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Before Proceeding to the Medical Consultation Form 
please read
CONTRAINDICATIONS /PRECAUTIONS and WARNINGS and APPLICATION DIRECTIONS
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 Kerydin Topical Solution
 
How To Request a Kerydin PHYSICIAN CONSULT:
    1. First read about Kerydin Antifungal Topical Solution 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 Kerydin Topical Solution  prescription with  refills for the complete 48 week course of treatment which can be filled at most any local United States pharmacy of your choice. No medication purchase required- you can choose any pharmacy where your medical insurance accepted.
    4. This physician evaluation is RISK-FREE.  If  Kerydin prescription is not appropriate for you there is No charge.  The initial consultation fee for the physician evaluation is only $49.95
    5. If you choose EXPRESS service, your Kerydin prescription will be called into your local United States pharmacy within approximately 24 hours.  If Kerydin is not for you, the visit is FREE. 
CONTRAINDICATIONS
Kerydin ANTIFUNGAL Topical Solution  is a newly FDA-approved TOPICAL prescription medication for the treatment mild to moderate toenail fungal infections utilizing Boron technology . Kerydin is NOT approved for fingernail fungal infections.  Kerydin  use is CONTRAINDICATED and must NOT be used in anyone with the following conditions:
    Do NOT use Kerydin if you are pregnant, attempting to become pregnant, or at a high risk of becoming pregnant. Kerydin (tavaborole)  is a Pregnancy Kerydin is pregnancy category C, and should be used during pregnancy.
  • Do NOT use Kerydin if you are breast feeding.
  • Do NOT use Kerydin if you are allergic  or sensitive to any of the ingredients: tavaborole in a solution base alcohol, propylene glycol and edetate calcium disodium.
  • Kerydin needs direct supervision if you have a history of immunosuppression or immune system disease, if you are HIV-positive, if you are on cancer chemotherapy treatment, or you have diabetes or diabetic neuropathy.Severe nail fungus -toenail fungus
  • Kerydin is contraindicated if you have severe case of nail fungus infection involving many nails and involving the entire nail to the cuticle with the nail crumbling and lifting from the nail bed accompanied by pain. You need to been seen by your physician or a podiatrist.
  • Kerydin is NOT approved for pediatric use, and we do NOT prescribe Kerydin to anyone under the age of 18 
  • Kerydin is ONLY approved for use on toenails.  Do NOT use on fingernails. Do NOT use in eyes, orally, on mucous membranes or in vaginal area.

IMPORTANT PRECAUTIONS and WARNINGS 
    • Kerydin Topical Solution is for EXTERNAL USE ONLY.  Avoid getting Kerydin in your eyes, nose or mouth.  Flush with water and seek immediate medical attention! Kerydin is for use on nails and surrounding skin only. Do not use Kerydin in your mouth, eyes, or vagina. Use it exactly as instructed by your doctor.
    • Apply Kerydin Topical Solution only to toenails.  Do not apply intravaginally or to other areas of skin or to fingernails.
    • Do NOT use nail polish, artificial nails, or any other cosmetic nail product on the nails with Kerydin Topical Solution.
    • Do NOT combine topical Kerydin Topical Solution with any other systemic antifungal NAIL treatment.
    • If the area of application shows signs of increased irritation such as increased redness, swelling, burning, blistering, or oozing, DISCONTINUE USE and seek immediate medical attention from your regular physician.
    • Kerydin is to be used as part of a comprehensive nail care program. 
    • Kerydin topical solution is flammable. Keep away from heat and flame. Avoid heat and flame while applying Kerydin to your toenail.
    • Keep away from children.
    • If you get the medication in your eyes, rinse immediately with water and contact your regular physician or seek emergency medical treatment! 
    • There are NO systemic effects when used appropriately

    •  
    Kerydin is a topically applied solution with negligible systemic absorption and no liver monitoring required
       
          No need for patient counseling for potential liver toxicity
          No need for liver function tests
          In vitro liver enzyme studies show that drug interactions are not expected

IMPORTANT PATIENT INSTRUCTIONS

Kerydin is an oxaborole antifungal dosed once daily for 48 weeks for the treatment of onychomycosis of the toenail(s). Kerydin is specifically formulated to reach the site of the onychomycosis, to treat toenail fungal infections. Kerydin reaches the nail bed and the site of infections when applied as directed via broad coverage of multiple pathways and works via inhibition of protein synthesis. 
 

HOW TO APPLY Kerydin with its dropper applicator:

  • Your toenails should be clean and dry before you apply Kerydin.
  • Before you apply Kerydin to your affected toenail for the first time, remove the bottle cap and wrapping from the dropper and throw it away. Insert the dropper into the Kerydin bottle.

  • Kerydin toenail fungus prescription - how to open bottle and insert dropper
     
  •  STEP 1:  Before you apply Kerydin to your affected toenail, remove the cap from the Kerydin bottle and squeeze to top to get the Kerydin into the dropper.

  • Kerydin Step 1 to treat toe nail fungus
     
  • STEP 2: Hold the dropper over the affected toenail, and apply one or more drops to cover the nail.

  • Kerydin Step 2 to treat toenail fungus
     
  • STEP 3: Using the dropper tip, spread the Kerydin over the toenail

  • Kerydin - Step 3 to treat toenail fungus
     
     
  • STEP 4: Apply Kerydin under the toenails. Also use the dropper to spread Kerydin under the entire tip of the toenail.

  • Kerydin - Step 4 to treat toenail fungus
     
  • Allow a couple of minutes for toenails to dry completely.
  • Repeat steps 1 through 4 for each affected toenail.
  • Use a tissue to wipe any excess solution from the surrounding skin. Do NOT wipe Kerydin off your toenails.
     
  • Step 5: After applying Kerydin to your affected toenails,  insert the dropper back into the bottle, screw it on tightly. 

  • Kerydin - closing bottle after apply solution to infected toenails
     
  • Step 6: Wash your hands with soap and water after applying Kerydin.


Sticking With Treatment

Kerydin should be applied once daily for 48 weeks, exactly as directed by your doctor. It may be useful for you to establish a routine or daily treatment time to help you stick to your treatment, such as:

    When you wake up in the morning
    After you shower*
    Just before bed

*Wait for at least 10 minutes after showering, bathing, or washing before applying Kerydin.




ADVERSE REACTIONS - SIDE EFFECTS:
  • The  majority of patients using Kerydin Topical Solution experience no side effects, any side effects are mild if any.  The side effects when used topically as directed are limited to:

  •  

     

    Adverse events reported by >1% of subjects in Phase 3 studies:

      Ingrown toenail (2.5% vs 0.3% with vehicle)
      Application-site exfoliation (2.7% vs 0.3% with vehicle)
      Application-site erythema (1.6% vs 0% with vehicle)
      Application-site dermatitis  (1.3% vs 0% with vehicle)

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 Kerydin therapy.  Also, that I am aware of the side effects ! I fully understand that  Kerydin is indicated only for mild to moderate fungal infection of the toenails in immunocompetent individuals.  Kerydin needs direct patient monitoring in anyone with a compromised immune system such as but not limited to HIV-positive, organ transplant recipient, diabetic, regular use of corticosteroid creams or steroid inhalers.  Under conditions of a compromised immune systems fungal infections can progress and with complications  can lead to loss of limb or even death. Kerydin is contraindicated in anyone who is pregnant or breast feeding. 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 Kerydin Waiver of LiabilityI disagree - Kerydin Topical Solution Contraindications
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