading, you will be guided through a series of simple steps.
What devices does the remote Blood Pressure monitor work on?
You will need a recent iOS or Android smartphone with a front-facing camera. It is not available for use on desktop devices.
Why do my results keep failing when using the remote blood pressure monitor service?
Possible reasons why results are not being generated include:
- Bad lighting – Make sure you are well-lit by diffuse lighting. Avoid strong shadows and uneven lighting.
- Unstabilised device – Ensure your device is kept still during the reading.
- Not remaining still – You must stay still during the reading and avoid talking.
- Poor Wi-Fi – The service requires a strong and stable Wi-Fi signal.
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Medicines Experts
Meet our medical team
We are a broad skilled and passionate group of clinicians with experience of operating in health systems in the United Kingdom & United States. Providing excellent care and advice is at the heart of everything we do. You can read more about our medical team by visiting the medical team page or learn more about how we curate content by visiting our editorial process
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The NowPatient virtual care platform provides you with access to trusted health information, affordable treatments, management of chronic health conditions and continuous monitoring for health risks. NowPatient can be accessed by downloading the App or using your web browser.
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Your Questions Answered
For your peace of mind, we can answer your questions quickly
What does NowPatient do?
NowPatient is an online pharmacy & telehealth service that is available in the US and UK. Our service is FREE and packed with useful features that can help you save money on the cost of your medications, access virtual treatments, and provide tools that can help improve your overall health.
Get started today and benefit from medication reminders, Get Treated Privately, NHS online pharmacy, GP appointment booking, Rx savings card, Drug Coupons, US drug savings programs, health conditions information, genetic testing, home test kits, BMI Risks, Type 2 Diabetes Risks, pollen meter, air quality monitor, and lots more!
Our service is operated by experienced medical professionals in the United States and the United Kingdom. You can view the online services that we provide by clicking Features.
UK users can safely and securely buy medicines online that treat a wide range of medical conditions. UK customers can also order NHS prescriptions online with the benefit of free tracked delivery.
US customers, regardless of insurance coverage, can enjoy huge savings on prescription medications using our various drug savings programs including drug coupons, savings card and manufacturer-sponsored patient assistance programs.
Where is NowPatient located?
NowPatient has offices in the United Kingdom and United States.
In the UK, we are located at:
NowPatient
28 Chipstead Valley Road
Coulsdon
Surrey
CR52RA
In the US, we are located at:
NowPatient
8911 North Capital of Texas Highway
Suite 4200 #1263
78759
Austin, TX
How can I contact NowPatient?
To contact NowPatient, please use the contact form available on the Contact Us page.
Alternatively, if you need to speak to us, you can reach us on the following numbers:
UK telephone number – 020 388 51 500
US telephone number – 1-866-967-1977
Who owns NowPatient?
NowPatient is owned and operated by Infohealth Ltd, a licensed online pharmacy with services spanning the UK, US and Rest of the World. Infohealth Ltd is registered in England and Wales under company number 04004930 and our registered office is at Lynwood House, 373 – 375 Station Road, Harrow, England, HA1 2AW.
Our website is www.nowpatient.com. Our App is called “NowPatient” and can be downloaded from the App Store (for Apple devices) or Google Play (for Android devices).
Can you tell me more about your NHS online pharmacy?
NowPatient’s Pharmaceutical services in the UK are provided by Infohealth Limited trading as ‘Infohealth Pharmacy’.
Our dispensing pharmacy is regulated and authorized for internet sales by the General Pharmaceutical Council (GPhC), registration number 1036487. You can view our license credentials on the General Pharmaceutical Council website. Our superintendent pharmacist who is responsible for the safe and effective oversight of medicines supplies is Mr Amish Patel (Registration Number 2042705).
Medicines are not ordinary items of commerce. All medicines or healthcare product sales are made under the supervision of a registered pharmacist who is licensed by the GPhC. At all times, we endeavour to provide a professional and transparent service whose primary goal is to ensure that the best interests of the patient are served.
How do I make a complaint?
From time to time, we accept that our service levels may not be up to your expectations. NowPatient welcomes concerns, compliments and complaints as valuable feedback that will help us learn from your experiences and make improvements. Feedback can be provided via our clear and transparent Complaints Procedures.
Can you tell me more about NowPatient’s prescribing services for treatments offered?
Our prescribing services are regulated by the General Pharmaceutical Council (GPhC). We provide the following regulated activity:
• treatment of disease, disorder, or injury
• transport services, triage, and medical advice are provided remotely
• caring for adults over 65 years old
• caring for adults under 65 years old
NowPatient prescribing services are run by Infohealth Limited. The Clinical Safety Officer and nominated individual is Mr Navin Khosla.
Can you tell me more about NowPatient’s US services?
Our head of US services is Dr. Jamie Winn.
You can lower the cost of your prescription medications using our various savings programs which include drug coupons, savings card and manufacturer-sponsored patient assistance programs.
We do not provide any prescribing services or dispensing services in the United States.
Is NowPatient legit and can I trust information from NowPatient?
Yes. NowPatient provides trustworthy and accessible clinical, health education and prescription services. We are also trusted by the NHS to deliver clinical and NHS repeat prescription dispensing across the whole of England. In the United States, we work with over 65,000 pharmacies to deliver considerable costs savings for our users.
NowPatient is operated by experienced licensed medical professionals in the United Kingdom and United States. Our Medical Team can be found here.
Our service is trusted by thousands of patients worldwide. You can read their reviews on our Trustpilot:
What are NowPatient’s opening hours?
Our office hours are:
UK – Monday-Friday 9am-6pm GMT
US – Monday-Friday 8am-5pm EST
Please note that we are closed at weekends.
In the event of a medical life-threatening emergency please call:
UK – 999
US – 911
In the event of a medical emergency which is not life-threatening please call:
UK – 111