Sildenafil Tablets (generic Viagra)

1. What is Sildenafil?

Brand name: Viagra

Mechanism of action: Sildenafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Nitric oxide then activates the enzyme guanylate cyclase, which results in increased levels of cGMP. Cyclic guanosine monophosphate causes smooth muscle relaxation in the corpus cavernosum thereby allowing inflow of blood

2. What does Sildenafil do for erectile dysfunction?

Sildenafil is rapidly absorbed after oral administration. It helps increase erection duration during intercourse.

3. Is Sildenafil FDA approved?

Yes, Sildenafil is FDA approved for erectile dysfunction.

4. Is Sildenafil safe to use?

Yes, but there are side effects for people with certain medical conditions. You should not use Sildenafil if you take any of the following types of medications: nitrates, blood pressure, cardiac, heart rate, HIV, antifungal

You should not use Sildenafil if you have any of the following medical conditions: coronary artery disease, aortic stenosis, structural heart disease, cardiac abnormal rhythms, heart failure, low blood pressure, stroke, priapism, sickle cell disease, or HIV.

Side effects include:

• Headache
• Syncope
• Flushing
• Rash
• Visual disturbance
• Low blood pressure
• Heart attack
• Stroke
• Abnormal heart rhythm

Tadalafil Tablets (generic Cialis)

1. What is Tadalafil?

Brand name: Cialis

Mechanism of action: Tadalafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Nitric oxide then activates the enzyme guanylate cyclase, which results in increased concentrations of cGMP. Cyclic guanosine monophosphate causes smooth muscle relaxation in the corpus cavernosum thereby allowing inflow of blood.

2. What does Tadalafil do for erectile dysfunction? 

Tadalafil is rapidly absorbed after oral administration. It helps increase erection duration during intercourse. The usual duration can last up to 36 hours.

3. Is Tadalafil FDA approved?

Yes, Tadalafil is FDA approved for erectile dysfunction.

4. Is Tadalafil safe to use?

Yes, but there are side effects for people with certain medical conditions. You should not use Sildenafil if you take any of the following types of medications: nitrates, blood pressure, cardiac, heart rate, HIV, antifungal

You should not use Tadalafil if you have any of the following medical conditions: coronary artery disease, aortic stenosis, structural heart disease, cardiac abnormal rhythms, heart failure, low blood pressure, stroke, priapism, sickle cell disease, or HIV.

Side effects may include:

• Headache
• Syncope
• Diarrhea
• Flushing
• Rash
• Visual disturbance
• Low blood pressure
• Heart attack
• Stroke
• Abnormal heart rhythm

PhysiPro Eddy™ (Sildenafil gummy)

1. What is Sildenafil gummy?

Physician Promise brand: PhysiPro Eddy™

Active ingredient in Viagra

Gummy is an easy to chew and absorb formulation of the active ingredient Sildenafil. Mechanism of action: Sildenafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Nitric oxide then activates the enzyme guanylate cyclase, which results in increased levels of cGMP. Cyclic guanosine monophosphate causes smooth muscle relaxation in the corpus cavernosum thereby allowing inflow of blood

2. What does Sildenafil gummy do for erectile dysfunction?

Sildenafil is rapidly absorbed after oral administration. It helps increase erection duration during intercourse.

3. Is Sildenafil FDA approved?

Yes, Sildenafil is FDA approved for erectile dysfunction.

4. Is Sildenafil safe to use?

Yes, but there are side effects for people with certain medical conditions. You should not use Sildenafil if you take any of the following types of medications: nitrates, blood pressure, cardiac, heart rate, HIV, antifungal

You should not use Sildenafil if you have any of the following medical conditions: coronary artery disease, aortic stenosis, structural heart disease, cardiac abnormal rhythms, heart failure, low blood pressure, stroke, priapism, sickle cell disease, or HIV.

Side effects may include:

• Headache
• Syncope
• Diarrhea
• Flushing
• Rash
• Visual disturbance
• Low blood pressure
• Heart attack
• Stroke
• Abnormal heart rhythm

PhysiPro Tadaa™ (Tadalafil gummy)

1. What is Tadalafil gummy?

Physician Promise brand: PhysiPro Tadaa™

Active ingredient in Cialis.

Gummy is an easy to chew and absorb formulation of the active ingredient Tadalafil. Mechanism of action: Tadalafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Nitric oxide then activates the enzyme guanylate cyclase, which results in increased concentrations of cGMP. Cyclic guanosine monophosphate causes smooth muscle relaxation in the corpus cavernosum thereby allowing inflow of blood.

2. What does Tadalafil gummy do for erectile dysfunction?

Tadalafil is rapidly absorbed after oral administration. It helps increase erection duration during intercourse. The usual duration can last up to 36 hours.

3. Is Tadalafil FDA approved?

Yes, Tadalafil is FDA approved for erectile dysfunction.

4. Is Tadalafil safe to use?

Yes, but there are side effects for people with certain medical conditions. You should not use Sildenafil if you take any of the following types of medications: nitrates, blood pressure, cardiac, heart rate, HIV, antifungal

You should not use Tadalafil if you have any of the following medical conditions: coronary artery disease, aortic stenosis, structural heart disease, cardiac abnormal rhythms, heart failure, low blood pressure, stroke, priapism, sickle cell disease, or HIV.

Side effects may include:

• Headache
• Syncope
• Diarrhea
• Flushing
• Rash
• Visual disturbance
• Low blood pressure
• Heart attack
• Stroke
• Abnormal heart rhythm

PhysiPro Flash™ (Sildenafil rapid dissolve tablet)

1. What is Sildenafil rapid dissolve tablet?

Physician Promise brand: PhysiPro Flash™

Active ingredient in Viagra.

Rapid dissolve tablet was specifically made for patients that require faster onset of action.

Mechanism of action: Sildenafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Nitric oxide then activates the enzyme guanylate cyclase, which results in increased levels of cGMP. Cyclic guanosine monophosphate causes smooth muscle relaxation in the corpus cavernosum thereby allowing inflow of blood

2. What does Sildenafil rapid dissolve tablet do for erectile dysfunction?

Sildenafil is rapidly absorbed after oral administration. It helps increase erection duration during intercourse.

3. Is Sildenafil FDA approved?

Yes, Sildenafil is FDA approved for erectile dysfunction.

4. Is Sildenafil safe to use?

Yes, but there are side effects for people with certain medical conditions. You should not use Sildenafil if you take any of the following types of medications: nitrates, blood pressure, cardiac, heart rate, HIV, antifungal

You should not use Sildenafil if you have any of the following medical conditions: coronary artery disease, aortic stenosis, structural heart disease, cardiac abnormal rhythms, heart failure, low blood pressure, stroke, priapism, sickle cell disease, or HIV.

Side effects may include:

• Headache
• Syncope
• Diarrhea
• Flushing
• Rash
• Visual disturbance
• Low blood pressure
• Heart attack
• Stroke
• Abnormal heart rhythm

PhysiPro Rapid™ (Tadalafil rapid dissolve tablet)

1. What is Tadalafil rapid dissolve tablet?

Physician Promise brand: PhysiPro Rapid™

Active ingredient in Cialis.

Rapid dissolve tablet was specifically made for patients that require faster onset of action. Mechanism of action: Tadalafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. Nitric oxide then activates the enzyme guanylate cyclase, which results in increased concentrations of cGMP. Cyclic guanosine monophosphate causes smooth muscle relaxation in the corpus cavernosum thereby allowing inflow of blood.

2. What does Tadalafil rapid dissolve tablet do for erectile dysfunction?

Tadalafil is rapidly absorbed after oral administration. It helps increase erection duration during intercourse. The usual duration can last up to 36 hours.

3. Is Tadalafil FDA approved?

Yes, Tadalafil is FDA approved for erectile dysfunction.

4. Is Tadalafil safe to use?

Yes, but there are side effects for people with certain medical conditions. You should not use Sildenafil if you take any of the following types of medications: nitrates, blood pressure, cardiac, heart rate, HIV, antifungal

You should not use Tadalafil if you have any of the following medical conditions: coronary artery disease, aortic stenosis, structural heart disease, cardiac abnormal rhythms, heart failure, low blood pressure, stroke, priapism, sickle cell disease, or HIV.

Side effects may include:

• Headache
• Syncope
• Diarrhea
• Flushing
• Rash
• Visual disturbance
• Low blood pressure
• Heart attack
• Stroke
• Abnormal heart rhythm

Minoxidil

1. What is Minoxidil?

Physician Promise brand that include minoxidil: PhysiPro Grow™ and PhysiPro Grow+™ Mechanism of action: potassium channel opener that delivers oxygen, blood, and nutrients to hair follicles when applied to the scalp

2. What does Minoxidil do for my hair?

It is a potent vasodilator and when applied to the scalp bring increased oxygen and blood flow to the hair follicles that lead to new hair growth

3. Is Minoxidil FDA approved?

Yes, minoxidil is FDA approved for hair loss treatments

4. Is Topical Minoxidil safe to use?

Yes. There are minimal side effects when applied directly to the scalp

Side effects may include:

• Redness to skin

Interesting fact!

Minoxidil was developed in the 1950s to treat ulcers but that failed. It was shown to be a potent vasodilator with unexpected side effect of hair growth! Thank you side effects for helping us get our hair back!

Minoxidil

1. What is Minoxidil?

Physician Promise brand that include minoxidil: PhysiPro Grow™ and PhysiPro Grow+™ Mechanism of action: potassium channel opener that delivers oxygen, blood, and nutrients to hair follicles when applied to the scalp

2. What does Minoxidil do for my hair?

It is a potent vasodilator and when applied to the scalp bring increased oxygen and blood flow to the hair follicles that lead to new hair growth

3. Is Minoxidil FDA approved?

Yes, minoxidil is FDA approved for hair loss treatments

4. Is Topical Minoxidil safe to use?

Yes. There are minimal side effects when applied directly to the scalp

Side effects may include:

• Redness to skin

Interesting fact!

Minoxidil was developed in the 1950s to treat ulcers but that failed. It was shown to be a potent vasodilator with unexpected side effect of hair growth! Thank you side effects for helping us get our hair back!

Finasteride

1. What is Finasteride?

Physician Promise brands that include finasteride: PhysiPro Grow™ and PhysiPro Grow+™ It is commonly used for hair loss or enlarged prostates.

Mechanism of action: 5-alpha-reductase inhibitor and decreases levels of dihydrotestosterone (DHT) in the prostate and scalp

For hair loss the dose is 1 mg every day for at least 3-6 months

2. What does Finasteride do for my hair?

It maintains or increases the amount of terminal hairs in the anagen phase of hair growth cycle

It is very effective in vertex pattern hair loss but can also work on other hair loss locations

It is effective in more than 80% of patients with hair regrowth in 3-5 months but needs to be taken daily

3. Is Finasteride FDA approved?

Yes, finasteride and minoxidil are the only FDA approved medications for hair loss.

4. Is Finasteride safe to use?

Yes. There are minimal side effects. Patients with liver disease should not use finasteride.

Side effects may include:

• Less than 3% for the following:

  Decreased libido

  Premature ejaculation

  Erectile dysfunction

Fluocinolone

1. What is Fluocinolone?

Physician Promise brand that includes fluocinolone: PhysiPro Grow+™ Mechanism of action: Corticosteroids inhibit inflammatory responses to a variety of inciting agents including multiple inflammatory cytokines. They inhibit edema, fibrin deposition, capillary dilation, leukocyte migration, capillary proliferation, fibroblast proliferation, deposition of collagen, and scar formation associated with inflammation. It is not metabolized by the skin.

2. What does Fluocinolone do for my hair?

When applied topically, it will reduce inflammation at the scalp and hair root level to combat common causes of hair loss.

3. Is Fluocinolone FDA approved?

Yes, Fluocinolone is an FDA approved medication for inflammation. By itself it is not an FDA approved medication for hair loss but when combined with other ingredients, it is allowed to be used to treat underlying conditions that may cause hair loss.

4. Is topical Fluocinolone safe to use?

Yes. There are minimal side effects. Patients with Cushing’s disease should not use Fluocinolone.

Side effects may include:

• Dryness
• Folliculitis
• Burning

Minoxidil

1. What is Minoxidil?

Physician Promise brand that include minoxidil: PhysiPro Grow™ and PhysiPro Grow+™ Mechanism of action: potassium channel opener that delivers oxygen, blood, and nutrients to hair follicles when applied to the scalp

2. What does Minoxidil do for my hair?

It is a potent vasodilator and when applied to the scalp bring increased oxygen and blood flow to the hair follicles that lead to new hair growth

3. Is Minoxidil FDA approved?

Yes, minoxidil is FDA approved for hair loss treatments

4. Is Topical Minoxidil safe to use?

Yes. There are minimal side effects when applied directly to the scalp

Side effects may include:

• Redness to skin

Interesting fact!

Minoxidil was developed in the 1950s to treat ulcers but that failed. It was shown to be a potent vasodilator with unexpected side effect of hair growth! Thank you side effects for helping us get our hair back!

Finasteride

1. What is Finasteride?

Physician Promise brands that include finasteride: PhysiPro Grow™ and PhysiPro Grow+™ It is commonly used for hair loss or enlarged prostates.

Mechanism of action: 5-alpha-reductase inhibitor and decreases levels of dihydrotestosterone (DHT) in the prostate and scalp

For hair loss the dose is 1 mg every day for at least 3-6 months

2. What does Finasteride do for my hair?

It maintains or increases the amount of terminal hairs in the anagen phase of hair growth cycle It is very effective in vertex pattern hair loss but can also work on other hair loss locations It is effective in more than 80% of patients with hair regrowth in 3-5 months but needs to be taken daily

3. Is Finasteride FDA approved?

Yes, finasteride and minoxidil are the only FDA approved medications for hair loss.

4. Is Finasteride safe to use?

Yes. There are minimal side effects. Patients with liver disease should not use finasteride.

Side effects may include:

• Less than 3% for the following:

  Decreased libido

  Premature ejaculation

  Erectile dysfunction

Biotin

1. What is Biotin?

Biotin is a water-soluble vitamin known as Vitamin B7. It is commonly used to strengthen hair, skin, and nails.

Mechanism of action: Biotin also acts as a coenzyme for multiple carboxylases in humans, and it changes the irreversible carboxylation of acetyl-CoA to malonyl-CoA. These enzymes are vital in numerous metabolic processes.

2. What does Biotin do for my hair?

There is evidence that suggests Biotin can strengthen hair follicles if taken daily.

3. Is Biotin safe to use?

Yes. Biotin is a naturally available vitamin. We just make it easier for you to get more of it.

Finasteride

1. What is Finasteride?

Physician Promise brands that include finasteride: PhysiPro Grow™ and PhysiPro Grow+™

It is commonly used for hair loss or enlarged prostates.

Mechanism of action: 5-alpha-reductase inhibitor and decreases levels of dihydrotestosterone (DHT) in the prostate and scalp

For hair loss the dose is 1 mg every day for at least 3-6 months

2. What does Finasteride do for my hair?

It maintains or increases the amount of terminal hairs in the anagen phase of hair growth cycle

It is very effective in vertex pattern hair loss but can also work on other hair loss locations

It is effective in more than 80% of patients with hair regrowth in 3-5 months but needs to be taken daily

3. Is Finasteride FDA approved?

Yes, finasteride and minoxidil are the only FDA approved medications for hair loss.

4. Is Finasteride safe to use?

Yes. There are minimal side effects. Patients with liver disease should not use finasteride.

Side effects may include:

• Less than 3% for the following:

  Decreased libido

  Premature ejaculation

  Erectile dysfunction

Ketoconazole

1. What is Ketoconazole?

Physician Promise brand that includes ketoconazole: PhysiPro Zole™

It is an antifungal but when prescribed at 2% level it is more effective but requires physician approval. It has been shown to stimulate hair growth.

Mechanism of action: Ketoconazole inhibits ergosterol synthesis by interacting with 14-alpha demethylase, a cytochrome P-450 enzyme that is necessary for the conversion of lanosterol to ergosterol, an essential component of the membrane.

2. What does Ketoconazole do for my hair?

Ketoconazole has antiandrogen effects and can stimulate hair growth. It is also effective if you have seborrheic dermatitis. Ketoconazole blocks enzyme 5AR which is responsible for converting testosterone to DHT which occurs in androgenic alopecia.

3. Is Ketoconazole FDA approved?

Yes, Ketoconazole is an antifungal. When prescribed solely for hair loss it is a prescription that needs physician approval.

4. Is Topical Ketoconazole safe to use?

Yes, there are minimal side effects.

Side effects may include:

• Irritation
• Dryness
• Pruritus

1. What is nicotine gum?

It is a chewing gum that gives your body small amounts of nicotine to help you overcome your nicotine addiction.

2. Can I use nicotine gum if I am pregnant?

It is FDA Class D: There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

3. Is nicotine gum FDA approved?

Yes.

4. Any restrictions with nicotine gum use?

Nicotine gum is not controlled as tobacco products.

Use with caution if dental problems and temporomandibular joint disease (TMJ)

5. Instructions for nicotine gum use:

12 weeks of use

Wait more than 15 minutes following eating or drinking to use

Do NOT smoke while using this gum as it can lead to nicotine overdose.

1. What is a nicotine patch?

It is a transdermal patch applied to the skin that gives your body small amounts of nicotine to help you overcome your nicotine addiction.

2. Can I use a nicotine patch if I am pregnant?

It is FDA Class D: There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

3. Is the nicotine patch FDA approved?

Yes.

4. Any restrictions with nicotine patch use?

Nicotine gum is not controlled as tobacco products.

5. Instructions for nicotine patch use:

8 to 10 weeks of use

Reapply a patch every 24 hours. Do NOT smoke while using this patch as it can lead to nicotine overdose.

1. What is a nicotine lozenge?

A nicotine lozenge is a tablet that contains nicotine, which dissolves slowly in the mouth to release nicotine for 20 to 30 minutes.

2. Can I use a nicotine lozenge if I am pregnant?

It is FDA Class D: There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

3. Is the nicotine lozenge FDA approved?

Yes.

4. Any restrictions with nicotine lozenge use?

Nicotine gum is not controlled as tobacco products.

5. Instructions for nicotine patch use:

12 weeks of use

Place only one lozenge in your mouth at a time. Let the lozenge dissolve for 20 to 30 minutes. Do not chew or swallow the lozenge. Use 9 lozenges per day during the first 6 weeks. Do NOT smoke while using this patch as it can lead to nicotine overdose.

Propranolol

1. What is Propranolol?

Physician Promise brand: PhysiPro Perform™

Gummy is an easy to chew and absorb formulation of the active ingredient propranolol. Propranolol is a beta-blocker which has multiple indications which include: performance anxiety, panic attacks, thyrotoxicosis, hypertension, tremor, heart failure, stable angina, and migraine. We can provide it in a gummy formulation which is easy to chew and absorb or as a tablet.

2. How does Propranolol affect performance anxiety?

Propranolol is a beta-blocker which reduces heart rate. It can be taken one hour before a performance anxiety provoking activity to decrease anxiety. It works by decreasing your heart rate and sympathetic nervous system overdrive.

3. Is Propranolol FDA approved?

Yes, but using it for performance anxiety is off-label.

4. Is Propranolol safe to use?

You should not use Propranolol if you take any of the following types of medications: cardiac, heart rate, nitrates or blood pressure.

You should not use Propranolol if you have any of the following medical conditions: coronary artery disease, dizziness, elderly, abnormal heart rhythms, pacemaker, WPW, myasthenia gravis, or asthma.

Do not take Propranolol if you are climbing tall heights or operating heavy machinery.

Side effects may include:

• Fatigue
• Dizziness
• Slow heart rate
• Low blood pressure
• Depression

Addyi (flibanserin)

1. What is Addyi (flibanserin)?

Addyi has agonist activity at 5-HT1A and antagonist activity at 5-HT2A receptors. Addyi also has moderate antagonist activities at the 5-HT2B, 5-HT2C, and dopamine D4 receptors.

2. What is Addyi a treatment for?

Addyi is a treatment for premenopausal women with hypoactive sexual desire disorder (HSDD).

3. Is Addyi FDA approved?

Yes, Addyi is the only FDA approved medication for hypoactive sexual desire disorder (HSDD.

4. Is Addyi safe to use?

Yes, but caution is needed for certain conditions. Addyi is for premenopausal women who have hypoactive sexual desire disorder (HSDD).

Do not consume Addyi with alcohol as this can cause low blood pressure and syncope. Wait at least two hours after consuming one or two standard alcoholic drinks before taking Addyi at bedtime. Skip your Addyi dose if you consumed three standard alcoholic drinks. Do not consume Addyi if you have liver disease.

Side effects may include (2% of patients):

• Dizziness
• Nausea
• Fatigue
• Insomnia
• Dry mouth

5. Can I use Addyi if I am pregnant?

Addyi has not been studied in pregnant women.

Isosorbide dinitrate

1. What is isosorbide dinitrate?

Physician Promise brand that includes isosorbide dinitrate: PhysiPro On™

Isosorbide dinitrate is a vasodilator that contains nitrates. It is one of the active ingredients in PhysiPro On™.

2. How does isosorbide dinitrate affect libido?

When isosorbide dinitrate is added to the other ingredients in PhysiPro On™ it increases blood flow to the applied area to heighten stimulation and arousal.

3. Is isosorbide dinitrate FDA approved?

Yes, but using it with other ingredients for female libido is off-label.

4. Is isosorbide dinitrate safe to use?

You should not use isosorbide dinitrate if you have heart, vascular, or blood pressure conditions. A female should apply PhysiPro On™ to her genitalia at least 30 minutes before intercourse for maximal absorption.

Side effects may include:

• Headache
• Irritation
• Dizziness

Birth Control Pills

1. What are birth control pills?

There are multiple formulations of birth control pills:

• Combination: contains both estrogen and progestin.
• Monophasic which contains equal amounts of estrogen and progestin such as: norgestrel 0.3 mg + ethinyl estradiol 0.03 mg OR levonorgestrel 0.15 mg + ethinyl estradiol 0.03 mg, 0.01 mg.
• Biphasic which has varying amounts of estrogen and progestin such as: desogestrel 0.15 mg/ethinyl estradiol 0.02 mg and ethinyl estradiol 0.01 mg.
• Triphasic such as: norgestimate 0.25 mg + ethinyl estradiol 0.035 mg OR norgestimate 0.180 mg and ethinyl estradiol 0.215 mg + 0.250 mg.
• Conventional packs include 21 active pills and seven inactive pills. We offer: norgestrel 0.3 mg + ethinyl estradiol 0.03 mg OR desogestrel 0.15 mg/ethinyl estradiol 0.02 mg and ethinyl estradiol 0.01 mg OR norgestimate 0.25 mg + ethinyl estradiol 0.035 mg OR norgestimate 0.180 mg and ethinyl estradiol 0.215 mg + 0.250 mg.
• Continuous dosing packs include 84 active pills and seven inactive pills. We offer: levonorgestrel 0.15 mg + ethinyl estradiol 0.03 mg, 0.01 mg
• Minipill: contains only progestin. We do not offer this.

2. What are birth control pills used for other than family planning?

Birth control pills can be used as relief from premenstrual syndrome (PMS) symptoms, cramps, shorter, lighter or more predictable periods, reduce heavy periods, reduce unwanted hair growth, acne, polycystic ovary syndrome (PCOS), and lower your risk of ovarian and endometrial cancers.

3. Are your birth control pills FDA approved?

Yes.

4. Are birth control pills safe to use?

Generally yes, but caution is needed.

If you suspect you are pregnant then immediately take a home pregnancy test and if positive, stop taking your birth control pill.

Do not use birth control pills if you:

• Recently gave birth
• Older than 35 years old
• Smoker
• History of blood clots, deep vein thrombosis, or pulmonary embolism
• Breast cancer
• Stroke or heart disease
• Liver disease
• Unexplained uterine bleeding
• Immobilized for a prolonged time (i.e. post surgery or frequent long travels by car or airplane)
• Seizures
• Obesity

Side effects may include (2% of patients):

• Dizziness
• Nausea
• Fatigue
• Insomnia
• Dry mouth

Estriol Vaginal Cream

1. What is estriol vaginal cream?

Physician Promise brand: PhysiPro Pink™

Estriol is the final metabolite of estrogen hormone, and it is naturally present in women. Estriol is short acting and has less side effects compared to other estrogen derivatives.

2. How does estriol vaginal cream treat vaginal dryness (atrophic vaginitis)?

Vaginal dryness or atrophic vaginitis when there is thinning and inflammation of the vaginal wall. This frequently occurs during menopause. Vaginal dryness can lead to painful intercourse and urinary symptoms. Estriol vaginal cream found in PhysiPro Pink™ stimulates the growth and maturation of vaginal epithelium in atrophic vaginitis.

3. Has estriol vaginal cream been studied?

Yes. Multiple research studies and clinical case reports have shown marked improvement in women with atrophic vaginitis symptoms.

4. Is estriol vaginal cream safe to use?

Yes, when applied topically to a specific location such as the vaginal wall. There is limited risk when applied once-daily intravaginally regarding the risk of endometrial proliferation. PhysiPro Pink™ uses a low dose of estriol: 0.03 mg. This dose has similar effectiveness compared to higher doses but does not increase systemic levels of estrogen or endometrial proliferation after six months of use.

Estriol vaginal cream is not right for you if you are:

• Pregnant
• Vaginal cancer
• Endometrial cancer
• Cervical cancer
• Unexplained uterine bleeding

Oxybutynin 

1. What is Oxybutynin?

Oxybutynin is an anticholinergic medication that is approved to treat overactive bladder and reduce the frequency and intensity of hot flashes in premenopausal women.

2. How does Oxybutynin treat hot flashes?

Oxybutynin reduces the frequency and severity of hot flashes in a 5 mg twice daily dosage.

3. Has Oxybutynin been studied?

Yes. These promising results in helping women with hot flashes was studied in the ACCRU study. The patients who received Oxybutynin 5 mg twice daily showed a 86% reduction in hot flashes compared to placebo (no treatment).

4. Is Oxybutynin safe to use?

Yes.

Do not consume Oxybutynin if you have any of the following medical conditions:

• Urinary retention or obstruction
• Glaucoma
• Esophageal disease
• Myasthenia gravis
• Parkinson’s disease
• Liver disease
• Pregnant
• Breast-feeding
• Elderly
• Alcoholism

Do not consume Oxybutynin if you drive or operate heavy machinery.

Side effects may include:

• Dry mouth
• Abdominal pain
• Slightly difficulty with urination

1. What is Gabapentin?

Gabapentin is a GABA analogue. It is approved for treatment of hot flashes, seizures, neuropathic pain, and restless leg syndrome. We offer the immediate release formulation in 2 strengths: 300 mg and 600 mg tablets.

2. How does Gabapentin treat hot flashes?

Gabapentin reduces the frequency and severity of hot flashes.

3. Has Gabapentin been studied?

Yes. These promising results in helping women with hot flashes.

4. Is Gabapentin safe to use?

Yes.

Do not consume Gabapentin if you have any of the following medical conditions:

• Kidney disease
• Dialysis
• Pregnant
• Breast-feeding
• Suicide ideation
• Depression
• Substance abuse

Do not consume Gabapentin if you drive or operate heavy machinery.

Side effects may include:

• Dizziness
• Fatigue
• Ataxia
• Diarrhea

1. What is Tretinoin?

Physician Promise brand that includes tretinoin: PhysiPro Glow+™

Tretinoin also known as all-trans retinoic acid is used to treat acne and stretch marks and can be applied directly to the skin.

2. How does topical Tretinoin treat acne and stretch marks?

Tretinoin binds to specific skin receptors that reduces the cohesiveness of keratinocytes which reduces hair follicular occlusion. This leads to fewer blackheads and whiteheads. It also increases the growth of epithelial cells which limits blackhead growth. It also reduces inflammation.

3. Is Tretinoin FDA approved?

Yes.

4. Is topical Tretinoin safe to use?

Yes.

Do not use Tretinoin if you have any of the following:

• Retinoid hypersensitivity
• Paraben hypersensitivity
• Fish hypersensitivity
• Easy sunburn
• Pregnant
• Breast-feeding

Hydroquinone

1. What is Hydroquinone?

Physician Promise brands that include hydroquinone: PhysiPro Glow™ and PhysiPro Glow+™

Hydroquinone is an industrial pharmaceutical compound used to lighten hyperpigmented (skin blotch) segments.

2. How does topical Hydroquinone treat hyperpigmentation?

When Hydroquinone is applied locally via topical application it can lighten the skin that is discolored. Hydroquinone is found in PhysioPro Glow+™ and PhysioPro Glow™.

3. Has Hydroquinone been studied?

Yes. Multiple studies have demonstrated that it is effective and safe when applied topically for brief periods of time.

4. Is topical Hydroquinone safe to use?

Yes, but there is risk of skin irritation.

Do not use Tretinoin if you have any of the following:

• Pregnant
• Breast-feeding
• Eczema
• Cushing’s syndrome
• Herpes
• Measles
• Varicella

Tretinoin

1. What is Tretinoin?

Physician Promise brand that includes tretinoin: PhysiPro Glow+™

Tretinoin also known as all-trans retinoic acid is used to treat acne and stretch marks and can be applied directly to the skin.

2. How does topical Tretinoin treat acne and stretch marks?

Tretinoin binds to specific skin receptors that reduces the cohesiveness of keratinocytes which reduces hair follicular occlusion. This leads to fewer blackheads and whiteheads. It also increases the growth of epithelial cells which limits blackhead growth. It also reduces inflammation.

3. Is Tretinoin FDA approved?

Yes.

4. Is topical Tretinoin safe to use?

Yes.

Do not use Tretinoin if you have any of the following:

• Retinoid hypersensitivity
• Paraben hypersensitivity
• Fish hypersensitivity
• Easy sunburn
• Pregnant
• Breast-feeding

Hydroquinone

1. What is Hydroquinone?

Physician Promise brands that include hydroquinone: PhysiPro Glow™ and PhysiPro Glow+™

Hydroquinone is an industrial pharmaceutical compound used to lighten hyperpigmented (skin blotch) segments.

*Does not contain tretinoin.

2. How does topical Hydroquinone treat hyperpigmentation?

When Hydroquinone is applied locally via topical application it can lighten the skin that is discolored. Hydroquinone is found in PhysioPro Glow+™ and PhysioPro Glow™.

3. Has Hydroquinone been studied?

Yes. Multiple studies have demonstrated that it is effective and safe when applied topically for brief periods of time.

4. Is topical Hydroquinone safe to use?

Yes, but there is risk of skin irritation.

Do not use Tretinoin if you have any of the following:

• Pregnant
• Breast-feeding
• Eczema
• Cushing’s syndrome
• Herpes
• Measles
• Varicella

1. What is Urea?

Urea is a keratolytic that is used to moisturize skin by treating dry and rough skin conditions. It helps dissolve the tough substance called keratin.

2. Are there side effects?

Minimal. These include:

Burning, itching, and redness

PhysiPro Smooth™

Sodium Sulfacetamide

1. What is Sodium Sulfacetamide?

This is a medication used to treat acne and rosacea. It works by inhibiting the growth of bacteria that cause these skin conditions.

2. Are there side effects?

Minimal. These include: redness or itching.

PhysiPro Cea™

Sodium Sulfacetamide

1. What is Sodium Sulfacetamide?

This is a medication used to treat acne and rosacea. It works by inhibiting the growth of bacteria that cause these skin conditions.

2. Are there side effects?

Minimal. These include: redness or itching.

Clobetasol Propionate

1. What is Clobetasol Propionate?

It is a type of corticosteroid used to treat eczema which is a dry and itchy skin condition. It works by decreasing skin inflammation and reducing swelling.

2. Are there side effects?

Minimal. These include: redness or itching or thin skin

Naturally occurring vitamins and fibers used to treat stretch marks with minimal side effects when applied topically.

Pentoxifylline

1. What is Pentoxifylline?

It is a methyl-xanthine derivative that has anti-inflammatory properties. It is used to treat acne scars at the molecular level. It allows for the skin to heal.

2. Are there side effects?

Minimal. This is a safe medication when applied topically.

Naturally occurring vitamins and hydrating amino acids combined to treat rosacea. Safe medication.