Customized formulas may contain a combination of the following active ingredients: Spironolactone, Finasteride, Minoxidil, Tretinoin, Fluocinolone, Biotin*

*Exact formulation ingredients and strengths customized for appropriateness by the doctor

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Important Safety Information for Strut Women’s Hair Growth Formula

Compound Ingredients: 

Spironolactone, Finasteride, Minoxidil, Tretinoin, Fluocinolone, Biotin*

 *Exact formulation ingredients and strengths customized for appropriateness by the doctor

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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

Contraindications and warnings:

• Women who are pregnant or potentially may be pregnant should not handle whole or crushed Finasteride tablets or medications due to the risk of birth defects in a male fetus. If a pregnant woman comes in contact with crushed or broken Finasteride tablets or medications, wash the contact area with soap and water right away and a healthcare provider should be contacted.
• Do not take Finasteride if you are allergic to any of the ingredients.
• Fluocinolone is a topical steroid, and including Fluocinolone as an ingredient in this formulation may not be appropriate for you if you have ever had Diabetes or Cushing's Syndrome.
• Using occlusive dressings over a topical corticosteroid formulation may increase systemic absorption and may increase the risk of side effects.

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Drug Interactions:

• Propecia/Proscar: Do not take Finasteride if you are also taking Propecia or Proscar, these medications contain the same active ingredient and you would be taking too much. 
• Cytochrome P450-Linked Drug Metabolizing Enzyme System: No drug interactions of clinical importance have been identified. Finasteride does not appear to affect the cytochrome P450-linked drug-metabolizing enzyme system. Compounds that have been tested in man include antipyrine, digoxin, propranolol, theophylline, and warfarin and no clinically meaningful interactions were found.‍
• Other Concomitant Therapy: Although specific interaction studies were not performed, finasteride doses of 1 mg or more were concomitantly used in clinical studies with acetaminophen, acetylsalicylic acid, α-blockers, analgesics, angiotensin-converting enzyme (ACE) inhibitors, anticonvulsants, benzodiazepines, beta blockers, calcium-channel blockers, cardiac nitrates, diuretics, H2 antagonists, HMG-CoA reductase inhibitors, prostaglandin synthetase inhibitors (also referred to as NSAIDs), and quinolone anti-infectives without evidence of clinically significant adverse interactions.

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Instructions: 

This treatment plan may help: Reduce hair loss and increase hair growth when used regularly and as prescribed. 

It may take 2-4 months to begin seeing results, and up to 6-12 months for full results. Hair growth will revert to previous state if medication is stopped. 

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 medication is to be applied to the indicated area only and not to be ingested. Avoid getting this medication in your eyes or mouth, if this does occur, rinse with water. 

Apply once daily at night to dry, clean hair, and wash hands after application. Wash any non-treatment area that this medication may have accidentally come into contact with to avoid unwanted hair growth. 

Allow to dry thoroughly and wash off in the morning, or after at least 4 hours.

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

Avoid using other products that also contain Spironolactone, Minoxidil, or Tretinoin unless directed otherwise by your doctor. 

Do not use other scalp medications while using this product unless directed otherwise by your doctor. Do not use on scalp if the skin is infected, irritated, or has open wounds.

You may experience increased sensitivity to the sun with this medication at the application site. 

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 (Possible Ingredients: Spironolactone, Finasteride, Minoxidil, Tretinoin, Fluocinolone, Biotin) please stop the compound, reach out to us and contact your doctor. 

If you are experiencing any of the following symptoms: hives, difficulty breathing, rapid of weak heartbeat, 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. 

This medication may have interactions with certain disease states, tell your doctor if you have any of the following: 

• breathing problems
• seizures
• chest pain
• sick sinus syndrome
• AV block
• slow heartbeats
• low blood pressure
• liver disease
• heart disease
• kidney disease
• high potassium
• Addison’s disease
• electrolyte imbalance
• inability to urinate 
• diabetes
• Cushing's syndrome

Pregnancy and Breastfeeding: 

Finasteride should not be used in pregnancy, breastfeeding, or women who are planning on having children due to the risk of adverse effects on the male fetus. Minoxidil, Spironolactone, and Fluocinolone should not be used during pregnancy or breastfeeding. Tretinoin products are to be avoided during pregnancy. 

Do not use this medication if you are pregnant, breastfeeding, or planning on becoming pregnant in the near future. 

Side Effects: 

You may experience side effects with these medications. 

Spironolactone is indicated for women, and may cause feminizing side effects if used in males. 

Common side effects: 

• Itching
• Burning
• Redness
• Flaking
• Dryness
• Scaling
• Peeling 
• Stinging
• Acne
• Changes in the color or texture of your hair
• Irritation at the application site
• Increased sensitivity to the sun
• Bruising or shiny skin
• Tiny red bumps or rash around the mouth
• Small white or red bumps on the skin

This is a topically applied medication, so very little of the medication should get into systemic circulation and systemic or severe side effects should be rare. 

Uncommon side effects may include: 

• low blood pressure
• dehydration
• dizziness when standing up
• drowsiness
• nausea
• diarrhea
• headache
• irregular periods
• breast tenderness
• weight gain
• low sex drive
• depression
• fatigue
• unwanted growth of facial hair

More serious but less common side effects include: 

• gastrointestinal bleeding
• high potassium levels
• electrolyte imbalances
• little or no urination
• a feeling like you might pass out
• severe scalp irritation
• chest pain
• fast heart rate
• fluttering in your chest
• severe headache
• sudden numbness

Stop the medication and seek medical treatment right away if any of these occur. 

Avoid other products known to cause skin irritation on the area of treatment such as: 

medicated or abrasive soaps, chemical hair colorants, removers, or waxes, electrolysis, products with alcohol or astringents, and cosmetics with an irritating or 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 potassium salt substitutes while using this medication to avoid your potassium levels from becoming too high. 

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Fluocinolone may be contained in this formulation and Fluocinolone is a topical corticosteroid. Combining this medication with other corticosteroids may be dangerous and increase the risk of side effects. Tell your doctor about all other corticosteroid medications you are using.

Do not use this medication if you are also taking: 

• Eplerenone

Tell your doctor if you are taking: 

• Eplerenone
• Cholestyramine
• Digoxin
• Lithium
• Trimethoprim
• Aminophylline
• Dipyridamole
• Theophylline
• Verapamil
• Heart or blood pressure medications
• Topical corticosteroids (e.g., betamethasone, hydrocortisone)

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 Spironolactone PDR
• Official Minoxidil PDR
• Official Tretinoin PDR
• Official Finasteride PDR
• Official Fluocinolone PDR
• FDA Spironolactone Prescribing Information
• FDA Minoxidil Prescribing Information
• FDA Tretinoin Prescribing Information
• FDA Finasteride Prescribing Information
• FDA Fluocinolone Prescribing Information

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