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Before Proceeding to the Medical Consultation Form please read
CONTRAINDICATIONS /PRECAUTIONS 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 Condylox Gel.

 To order CONDYLOX GEL Prescription:
  1. First read about Condylox Gel and it's contraindications/precautions, 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 an Condylox Gel prescription with 2 refills to complete the maximum allowed 4 week treatment cycle..  This physician evaluation is RISK-FREE.  If Condylox Gel is not appropriate for you there is No charge.  The initial consultation fee for the physician evaluation is only $49.95. 
  4. If you you are experiencing an acute genital warts outbreak and need a prescription within 24 hours, you can indicate this urgency and have your medical consultation reviewed and a prescription called in to a pharmacy of your choice within 24 hours.
CONTRAINDICATIONS/PRECAUTIONS:
There are NO known absolute contraindications to the use of Condylox Gel, but Condylox Gel use has not been thoroughly evaluated  in a number of situations:
  • Condylox Gel should ONLY be used in the treatment of EXTERNAL genital warts on the genital and perianal area. It has NOT been evaluated for the treatment of internal genital/anal disease such as urethral, intravaginal, cervical, rectal, or intraanal Human Papilloma virus (HPV). Condylox Gel can only be used on external skin and NEVER on mucous membranes. 
  • There is NO clinical experience with Condylox Gel used immediately following the treatment of the genital/perianal warts with other cutaneously applied drugs,  therefore DO NOT use Condylox Gel along with any other topical treatments to the genital/perianal area.   Condylox Gel has the potential to exacerbate inflammatory conditions of the skin, and one must WAIT until the genital/perianal tissue is healed from any previous drug or surgical treatment.
  • Uncircumcised males who apply Condylox Gel under the foreskin need to retract the foreskin daily and thoroughly wash and dry the area.  When applying Condylox Gel make sure the area is completely dry before allowing the return of opposing skin surfaces to their normal positions.   FAILURE TO DO SO CAN LEAD TO PAINFUL STRICTURING AND SCARRING OF THE FORESKIN AND MAY EVEN NECESSITATE CIRCUMCISION!
  • Anyone with a severely compromised immune system or advanced HIV disease should not use Condylox Gel unless prescribed-by and under the direct supervision of their regular primary-care physician.    If you have any questions about your medical condition, consult your primary care physician before using Condylox Gel.
  • Hypersensitivity to any ingredient of Condylox Gel contraindicates usage: to Podofilox  or any  of the inactive ingredients: alcohol, glycerin, lactic acid, hydroxypropyl cellulose, sodium lactate and butylated hydroxytoluene.
  • Absolutely no one under the age of 18 should use Condylox Gel.
  • Pregnant women and nursing mothers should NOT use Condylox Gel, there are no adequate studies to guarantee safety, and whether the active ingredients may get into breast milk.
IMPORTANT WARNING:
Condylox Gel is approved for the treatment of acute outbreaks of genital warts in  ADULTS with NORMAL immune systems only! 

There are no adequate studies of Condylox Gel during pregnancy or breast feeding, therefore Condylox Gel should not be used by pregnant women or nursing woman. 

The safety of Condylox Gel in patients under 18 has not been established, therefore it is not recommended that anyone under age 18 should use Condylox Gel cream.

Condylox Gel is approved for external genital warts and external anal warts only.  Therefore it is crucial that one has a correct diagnosis of genital warts by their own physician. Genital warts can sometimes be confused with squamous cell carcinoma, "Bowenoid papulosis," and Condylox Gel does NOT treat squamous cell carcinoma.

Condylox Gel should only be applied externally to the genital and perianal area. Condylox Gel should NEVER be applied internally to mucous membranes inside the vagina or cervical area or inside the rectal or urethral area  .   Use caution and do not get in eyes.  Condylox Gel is to be used externally, topically only!  If contact with eyes occur immediately flush the eyes with copious quantities of water and seek medical advice.  If ingested by mistake call 911 immediately or your local poison center for emergency treatment.

IMPORTANT PRECAUTIONS - SIDE EFFECTS:

When using Condylox Gel as directed, local skin reactions such as burning, erythema (redness), erosion, flaking and edema (swelling) along with some discomfort, itching are very common and does not mandate discontinuance of treatment.  If you should develop a more severe local skin reaction, you should contact your physician for a physical examination to determine whether treatment needs to be discontinued   Condylox Gel can be absorbed systemically and the most common systemic side effect is headache.

If too much Condylox is absorbed through the skin it could cause symptoms such as abnormally fast breathing, blood in the urine, changes in mental attitude, comma, diarrhea, fever, kidney failure, lethargy(sluggishness), nausea, respiratory failure, seizures and vomiting.  If you accidentally apply too much Condylox Gel to your skin, wash the skin thoroughly with water and call our doctor and seek medical attention.

IMPORTANT PATIENT INFORMATION:

Condylox Gel not a cure for genital warts and transmission of infection to others can occur during asymptomatic viral shedding even when there are no lesions present. Condylox Gel does not alter the need for precaution in spreading the disease to others.
This medication is to be used as directed by a physician.  It is for external use only.  Eye contact should be avoided.
  1. This medication is to be used as directed by a physician.  It is for external use only.  Patients must wash their hands thoroughly before and after each application. Eye contact should be avoided.
  2. The area being treated must not exceed one and one-half square inches of skin and a maximum of 0.5 grams per day of Condylox Gel can be applied.  Condylox Gel treatment is twice a day for 3 consecutive days, then no treatment for 4 consecutive days.  This cycle can only be repeated for a maximum of 4 weeks.  If genital warts not cleared after a 4 week treatment cycle, you must contact your physician and seek alternative treatment.  Increasing dosage or frequency or duration of treatment does NOT increase efficacy and only increase adverse side effects. Condylox Gel can be systemically absorbed and over usage can have serious systemic side effects.
  3. Sexual (genital, anal, oral) contact should be avoided while the gel on the skin.
  4. After applying the gel allow treated area to thoroughly dry before allowing opposing skin to touch treated areas..
  5. It is common for patients to experience local skin reactions such as burning, erythema, erosion, flaking and edema at the site of application or surrounding areas.  Most skin reactions are mild to moderate.  Severe skin reactions can occur and should be reported promptly to your own regular primary care physician.
  6. Uncircumcised males treating warts under the foreskin should retract the foreskin and clean the area daily. Failure to do so can lead to stricturing of the foreskin or scarring and could even necessitate circumcision!
  7. Patients need to be aware that new warts may develop during therapy, Condylox Gel is NOT a cure.
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 Condylox Gel 0.5%  therapy.  Also, that I am aware that I may still be infectious even if using Condylox  Gel or  even when I am asymptomatic.
I agree, proceed to Waiver of LiabilityI disagree
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