• Do NOT use Epiduo™ Gel if you are pregnant or attempting to become pregnant.  Epiduo™ Gel (adapalene / benzoyl peroxide) has been show to cause fetal changes in animal studies
• Do NOT use Epiduo™ Gel if you are breast feeding.
• Do NOT use Epiduo™ Gel  if you are allergic  or sensitive to Adapalene any of the ingredients: Epiduo™ Gel Gel contains acrylamide/sodium acryloyldimethyltaurate copolymer, docusate sodium, edetate disodium, glycerin, isohexadecane, poloxamer 124, polysorbate 80, propylene glycol, purified water and sorbitan oleate.
• Epiduo™ 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 Epiduo™ Gel if you have eczema, sebhoreic dermatitis or psoriasis skin conditions.
• Do NOT use Epiduo™ Gel on broken or cut skin or sunburned skin. 
• Do NOT use Epiduo™ Gel if you are being treated with Accutane, Retin-A, Retin-A Micro, Differin, Tretinoin, isotretinoin preparation or other Vitamin a retinoid products.
• Epiduo™ Gel is NOT approved for pediatric use for children under 12. We do NOT prescribe Epiduo™ Gel to anyone under the age of 18.

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  IMPORTANT PRECAUTIONS and WARNINGS 

• Epiduo™ 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!
• Epiduo™ Gel makes you more sensitive to sunlight.  Avoid all sun exposure, including tanning beds and sunlamps.   Always use sunscreen and protective clothing over treated areas.
• 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  Epiduo™ Gel with any other retinoid, retinoic acid, trenitoin, or Vitamin a product such as Renova, Retin-A, Retinol etc or benzoyl peroxide product.
• Do NOT use Epiduo™ 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 Epiduo™ Gel.
• Do NOT use Epiduo™ 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 Epiduo™ Gel with any skin products containing sulfur, resorcinol or salicylic acid.
• Do NOT use Epiduo™ 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 Epiduo™ Gel treated skin.
• Avoid exposure to cold and windy weather which map be irritating to patients under treatment.
• If the you are experiencing skin irritation you may try decreasing the frequency of application until you can tolerate a once daily application.  If the skin irritation 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.
• Epiduo™ 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.

Epiduo™ Gel is indicated for the topical treatment of acne vulgaris in patients 12 years and older.  Apply to affected skin once per day, avoiding the eyes, lips and mucous membranes.  The most common adverse events associated with the use of Epiduo™ Gel are redness, scaling, dryness, stinging and burning.  In addition , you may also experience contact dermatitis and/or skin irritation.  These side effects typically resolve during the first four weeks of treatment, but speak to your doctor if they persist.  You should avoid excessive exposure to sunlight and sunlamps while using Epiduo™ Gel, and using sunscreen products and protective clothing is recommended.   Do not use irritating topical products that contain resorcinol, salicylic acid or sulfur when using Epiduo™ Gel.  Epiduo™ 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.

1. Step 1: Wash.  Use in in the morning or 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 Epiduo™ 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 Epiduo™ Gel only once a day in the morning or before bedtime
5. A percentage of patients feeling a burning or tingling sensation immediately after application.
6. Some of patients experience some drying, stinging, burning etc, but if you experience a severe irritation decrease frequency of use until you can build up a tolerance.  If you experience blistering or crusting discontinue use and seek medical attention from your own physician.
7. It's WORTH THE WAIT: During the first 2 weeks of treatment you may see an increase in acne, but  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.
8. Epiduo™ Gel must be used consistently in order to prevent and control acne outbreaks.  Use it even after your acne goes away on areas where you usually have acne outbreaks.

ADVERSE REACTIONS - SIDE EFFECTS:

• The  majority of patients using Epiduo™ Gel  experience minimal side effects. Some patients experience erythema (redness), drying, scaling, irritation, pruritis (itching), burning, stinging and acne flare-ups.   A smaller percentage of patients experience a feeling of stinging, pruritis or burning immediately after application.  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 Epiduo™ 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

1. First read about Epiduo™ 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 Epiduo™ Gel prescription with 2  refills which can be filled at any U.S. 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 Epiduo™ Gel and whether you should continue on therapy.  If Epiduo™ Gel is working for you, you will be prescribed Epiduo™ Gel with 6 refills on each follow-up medical consultation.
5. This physician evaluation is RISK-FREE.  If Epiduo™ Gel prescription is not appropriate for you there is No charge.  The initial consultation fee for the physician evaluation is only $49.95.

We offer Express service option:  Your prescription is called into any US pharmacy of your choice within approximately 24 hours or less.