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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
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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 |
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How
To Request a Kerydin PHYSICIAN CONSULT:
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First read
about Kerydin Antifungal Topical Solution and learn more about its indications
and contraindications and read and agree to the Waiver of Liability.
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Next, accurately
and truthfully complete and submit a medical consultation questionnaire
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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.
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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.
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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.
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Do NOT use
Kerydin if you are breast feeding.
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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.
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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.
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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.
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Kerydin is
NOT approved for pediatric use, and we do NOT prescribe Kerydin to anyone
under the age of 18
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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
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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.
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Apply Kerydin
Topical Solution only to toenails. Do not apply intravaginally or
to other areas of skin or to fingernails.
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Do NOT use
nail polish, artificial nails, or any other cosmetic nail product on the
nails with Kerydin Topical Solution.
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Do NOT combine
topical Kerydin Topical Solution with any other systemic antifungal NAIL
treatment.
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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.
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Kerydin is
to be used as part of a comprehensive nail care program.
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Kerydin topical
solution is flammable. Keep away from heat and flame. Avoid heat and flame
while applying Kerydin to your toenail.
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Keep away from
children.
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If you get
the medication in your eyes, rinse immediately with water and contact your
regular physician or seek emergency medical treatment!
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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:
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Your toenails should be clean and dry before you apply
Kerydin.
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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.
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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.
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STEP 2: Hold the dropper
over the affected toenail, and apply one or more drops to cover the nail.
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STEP 3: Using the dropper
tip, spread the Kerydin over the toenail
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STEP 4: Apply Kerydin
under the toenails. Also use the dropper to spread Kerydin under the entire
tip of the toenail.
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Allow a couple of minutes for toenails to dry completely.
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Repeat steps 1 through 4 for each affected toenail.
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Use a tissue to wipe any excess solution from the
surrounding skin. Do NOT wipe Kerydin off your toenails.
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Step 5: After applying
Kerydin to your affected toenails, insert the dropper back into the
bottle, screw it on tightly.
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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:
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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. |
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