Before Proceeding
to the Medical Consultation Form
please read
CONTRAINDICATIONS
/PRECAUTIONS and WARNINGS
and accept the Waiver
of Liability
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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 Soolantra® cream
(Ivermectin) prescription |
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CONTRAINDICATIONS
Soolantra
Cream (Ivermectin) is CONTRAINDICATED and must NOT be used in anyone with
the following conditions:
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Do NOT use
Soolantra® cream
if you are pregnant or attempting to become pregnant.
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Do NOT use
Soolantra® cream
if you are breast feeding. Ivermectin is distributed in breast milk.
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Do NOT use
Soolantra® cream
if you are allergic or sensitive to Ivermectin
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Be cautious
using Soolantra® cream
if you have bronchial asthma, occasionally worsening of bronchial asthma
has been reported.
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Soolantra®
cream
is
contraindicated to be administered without direct ophthalmologist supervision
if you have severe case of Ocular Rosacea. Ocular Rosacea can lead
to loss of vision.
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We do
NOT prescribe Soolantra® cream to
anyone under the age of 18. Studies of Ivermectin safety have NOT been
performed in children under 15 kg.
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Soolantra®
cream
is not to be used in the eyes, orally or intravaginally.
IMPORTANT PRECAUTIONS
and WARNINGS
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Soolantra®
cream is NOT for oral, ophthalmic or intravaginal use.
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Ivermectin
may cause dizziness. Use caution upon standing. Get up
slowly when rising from a sitting or lying position.
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Serious side
effects are very rarely reported. But if you have any rare serious
side effect or allergic reaction such as rash, itching/swelling, severe
dizziness or trouble breathing seek immediate medical attention.
ADVERSE REACTIONS - SIDE
EFFECTS:
Clinical
trials have been conducted in 2047 subjects with inflammatory rosacea lesions:
1555 subjects were treated once daily for more than 12 weeks, and 519 were
treated for approximately one year.
Adverse
reactions, reported in less than 1% of subjects treated with Soolantra®
cream for at least 3 months, included skin burning sensation and skin irritation.
The majority
of patients using Soolantra® report
no side effects.
Rarely there
have been reports of mild side effects such as headaches, dizziness, muscle
pain, nausea or diarrhea when taking Oral Ivermectin. But Soolantra®
cream is NEVER to be taken orally.
There are NO
systemic CNS toxicity as Ivermectin does not cross the blood-brain barrier.
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How
To Request an Soolantra® cream Ivermectin
PHYSICIAN CONSULT:
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First read
about Soolantra®
cream 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 either receive a written prescription or your prescription will
be called into a local U.S. pharmacy of your choice or faxed to RXUSA.com
or Murray Ave Apothecary.
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This physician
evaluation is RISK-FREE. If an Soolantra®
cream prescription is not appropriate for you there is No charge.
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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 Ivermectin therapy. Also, that I
am aware of the side effects. Soolantra®
cream (Ivermectin) is contraindicated in anyone who is hypersensitive
to ivermectin, pregnant, breast feeding, or is under age 18. Soolantra®
cream is NOT to be taken orally, not for ophthalmic use and not to be used
intravaginally. 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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