Customized formulas may contain a combination of the following active ingredients: Azelaic Acid, Oxymetazoline, Metronidazole, Ivermectin

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Important Safety Information for Strut Rosacea Formula

Compound Ingredients: 

Potential ingredients may include: 

Azelaic Acid, Oxymetazoline in Prescription Dermatology Base Cream  

Overview of Contained Information: 

• Ingredient information
• Interactions
• Side effects
• How to take the medication
• How to store the medication
• Other important information you should know prior to starting the medication

Instructions: 

This treatment plan may help: reduce the redness, swelling, flushing, and small pimples characteristic of rosacea when used regularly and as prescribed. 

The main mechanism of action is to reduce bacteria in pores and constrict the underlying vessels causing the redness. 

It may take up to several weeks to see maximum results, improvement normally occurs within 4 weeks. 

Follow all directions on your prescription label and read all medication guides or instruction sheets. 

Use the medicine exactly as directed. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. 

Do not take by mouth. Topical medicine is for use only on the skin. Avoid getting this medication in your eyes or mouth, if this does occur, rinse with water. 

Do not use on sunburned, broken skin, or skin affected by eczema. 

Wash your hands before and after applying the formula. 

Before applying, clean and dry the skin area to be treated. Do not cover the treatment area after application, this may cause too much medication to be absorbed and increase the risk of side effects. 

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. 

You can use this medicine in conjunction with other topical skin products, but avoid other products that also contain Azelaic Acid, Oxymetazoline, other topical acids, other vasoconstrictors, or other topical medications unless directed otherwise by your doctor.

Allergies: 

This medication may cause allergic reactions if you are allergic to a component of the medication or medications similar to the ingredients in this product. 

If you are allergic to any of the ingredients listed (Ingredients: Azelaic Acid, Oxymetazoline) please stop the compound, reach out to us and contact your doctor. 

If you are experiencing any of the following symptoms: hives, difficult breathing, swelling of your face, lips, tongue, or throat, you may be having an acute allergic reaction and you need to get emergency medical help immediately. 

Conditions: 

We have evaluated your health history and the specific health information you provided us, however, if anything changes and you develop or discover any new condition please contact us and your doctor to make sure this medication is still appropriate for you. 

Some medications can have interactions with conditions and we will help you evaluate that risk and decide on an appropriate treatment plan. 

To make sure topicals containing oxymetazoline are safe for you, 

tell your doctor if you have: 

• heart disease
• high blood pressure
• blood circulation problems
• glaucoma
• peripheral vascular disease such as Raynaud's syndrome, Buerger's disease, scleroderma, or Sjögren's syndrome

Pregnancy and Breastfeeding: 

This compounded medication has not been evaluated for use with pregnancy or breastfeeding. If you are pregnant or planning to become pregnant use only at the discretion of your medical provider. 

Side Effects: 

You may experience side effects with these medications. 

These side effects are common and may go away with time and daily use:

• burning
• stinging
• tingling of the skin
• dryness
• itching
• peeling
• redness of the skin
• increased sensitivity to the sun may occur

If these symptoms are severe contact us and your doctor. 

Stop using this medicine and call your doctor at once if you have: 

• worsening of your rosacea symptoms
• numbness
• tingling
• cold feeling in your hands or feet
• pale or purple appearance in your fingers or toes
• blurred vision
• tunnel vision
• eye pain
• seeing halos around lights

You should also avoid other products known to cause skin irritation on the area of treatment such as: medicated or abrasive soaps, chemical hair removers or waxes, electrolysis, products with alcohol or astringents, and cosmetics with a strong drying effect. 

Medicines and Supplements: 

We have evaluated your health history and the specific health information you provided us, however,  if anything changes and you start or discover that you are taking any additional medicines or supplements please contact us and your doctor to make sure this medication is still appropriate for you. 

Some medications can have interactions and we will help you evaluate that risk and decide on an appropriate treatment plan. 

• Do not use this cream if you are using a topical medication containing isotretinoin. 

• Do not take medications containing oxymetazoline with venlafaxine unless directed otherwise by your provider. Venlafaxine and oxymetazoline topical may increase blood pressure and heart rate, and combining them may increase these effects. You may need to switch to an alternative, adjust the dose, or monitor more frequently to safely use both medications. 

Risks: 

We have evaluated the specific health information provided by you to identify if this product is appropriate for you. 

If you forgot to provide us with any information or incorrectly provided the information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. 

If you need to update or clarify any information about your health you can call us and update your profile so that we may reevaluate if this is appropriate for you. 

Treatment Failure: 

This treatment is not 100% effective for every patient. It may not work for every patient or may only work partially to resolve the condition that it is meant to treat. 

If the treatment is not working, or if you find that you are experiencing new or worsening symptoms, contact us as well as your doctor to identify if you should continue this treatment. 

If it is an emergency, call 911 or seek immediate medical help. 

We are providing this treatment for you because the potential benefits outweigh the risks in our estimation based on the medical information provided. 

You should evaluate this information and any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. 

Share with Your Healthcare Team: 

We recommend that you update all of your physicians, pharmacists, and the rest of your healthcare team to let them know about any new medicines or supplements that you are taking or any changes in your health. 

You can also ask us questions anytime regarding your therapy and we are happy to help you share any information about your health with anyone in your personal healthcare team.

Additional Resources

The following links provide further information on the potential risks and benefits of this medication:

• Official Oxymetazoline PDR
• Official Azelaic Acid PDR
• FDA Oxymetazoline Prescribing Information
• FDA Azelaic Acid Prescribing Information

‍

Important Safety Information for 

Strut Rosacea Formula 2

Compound Ingredients: 

Custom formula may contain the following active ingredients: Azelaic Acid, Metronidazole, Ivermectin in Prescription Dermatology Base Cream  

Overview of Contained Information: 

• Ingredient information
• Interactions
• Side effects
• How to take the medication
• How to store the medication
• Other important information you should know prior to starting the medication

Instructions: 

This treatment plan may help: reduce the redness, swelling, flushing, and small pimples characteristic of rosacea when used regularly and as prescribed. 

The main mechanism of action is to clear excess bacteria and Demodex mites on the skin while reducing redness, inflammation, swelling, and pimples.

It may take several weeks to months to see maximum results, some improvement normally occurs within 4 weeks. 

Follow all directions on your prescription label and read all medication guides or instruction sheets. 

Use the medicine exactly as directed. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects. 

Do not take by mouth. Topical medicine is for use only on the skin, and may be harmful if swallowed. Avoid getting this medication in your eyes or mouth, if this does occur, rinse with water. If you ingest this medication call a doctor or the poison control center immediately.

Do not use on sunburned, broken skin, or skin affected by eczema. 

Wash your hands before and after applying the formula. 

Before applying, clean and dry the skin area to be treated. 

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. 

You can use this medicine in conjunction with other topical skin products, but avoid other products that also contain Azelaic Acid, Metronidazole, Ivermectin, skin products that cause irritation, or other topical medications unless directed otherwise by your doctor.

Allergies: 

This medication may cause allergic reactions if you are allergic to a component of the medication or medications similar to the ingredients in this product. 

If you are allergic to any of the ingredients listed (Ingredients: Azelaic Acid, Metronidazole, Ivermectin) please stop the compound, reach out to us and contact your doctor. 

If you are experiencing any of the following symptoms: hives, difficult breathing, swelling of your face, lips, tongue, or throat, you may be having an acute allergic reaction and you need to get emergency medical help immediately. 

Conditions: 

We have evaluated your health history and the specific health information you provided us, however, if anything changes and you develop or discover any new condition please contact us and your doctor to make sure this medication is still appropriate for you. 

Some medications can have interactions with conditions and we will help you evaluate that risk and decide on an appropriate treatment plan. 

To make sure topicals containing metronidazole are safe for you, 

tell your doctor if you have: 

• alcoholism
• liver disease
• blood dyscrasias
• neurologic toxicity

Pregnancy and Breastfeeding: 

This compounded medication has not been evaluated for use with pregnancy or breastfeeding. If you are pregnant or planning to become pregnant, use only at the discretion of your medical provider. 

Side Effects: 

You may experience side effects with these medications. 

These side effects are common and may go away with time and daily use:

• dryness
• scaling
• itching
• stinging
• burning
• local allergic reactions

If these symptoms are severe contact us and your doctor. 

Stop using this medicine and call your doctor at once if you have: 

• severe dryness
• severe scaling
• severe itching
• severe stinging
• severe burning
• severe or acute allergic reactions

You should also avoid other products known to cause skin irritation on the area of treatment such as: medicated or abrasive soaps, chemical hair removers or waxes, electrolysis, products with alcohol or astringents, and cosmetics with a strong drying effect. 

Medicines and Supplements: 

We have evaluated your health history and the specific health information you provided us, however, if anything changes and you start or discover that you are taking any additional medicines or supplements please contact us and your doctor to make sure this medication is still appropriate for you. 

Some medications can have interactions and we will help you evaluate that risk and decide on an appropriate treatment plan. 

Risks: 

We have evaluated the specific health information provided by you to identify if this product is appropriate for you. 

If you forgot to provide us with any information or incorrectly provided the information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. 

If you need to update or clarify any information about your health you can call us and update your profile so that we may reevaluate if this is appropriate for you. 

Treatment Failure: 

This treatment is not 100% effective for every patient. It may not work for every patient or may only work partially to resolve the condition that it is meant to treat. 

If the treatment is not working, or if you find that you are experiencing new or worsening symptoms, contact us as well as your doctor to identify if you should continue this treatment. 

If it is an emergency, call 911 or seek immediate medical help. 

We are providing this treatment for you because the potential benefits outweigh the risks in our estimation based on the medical information provided. 

You should evaluate this information and any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. 

Share with Your Healthcare Team: 

We recommend that you update all of your physicians, pharmacists, and the rest of your healthcare team to let them know about any new medicines or supplements that you are taking or any changes in your health. 

You can also ask us questions anytime regarding your therapy and we are happy to help you share any information about your health with anyone in your personal healthcare team.

Additional Resources

The following links provide further information on the potential risks and benefits of this medication:

• Official Metronidazole Topical PDR
• Official Azelaic Acid PDR
• Official Ivermectin Topical PDR
• FDA Metronidazole Topical Prescribing Information
• FDA Azelaic Acid Prescribing Information
• FDA Ivermectin Topical Prescribing Information

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