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Before Proceeding to the Medical Consultation Form 
please read
CONTRAINDICATIONS /PRECAUTIONS 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 contraindications,  risks and side effects associated with Aczone™ Gel prescription
 
CONTRAINDICATIONS
Aczone™ Gel is the first FDA-approved new topical acne medication containing the exclusive active ingredient, Dapsone.  Aczone™ Gel  use is CONTRAINDICATED and must NOT be used in anyone with the following conditions:
  • Do NOT use Aczone™ Gel if you are pregnant or attempting to become pregnant.  Aczone™ Gel may  cause fetal changes?
  • Do NOT use Aczone™ Gel if you are breast feeding.
  • Do NOT use Aczone™ Gel if you have Glucose-6-phosphate dehydrogenase (G6PD) deficiency.  Oral dapsone has produced dose-related hemolysis and hemolytic anemia. Topical Aczone is not expected to increase dapsone in the blood to cause clinical symptoms of hemolysis, but if you get any symptoms such as sudden onset of back pain, breathlessness, tiredness/weakness, dark-brown urine, high fever, or yellow/pale skin contact your doctor or emergency room immediately.
  • Do NOT use Aczone™ Gel  if you are allergic  or sensitive to dapsone or any of the ingredients in Aczone.Aczone Gel treatment for acne available by prescription only
  • Aczone™ Gel is contraindicated to be administered without direct dermatologist supervision if you have severe case of acne Grade IV with pustules and cysts.
  • Do NOT use Aczone™ Gel if you have eczema, sebhoreic dermatitis or psoriasis skin conditions.
  • Do NOT use Aczone™ Gel on broken or cut skin or sunburned skin. 
  • Do NOT use Aczone™ Gel if you are being treated with Benzoyl peroxide products.
  • Do NOT use Aczone™ Gel if you are taking Trimethoprim-Sulfomethoxazole.
  • Aczone™ Gel is NOT approved for pediatric use for children under 12. We do NOT prescribe Aczone™ Gel to anyone under the age of 18.
    IMPORTANT PRECAUTIONS and WARNINGS 
    • Aczone™ Gel is ONLY approved for external TOPICAL use on the face, neck, chest, upper back and shoulders and trunk. Avoid contact with eyes, lips, angles of the nose and mucous membranes.  Flush with water and seek  medical attention!
    • Do NOT use medicated soaps or abrasive cleansers.  Use mild, non-soap, fragrance free cleansers like Cetaphil® Cleansing Bars or Cetaphil® Gentle Skin Cleanser.
    • Do NOT combine  Aczone™ Gel with  benzoyl peroxide product.
    • Do NOT use Aczone™ Gel with any acohol-containing products, astringents, witch hazel or lime that may be drying to your skin.
    • Do NOT have any cosmetic peels, glycolic peels or laser procedures while using Aczone™ Gel.
    • Do NOT use Aczone™ Gel with any alpha hydroxy, hydroxy or glycolic acid products.
    • Do NOT use any oil-based cosmetics or oil-based moisturizers.  Make sure all cosmetics and moisturizer you use are noncomedogenic or nonacnegenic.
    • Do Not use Aczone™ Gel with any skin products containing sulfur, resorcinol or salicylic acid.
    • Do NOT use Aczone™ Gel with any skin products containing benzoyl peroxide, Skinoren or Azelex as they may be drying or irritating.
    • Avoid waxing or other depilatory methods on Aczone™ Gel treated skin.
    • If you experience skin irritation that is severe with blistering and crusting  DISCONTINUE USE and seek immediate medical attention from your regular physician.
    • If you do not see any improvement or your condition continues to worsen after 12 weeks of treatment, discontinue use and see your own physician for evaluation and treatment.
    • Aczone™ Gel is to be used as part of a skin care regimen and needs to be used continuously to prevent acne outbreaks and scarring
    • Keep away from children.
       IMPORTANT SAFETY INFORMATION
Aczone™ Gel is indicated for the topical treatment of acne vulgaris in patients 12 years and older.  Apply to affected skin twice daily, avoiding the eyes, lips and mucous membranes.  The most common adverse events associated with the use of Aczone™ Gel are redness, scaling, dryness,  oiliness and peeling.    These side effects typically resolve during the first four weeks of treatment, but speak to your doctor if they persist.    Do not use irritating topical products that contain resorcinol, salicylic acid or sulfur when using Aczone™ Gel.  Aczone™ Gel has not been tested in pregnant or nursing women, or with elderly.   Pregnancy Category C.  For safety do NOT use if pregnant or nursing.

IMPORTANT PATIENT INSTRUCTIONS
How to apply Aczone™ Gel Gel 0.1%/2.5% - Easy to Use:
  1. Step 1: Wash.  Use in in the morning and right before bedtime. Gently cleanse the entire face and acne areas with a mild non-soap cleanser such as Cetaphil®.
  2. Step 2: Dry.  Pat skin dry gently with a soft towel to remove excess water.  Never rub harshly, as this may irritate the skin.
  3. Step 3:  Apply a pea-size amount of Aczone™ Gel gel to your face and other acne areas.  Spread a thin film over the entire face avoiding the eyes, lips, angles of the nose and mucous membranes.  You may be tempted to use more than a dot, thinking it will work faster or better on your acne.  Don't Too much will not work better but may increase the potential for irritation.
  4. Apply Aczone™ Gel only twice a day in the morning and before bedtime
  5. It's WORTH THE WAIT: By treatment week  8 - 12 you should start to see improvement in your acne.  If you do not see any improvement by week 12, discontinue use and see your own doctor.
  6. Aczone™ Gel must be used consistently in order to prevent and control acne outbreaks. 


ADVERSE REACTIONS - SIDE EFFECTS of TOPICAL ACZONE (dapsone) Gel 5%:

  • The  majority of patients using Aczone™ Gel  experience minimal side effects. Some patients experience erythema (redness), drying, oiliness and peeling.   These side effects usually abate during continued use, an all side effects are reversible when the treatment is discontinued or reduced.  If  you experience increasing redness, swelling, blistering or crusting, stop use of Aczone™ Gel and contact your doctor. 
  • If you get the medication in your eyes, rinse immediately with water and contact your regular physician! 
  • There are NO systemic effects when used appropriately

How To Request a Aczone™ Gel PHYSICIAN CONSULT:
    1. First read about Aczone™ Gel Gel and learn more about its indications and  contraindications and read and agree to the Waiver of Liability.
    2. Next, accurately and truthfully complete and submit a medical consultation questionnaire
    3. Your medial consultation will be reviewed by one of our Physicians and if approved you will receive a Aczone™ Gel prescription with 2  refills which can be filled at any local United States pharmacy of your choice. No medication purchase required- you can choose any pharmacy where your medical insurance accepted. 
    4. This prescription will provide a minimum of three months of therapy after which another medical consultation is necessary to determine if your response to Aczone™ Gel and whether you should continue on therapy.  If Aczone™ Gel is working for you, you will be prescribed Aczone™ Gel with 6 refills on each follow-up medical consultation.
    5. This physician evaluation is RISK-FREE.  If Aczone™ Gel prescription is not appropriate for you there is No charge.  The initial consultation fee for the physician evaluation is only $49.95.

    6. We offer Express service option:  Your prescription is called into any local United States pharmacy of your choice within approximately 24 hours or less.
I DO NOT HAVE ANY OF THE ABOVE CONTRAINDICATIONS:
By accepting "I Agree" means that you have read the above contraindication, precautions and warnings and honestly acknowledge that you do not have any of the above contraindications to Aczone™ Gel therapy.  Also, that I am aware of the side effects ! I fully understand that  Aczone™ Gel is prescribed  for Grade I - Grade III acne.  Aczone™ Gel is contraindicated in anyone who is hypersensitive to dapsone or any of its components, has eczema, seborrhea dermatitis, psoriasis, has G6PD deficiency, or is under age 18.  I understand that it is solely my responsibility to seek diagnostic and medical treatment for any underlying medical conditions from my own regular primary care physician.
I agree, proceed to Aczone Gel Waiver of Liability I disagree - Aczone GelContraindications

 

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