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Topical Acyclovir Dr. RX
Before Proceeding to the Medical Consultation Form please read
CONTRAINDICATIONS  and  WARNINGS 
and accept the Waiver of Liability


In order for Medical Wellness Center Physicians to provide you with the best care you need  read and agree to Waiver of  Liability and you need to reply honesty to all questions and you need to understand any and all risks and side effects associated with topicalacyclovir


 To order Topical Acyclovir Rx:
  1. First read about topical acyclovir and it's 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 a prescription for Compounded Topical Acyclovir prescription with 6 refills will be faxed to Trinova Health.  This physician evaluation is RISK-FREE.  If topical acyclovir is not appropriate for you there is No charge.  The initial consultation fee for the physician evaluation is only $49.95 plus processing. 
  4. If you desire express processing, you can select EXPRESS Service and your prescription will be faxed to Trinova Health within 24 hours (the pharmacy is only open Monday - Friday).  Regular service - your prescription is faxed within 3 - 7 business days.
IMPORTANT INFORMATION -CONTRAINDICATIONS:
Topical acyclovir is not a cure for genital herpes or cold sores and transmission of infection to others can occur during asymptomatic viral shedding even when there are no lesions present.  Topical acyclovir does not alter the need for protection during sexual contact.
 
  • Anyone with any compromised immune system, advanced HIV disease, kidney or organ transplant should not use Acyclovir cream.  If you have any questions about your medical condition, consult your primary care physician before using Topical Acyclovir cream.
  • Hypersensitivity to any ingredient of Topical Acyclovir cream: acyclovir or valacyclovir or Zovirax
  • Absolutely no one under the age of 18 should use topial acyclovir cream. Acyclovir cream has been tested in children as young as 12 years old, but you need to directly consult your pediatrician for anyone under age 18.
  • Absolutely no one with compromised immune systems who has had an organ transplant, a kidney transplant or a bone marrow transplant should use topical acyclovir cream.
  • Absolutely no one with advanced HIV disease should use Acyclovir cream.
  • Pregnant women and nursing mothers should NOT use Topical acyclovir cream, there are no adequate well controlled studies or results to guarantee safety, and whether the active ingredients  may get into breast milk.  It is a Pregnancy Category B. 
IMPORTANT WARNING:

There are no adequate studies of topical acyclovir during pregnancy, therefore topical acyclovir should not be used by pregnant women.  Also, genital herpes can cause complications during pregnancy therefore your physician must be informed.  Once infected, the herpes virus stays in your body forever.

Topical acyclovir creamis approved for the treatment of acute outbreaks of cold sores and genital herpes in ADULTS with NORMAL immune systems only! There are no adequate studies of topical acyclovir cream during pregnancy, therefore topical acyclovir cream should not be used by pregnant women or nursing woman.  Once infected, the herpes virus stays in your body forever.  You are most contagious during active genital herpes or cold sore outbreaks, using topical acyclovir cream shortens the duration of the genital herpes or cold sore but does not necessarily affect your being contagious to others.  Even when you have no active lesions you could still be shedding the virus.  To minimize spreading of the virus, refrain from kissing or unprotected intercourse when you have open lesions and minimize touching of lesions.

Topical acyclovir cream should only be applied externally to the gential area or to the lips and face. Topical acyclovir  cream should NEVER be applied to mucous membranes, inside the mouth, or for genital herpes.   Use caution and do not get in eyes.   Acyclovir cream is to be used externally, topically only! 
If ingested by mistake call 911 immediately or your local poison center for emergency treatment.

IMPORTANT INFORMATION:

Acyclovir cream is not a cure for  cold sores and transmission of infection to others can occur during asymptomatic viral shedding even when there are no lesions present. Acyclovir cream does not alter the need for precaution in spreading the disease to others.
I DO NOT HAVE ANY OF THE ABOVE CONTRAINDICATIONS:
By accepting "I Agree" means that you have read the above contraindication and warnings and honestly acknowledge that you do not have any of the above contraindications to topical Acyclovir therapy.  Also, that I am aware that I may still be infectious even if using Topical Acyclovir and am asymptomatic.
I AGREE
I DISAGREE

 

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