Active Ingredients: Custom compound formula may contain the following:

Sildenafil, Pentoxifylline, Arginine, Ergoloid Mesylate in a Pharmaceutically Elegant Cream

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Important Safety Information for Strut O Cream Formula

Compound Ingredients: 

Sildenafil, Pentoxifylline, Arginine, Ergoloid Mesylates

 in a Pharmaceutically Elegant 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: 

Do not use this formula if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking a sildenafil containing product with a nitrate medicine can cause a sudden and serious decrease in blood pressure. 

Do not use this formula if you have genital herpes. The arginine in the cream can increase the replication of the herpes virus. 

This treatment plan may help: enhance female sexual satisfaction by improving ease of stimulation, sensitivity and intensity of orgasms. 

This formula should be applied directly to the clitoris at least 30 minutes prior to anticipated sexual relations and gently massaged in. You may experience warmth, redness, or a tingling feeling, which is normal. 

The effects may last between 30 minutes and 2 hours. 

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. 

Do not take by mouth. This medication is for use as needed before sexual activity applied to the clitoral are only. 

Do not use on irritated areas or open wounds. Avoid using this medication on the vaginal area if you currently have a yeast or bacterial infection, you may resume usage of this product once the infection clears. 

Wash your hands before and after applying formula. Store at room temperature away from moisture and heat. Keep the container tightly closed when not in use. 

Avoid using other products that also contain Sildenafil, Pentoxifylline, Arginine, or medications that may increase blood flow to the vaginal area. 

Avoid using skin products on the same area that can cause irritation, such as harsh soaps, shampoos, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.

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: Sildenafil, Pentoxifylline, Arginine, or if you are allergic to caffeine containing products (coffee, tea, colas), theobromine, aminophylline, theophylline) 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: 

• Do not use this formula if you have genital herpes. The arginine in the cream can increase the replication of the herpes virus. 
• Speak with your doctor if you have a heart condition to see if this medication is right for you. 
• Use with caution if hepatic or renal impairment or risk factors for hemorrhage. 
• Do not use if past retinal or cerebral hemorrhage. 

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.                                                                                                                                                                                                                                                                                                                                                                                                                     

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. 

Pentoxifylline is category C and should not be used during breastfeeding.

Side Effects: 

You may experience side effects with these medications. 

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

• Itching
• Redness
• Dryness
• Dizziness
• Headaches
• Mild irritation

Stop using the formula and call your doctor at once if you have: 

• Severe irritation of treated area
• During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. 

Avoid using this medication on the vaginal area if you currently have a yeast or bacterial infection, you may resume usage of this product once the infection clears. 

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: 

• Do not use this formula if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, and some recreational drugs such as "poppers". Taking a sildenafil containing product with a nitrate medicine can cause a sudden and serious decrease in blood pressure. 
• Tell your doctor if you are on a blood thinner. 

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 to partially 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 Sildenafil PDR
• Official Pentoxifylline PDR
• FDA Sildenafil Prescribing Information
• FDA Pentoxifylline Prescribing Information
• Mayo Clinic L-Arginine Supplement Overview

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