Refill reminder

To maintain the benefits of FLOMAX and help control your male urinary symptoms due to BPH, it is important that you keep taking FLOMAX. To help you remember to refill your prescription, sign up here to receive reminders by Email or mail.

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Select the day of the month on which you would like to be reminded by clicking on it. Then select the frequency of your reminder (30 or 90 days). You will receive your first reminder 30 or 90 days from the date you select.
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This information is being collected by Boehringer Ingelheim Pharmaceuticals, Inc. so that we may advertise our products to you and provide you with information about them.

Boehringer Ingelheim Pharmaceuticals, Inc. respects your right to have personal and medical information kept confidential. Boehringer Ingelheim and companies working with Boehringer Ingelheim will use the information you provide, as well as the information obtained about you from the pharmacy, to fulfill your request, and to help develop products, services, and programs. It will not be shared with any other third parties (such as mailing lists).

By checking here and clicking "Sign Up" below, you indicate that you agree to the above and want us to use the information you have provided to send you information and offers relating to BPH and FLOMAX from time to time.
By checking here and clicking "Sign Up" below, you indicate that you agree to the above and allow us to use your information to advertise BPH-related and other products to you. Boehringer Ingelheim may also provide you with useful materials and contact you about health-related topics.

If you do not check either box, we will fill just this one-time request.

You are about to submit the following information. Please click “SUBMIT” to verify that all answers are correct. If you need to make changes, click “Clear Form” to do so.

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 I confirm that I am at least 18 years of age.


     

Important Safety Information
FLOMAX is approved to treat male urinary symptoms due to BPH, also called an enlarged prostate. Only your doctor can tell if you have BPH, not a more serious condition like prostate cancer. When taking FLOMAX, avoid driving or hazardous tasks until you know how FLOMAX will affect you, especially after your first dose or change in dose, as a sudden drop in blood pressure may occur, rarely resulting in fainting. Tell your doctor about all medications you take. If considering cataract surgery, tell your eye surgeon you've taken FLOMAX. Common side effects are runny nose, dizziness and decrease in semen.

Before taking FLOMAX capsules, please see the full Prescribing Information and Patient Information.

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