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Before Proceeding to the Medial Consultation Form please read
CONTRAINDICATIONS  and  WARNINGS 
and accept the Waiver of Liability


In order for Medical Wellness Center Physicians to provide you with the best care you need to reply honesty to all questions
 and you need to understand any and all risks and side effects associated with Eucrisa Ointment

CONTRAINDICATIONS: Anyone with the following conditions should NOT use Eucrisa Ointment.

WARNINGS & PRECAUTIONS:
  • Do not use Eucrisa if you are pregnant or trying to become pregnant as there are no sufficient studies to determine the safety of crisaborole (Eucrisa) in pregnant woman!
  • Do not use Eucrisa if you are breast feeding!
  • Do not use Eucrisa if you are allergic or hypersensitive to crisaborole or to any component of Eucrisa ointment: white petrolatum, propylene glycol, mono- and di-glycerides, paraffin, butylated hydroxytoluene, and edetate calcium disodium.  
  • Eucrisa ointment is for external use only!  Use from head to toe but do NOT apply Eucrisa in the eyes, mouth or vagina.
  • Do not use Eucrisa ointment on infected, weeping or oozing eczema lesions! People with eczema are prone to infections, especially staph and herpes.  Increased redness, pus-filled bumps (pustules), weeping of lesions are all early signs of infection.  Seek treatment from your physician. 
  • If eczema lesions become infected while on Eucrisa, discontinue use of Eucrisa and consult your physician immediately.
  • Do not use Eucrisa without direct physician supervision (not eligible for online consultation) if you are under the age of 18.
  • Eucrisa ointment will not be prescribed to anyone under age 18 online.  For children under the age of 18 consult your pediatrician.
 


SIDE EFFECTS:

The most common side effects of Eucrisa ointment is pain, burning sensation or stinging at the site of application.  This burning feeling is usually mild to moderate, and usually clears up in a few days.  See your doctor if an application site reaction is severe or persists for more than one week.

Eucrisa may cause allergic reactions at or near the application site which can be serious such as hives, swelling, and redness.  If you have any of these symptoms STOP using Eucrisa and get medical help right away.

IMPORTANT PATIENT INFORMATION & INSTRUCTIONS:

Eucrisa ointment is only to treat eczema, atopic dermatitis, that has been diagnosed by your doctor. Eczema is a chronic condition that can be controlled but not cured.  Eucrisa ointment is a medical breakthrough because it is a safe and effective treatment that can be used intermittently on a long-term basis and can be used externally on any part of the body including hands, face and neck.  
  • Wash your hands thoroughly before applying Eucrisa.
  • Use Eucrisa only on your skin. Apply a razor-thin layer of Eucrisa to all areas of your body that your doctor has diagnosed as eczema twice a day. Cover the area completely and rub in gently and completely. A pea-sized amount usually covers an area about the size of a silver dollar. Treatment should be initiated at the first signs of redness and symptoms of itching.Treatment should be continued for one week after clearing of signs and symptoms of atopic dermatitis.
  • Eucrisa should be applied twice daily, approximately 12 hours apart.
  • Allow your medication to penetrate thoroughly. Don't swim or bathe immediately after applying Eucrisa.
  • Before applying Eucrisa ointment after a bath or shower, be sure your skin is completely dry.
  • If your hands are not being treated, wash them with soap and water after applying Eucrisa.
  • Do not cover the skin being treated with bandages, dressings, or wraps. However, you can wear normal clothing.
  • Use Eucrisa ONLY on your skin, Do NOT swallow Eucrisa. Do NOT use Eucrisa in the eyes, mouth or vagina.
  • Store Eucrisa at room temperature (68° to 77°F).
  • If your condition worsens or you see no improvement after 6 weeks of treatment, contact your doctor!

  • Positive results are on the way:
    Eucrisa usually begins to provide relief from the symptoms of eczema as early as 8 days and most by 28 days. Most people usually notice that the symptoms of itching relieved within one week. Stop using Eucrisa after the signs and symptoms of eczema disappear. When you stop using the medication, your eczema may return.  Eucrisa treatment should be initiated at the first signs and symptoms of a recurrence.

I DO NOT HAVE ANY OF THE ABOVE CONTRAINDICATIONS:
By accepting "I Agree" means that you have read the above contraindication and warnings and honestly acknowledge that you do not have any of the above contraindications to Eucrisa therapy.  Also, that I am aware that I need to inform my doctor that I am using Eucrisa.
I agree, proceed to Eucrisa Prescription Waiver of LiabilityI disagree - Eucrisa Contraindications
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