Titra
How it works

Consultation, review, then dispensing

Three stages, in this order, every time. Nothing is dispensed before a prescriber has read your consultation and decided that treatment is appropriate for you.

  1. Illustrative photograph — a person using a phone at a kitchen table
    1

    Online consultation

    You answer a medical questionnaire: your height and weight, your medical and family history, the medicines and supplements you already take, and whether you are pregnant, planning a pregnancy or breastfeeding. You also send a photograph so we can confirm who you are.

    The questionnaire takes about two minutes. Answer it honestly and in full — a prescriber can only decide on what you tell them, and an incomplete answer is the most common reason a consultation has to go back to you.

    • You need to be 18 or over and living in Great Britain.
    • We ask for your GP details so we can write to them with your consent.
    • You can stop and come back to a consultation; nothing is submitted until you say so.
  2. Illustrative photograph — hands and a pen over a document
    2

    Prescriber review

    A prescriber registered with their professional regulator reads your consultation. They decide whether treatment is clinically appropriate, and if so which medicine and which strength.

    Some consultations lead to a video call before a decision is made, and some are declined. A decline is not a delay or a technicality: it means treatment is not appropriate for you on the information given, and the prescriber explains why.

    • Payment is taken after a decision, not before it. You are not charged for a medicine that is not supplied.
    • The prescriber may ask you for more information, or for a different photograph.
    • Every decision, and the reasoning behind it, is recorded in your clinical record.
  3. Illustrative photograph — a plain parcel being handed over on a doorstep
    3

    Dispensed and delivered

    Our registered pharmacy dispenses the prescription and sends it with tracking, in plain outer packaging that carries no clinic branding and no description of the contents.

    The patient information leaflet is in the box. Read it before you take anything. You are told when your supply will run out and when your next review is due.

    • Injectable medicines are sent in temperature-appropriate packaging.
    • You are sent tracking as soon as the parcel leaves the pharmacy.
    • A supply is not repeated automatically. There is no subscription.
Safety

If something goes wrong

If you feel unwell while taking a medicine we have supplied, contact us. If your symptoms are severe or you are worried, do not wait for us: call NHS 111, or 999 in an emergency.

Suspected side effects can be reported to us and to the MHRA Yellow Card scheme, which is how safety information about a medicine is gathered in the UK. Reporting one does not require you to be certain the medicine caused it.

Common questions

How long does a decision take?
Most consultations are reviewed within one working day. A consultation that needs more information from you, or a video call, takes longer.
What happens at a review?
Before a further supply, a prescriber checks how the current strength has gone, including any side effects and your current weight. They decide whether to continue at the same strength, change it, or stop.
Can I get treatment without a consultation?
No. The consultation is a required part of the service, not an optional check, and a prescriber must approve every supply.
Will you tell my GP?
With your consent we write to your GP so that your records are complete. We ask for their details during the consultation.