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Why Hims?
 * Trusted by over 1M subscribers
 * Free & discreet shipping on all prescriptions
 * No insurance required
 * 100% online process

 * Trusted by over 1M subscribers
 * Free & discreet shipping on all prescriptions
 * No insurance required
 * 100% online process

 * Trusted by over 1M subscribers
 * Free & discreet shipping on all prescriptions
 * No insurance required
 * 100% online process

CONVENIENT, QUALITY CARE 100% ONLINE

How can we help you?

Find my treatment
Lose weight


Have better sex


Regrow hair


Have longer sex


Tackle anxiety


Get smooth skin


LOSE WEIGHT
WITH GLP-1S



HAVE BETTER SEX
WITH SEX CHEWS



Find my treatment

A simple way to feel great on your own terms
Weight
Lose weight with
personalized precision.
Learn moreGet started
Sex
Bring out your best
in the bedroom.
Learn moreGet started
Hair
Regrow thicker,
fuller hair.
Learn moreGet started
Mental Health
Relief for anxiety and
depression is in reach.
Learn moreGet started
Skin
Treatments developed
with dermatologists.
Learn moreGet started
Doctor-trusted solutions, personalized to you
Private care, 100% online


No in-person visit needed. Manage treatment in the app with a secure login.


Get started
Clinically proven ingredients


Doctor trusted, clinically tested ingredients, personalized treatments
formulated for you.


Find my treatment
Prescribed by licensed providers


Free consultations and ongoing support from licensed providers in all 50 states
and DC.


Find my treatment
Certified US-based pharmacies


Medication filled by U.S.-based pharmacies, with free and discreet shipping to
your door.


Get personalized treatment



THANKS FOR ALL YOU DO


SUPPORTING US MILITARY, EDUCATORS, FIRST RESPONDERS AND NURSES

Compounded GLP-1s as low as

$99/mo*




POPULAR TREATMENTS

Weight
GLP-1 Injections
Important safety info
Get startedLearn more
Hair
Hair Hybrids
Important safety info
Get startedLearn more
Sex
Hard Mints
Important safety info
Get startedLearn more
Anxiety
Generic for Lexapro®
Important safety info
Get startedLearn more
Skin
Custom Anti-Aging Cream
Important safety info
Get startedLearn more
*Hard Mints and Hard Hybrids are compounded products and have not been approved
by the FDA. The FDA does not verify the safety or effectiveness of compounded
drugs.


Have questions?
Get answers


WHAT IS HIMS?



Hims is a 100% online platform with over 1 million subscribers that connects
patients to licensed healthcare professionals in all 50 states. We offer support
for sexual health, weight loss, hair regrowth, mental health, and skincare.


Through our simple online process you can connect with licensed medical
providers who can recommend customized treatment plans including prescription
treatments, if appropriate, shipped right to your door.


HOW DOES HIMS WORK?



First, complete an online intake form to give your healthcare provider
information about your symptoms and medical history. Then, a licensed provider
will assess that information and determine the right treatment option for you.
For states that require a video or audio visit, you'll be offered available
times and dates to schedule your online visit. For states that don't, a provider
will send your treatment recommendation to your chat inbox.


If your provider determines treatment is right for you, it’s delivered in
discreet packaging to your shipping address.


WHO ARE THE PROVIDERS AT HIMS?



The pool of licensed providers we work with is made up of physicians, nurse
practitioners, psychiatrists, dermatologists, and pharmacists. They’re licensed
in all 50 states and D.C., and offer safe, high-quality, evidence-based
treatment and care.


DOES HIMS REQUIRE INSURANCE?



Nope! Hims doesn’t require insurance. We offer transparent pricing on treatments
and your medical visit, ongoing shipments, and provider messaging are all
included in one low price.


WHAT STATES IS HIMS AVAILABLE IN?



Hims is currently available in all 50 states and Washington, D.C.

Important Safety Information

ED Hard Mints with Sildenafil, Tadalafil and Vitamin B12 is a compounded product
and is not FDA-approved. FDA does not verify the safety or effectiveness of
compounded drugs.
Do not take ED Hard Mints with Sildenafil, Tadalafil and Vitamin B12 if you:
 * take any medicines called nitrates, often prescribed for chest pain, or
   guanylate cyclase stimulators like Adempas (riociguat) for pulmonary
   hypertension. Your blood pressure could drop to an unsafe level
 * use recreational drugs called “poppers” like amyl nitrate or butyl nitrate
 * are allergic to sildenafil (as contained in Viagra©), tadalafil (as contained
   in Cialis©), Vitamin B12, or any of the ingredients in ED Hard Mints.
   Inactive ingredients in the chewable tablets include: magnesium stearate,
   sucralose, anhydrous dibasic calcium phosphate, dextrose, maltodextrin, gum
   acacia, corn starch, silicon dioxide, microcrystalline cellulose, silica,
   glycerin, FD&C Yellow #5/Tartrazine, potassium sorbate, wintergreen flavor,
   and natural lemon flavor.
 * Are younger than 18 years of age

Erectile dysfunction can sometimes be the sign of an underlying health condition
such as cardiovascular disease or high cholesterol. Discuss your health with
your doctor to ensure that you are healthy enough for sex. If you experience
chest pain, dizziness, or nausea during sexual intercourse, seek immediate
medical help.
Sildenafil and Tadalafil can cause serious side effects. Rarely reported side
effects include:
 * an erection that will not go away (priapism). If you have an erection that
   lasts more than 4 hours, get medical help right away. If it is not treated
   right away, priapism can permanently damage your penis
 * sudden vision loss in one or both eyes. Sudden vision loss in one or both
   eyes can be a sign of a serious eye problem called non-arteritic anterior
   ischemic optic neuropathy (NAION). Stop taking ED Hard Mints with Sildenafil,
   Tadalafil and Vitamin B12 and call your healthcare provider right away if you
   have any sudden vision loss
 * sudden hearing decrease or hearing loss. Some people may also have ringing in
   their ears (tinnitus) or dizziness. If you have these symptoms, stop taking
   your medicine and contact a doctor right away

Before you take ED Hard Mints with Sildenafil, Tadalafil and Vitamin B12, tell
your healthcare provider if you:
 * have or have had heart problems such as a heart attack, irregular heartbeat,
   angina, chest pain, narrowing of the aortic valve, or heart failure
 * have had heart surgery within the last 6 months
 * have pulmonary hypertension
 * have had a stroke or mini stroke (TIA)
 * have low blood pressure, or high blood pressure that is not controlled
 * have a deformed penis shape
 * have had an erection that lasted for more than 4 hours
 * have problems with your blood cells such as sickle cell anemia, multiple
   myeloma, or leukemia
 * have retinitis pigmentosa, a rare genetic (runs in families) eye disease
 * have ever had severe vision loss, including an eye problem called NAION
 * have any bleeding disorders
 * have or have had stomach ulcers
 * have liver problems
 * have kidney problems or are having kidney dialysis have any other medical
   conditions

Tell your healthcare provider about all the medicines you take, including
prescription and over-the-counter medicines, vitamins, and herbal supplements.
ED Hard Mints with Sildenafil, Tadalafil and Vitamin B12 may affect the way
other medicines work, and other medicines may affect the way sildenafil works,
causing side effects. Especially tell your healthcare provider if you take any
of the following:
 * medicines called nitrates
 * medicines called guanylate cyclase stimulators such as Adempas© (riociguat)
 * medicines called alpha-blockers such as Hytrin© (terazosin HCl), Flomax©
   (tamsulosin HCl), Cardura© (doxazosin mesylate), Minipress© (prazosin HCl),
   Uroxatral© (alfuzosin HCl), Jalyn© (dutasteride and tamsulosin HCl), or
   Rapaflo© (silodosin). Alpha-blockers are sometimes prescribed for prostate
   problems or high blood pressure. In some patients, the use of Sildenafil with
   alpha-blockers can lead to a drop in blood pressure or fainting
 * medicines called HIV protease inhibitors, such as ritonavir (Norvir©),
   indinavir sulfate (Crixivan©), saquinavir (Fortovase© or Invirase©), or
   atazanavir sulfate (Reyataz©)
 * some types of oral antifungal medicines, such as ketoconazole (Nizoral©) and
   itraconazole (Sporanox©)
 * some types of antibiotics, such as clarithromycin (Biaxin©), telithromycin
   (Ketek©), or erythromycin
 * other medicines that treat high blood pressure
 * other medicines or treatments for ED

ED Hard Mints with Sildenafil, Tadalafil and Vitamin B12 should not be used with
pulmonary arterial hypertension (PAH) drugs that contain PDE5 inhibitors, such
as REVATIO© or Adcirca©, or with other ED medicines that contain PDE5
inhibitors, such as Viagra© or Cialis©.
ED Hard Mints with Sildenafil, Tadalafil and Vitamin B12 does not protect
against sexually transmitted diseases, including HIV.
The most common side effects of ED Hard Mints with Sildenafil, Tadalafil and
Vitamin B12 include all of the common side effects for sildenafil and tadalafil.
These include the following: headache; flushing; upset stomach; abnormal vision,
such as changes in color vision (such as having a blue color tinge) and blurred
vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.
ED Hard Mints with Sildenafil, Tadalafil and Vitamin B12 is a prescription
medicine used for the treatment of sexual dysfunction. ED Hard Mints with
Sildenafil, Tadalafil and Vitamin B12 is not for females or children.
If you experience signs or symptoms of an allergic reaction, stop taking ED Hard
Mints with Sildenafil, Tadalafil and Vitamin B12 and seek medical attention
immediately.


Important Safety Information

Topical finasteride + minoxidil spray is intended for use by MEN ONLY and should
NOT be used by women or children.
Read this patient information before you start using this medication and each
time you get a refill. There may be new information. This information does not
take the place of talking with your healthcare provider about your medical
condition or treatment.
Topical finasteride + minoxidil spray is a prescription medication used for the
treatment of male pattern hair loss (androgenetic alopecia). It is a treatment
alternative to oral finasteride that has been shown in research studies to be
safe and effective. Unlike oral finasteride, topical finasteride + minoxidil
spray is a compounded product and has not been approved by the FDA. It is only
available if prescribed after an online consultation with a medical provider
through the Hims platform. The use of topical finasteride to treat hair loss has
not been as comprehensively studied as oral finasteride. While research has
shown that serum DHT levels decrease while using topical finasteride, the
systemic side effects (e.g., sexual dysfunction) typically associated with oral
finasteride were not reported in the studies of topical finasteride.
Do not use other topical minoxidil products while you are using the Topical
finasteride 0.3% + minoxidil 6% spray.
Do not allow individuals who are pregnant or breastfeeding, individuals who have
the potential to become pregnant, or children handle this medication. Do not
allow any of these individuals to come into contact with the treatment site
(your scalp) after the medication has been applied. If they do, they should
immediately clean the site of contact on their skin with soap and water.
What should I tell my healthcare provider before using topical finasteride +
minoxidil?
 * If you are pregnant, planning to become pregnant, or are breastfeeding
   * Topical finasteride + minoxidil spray should not be used or handled by
     individuals who are pregnant or breastfeeding, individuals who have the
     potential to become pregnant, or individuals under the age of 18.
 * If you have any other medical conditions, including problems with your
   prostate or liver
 * If you have ever had a hypersensitivity or allergic reaction to topical
   minoxidil or topical finasteride + minoxidil
 * All of the medications that you are currently taking, including prescription
   and nonprescription medications, vitamins, and herbal supplements.
   * Know the medications you take. Keep a list of them to show your healthcare
     provider and pharmacist when you get a new medication.

Who should not use topical finasteride + minoxidil?
Do not use topical finasteride + minoxidil if you:
 * are currently taking oral finasteride for hair loss or for treatment of an
   enlarged prostate (Propecia®, Proscar®). Oral finasteride and topical
   finasteride + minoxidil spray cannot be used at the same time
 * are currently taking other medications in the same class as finasteride
   (5-alpha reductase inhibitors: dutasteride, Avodart®, Jalyn®)
 * are pregnant, trying to get pregnant, or may become pregnant due to the
   possibility of absorption of finasteride and the subsequent potential risk to
   a male fetus
 * are breastfeeding
 * are allergic to any of the ingredients of topical finasteride + minoxidil
 * have chronic liver disease
 * have a history of breast cancer
 * have a history of prostate cancer
 * are younger than 18 years of age

What are the possible side effects of topical finasteride + minoxidil spray?
The most common side effects of topical finasteride + minoxidil spray typically
occur at the site of medication application (scalp). These side effects include:
 * Itching
 * Redness
 * Irritation
 * Burning sensation
 * Contact dermatitis
 * Dry, & flaky scalp

If you develop any of the following side effects, please stop using this topical
medication and contact your healthcare provider right away:
 * Chest pain
 * Rapid heart beat
 * Faintness or dizziness
 * Sudden & unexplained weight gain
 * Swelling of hands or feet
 * Breast tenderness/enlargement
 * Unwanted facial hair growth
 * Sexual dysfunction (e.g., low libido, erectile dysfunction, decreased volume
   of ejaculate)
 * Symptoms of depression
 * No scalp hair regrowth after 6 months of use
 * Severe scalp irritation

These are not all of the possible side effects of topical finasteride +
minoxidil spray. For more information, ask your healthcare provider or
pharmacist. Call your healthcare provider for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088.
How do I use the topical finasteride + minoxidil spray?
 * Use this medication exactly as your healthcare provider tells you to use it.
 * Do not use this medication more than once a day as it will not improve
   results and can increase the risk of side effects.
 * Wash your hands with soap immediately after applying this medication to your
   scalp.

What should I do if this medication gets on my face?
There is the potential for hair growth to occur on any skin that this medication
comes into contact with after repeated use. For this reason, only apply the
topical finasteride + minoxidil spray to the scalp, and carefully blot any
excess to avoid it running onto your face. If it does get on your face, clean
off the medication with gentle soap and water.
How should I store the topical finasteride + minoxidil spray?
 * Store this medication at room temperature between 59˚F to 86˚F (15˚C to
   30˚C).
 * Keep this medication and all other medications out of the reach of children.
 * Individuals who are pregnant or breastfeeding, individuals under the age of
   18 should not handle this medication
 * Discard any unneeded medication

General information about the safe and effective use of the topical finasteride
+ minoxidil spray:
Do not use this medication for a condition for which it was not prescribed. Do
not give this medication to other people, even if they have the same symptoms
you have. It may harm them. Minoxidil is suspected to be toxic to cats and dogs.
Please do not allow cats, dogs, or other pets to ingest this medication or to
come into contact with the treatment site after the medication has been applied.
If these occur, consult your pet's veterinarian.


Important Safety Information

Do not take Escitalopram if you:
 * are allergic to Escitalopram, or any of the ingredients in Escitalopram
 * take any medicines called monoamine oxidase inhibitor (MAOI), or if you have
   stopped taking an MAOI in the last 14 days
 * also take pimozide (Orap) or citalopram (Celexa)
 * are drinking alcohol
 * are using or abusing recreation drugs or prescription medications

Escitalopram can cause serious side effects. Rarely reported side effects
include:
 * increased bleeding (gums)
 * low sodium blood levels (symptoms may include headache, weakness and
   difficulty remembering or concentrating)
 * teeth grinding
 * seizure
 * angle closure glaucoma (symptoms of angle closure glaucoma may include eye
   pain, changes in vision, swelling or redness in or around eye)
 * serotonin syndrome (symptoms may include shivering, diarrhea, confusion,
   severe muscle tightness, fever, seizures, and death)

Before you take Escitalopram, tell your healthcare provider if you:
 * have thoughts of suicide or harming yourself
 * have a history of psychiatric or medical problems, including bipolar disorder
 * have taken any medication in the past for your condition, whether effective
   or not
 * have suffered adverse or side effects from previous medication therapies
 * are receiving any non-medication treatment, such as talk therapy
 * drink alcohol or use/abuse recreational or prescription drugs
 * are pregnant, plan to become pregnant, or are breastfeeding

Tell your healthcare provider about all the medicines you take, including
prescription and over-the-counter medicines, vitamins, herbal supplements, and
recreational drugs.
Escitalopram may affect the way other medicines work, and other medicines may
affect the way Escitalopram works, causing side effects. Especially tell your
healthcare provider if you take any of the following:
 * aspirin, nonsteroidal anti-inflammatory drugs (e.g. ibuprofen, naproxen)
 * warfarin, and other anticoagulants
 * any other serotonergic medications, migraine medications (triptans), pain
   medications, antibiotic linezolid, amphetamines

During treatment with this medication, the side effects of this medication may
go away as your body adjusts to the medication. The most common side effects of
Escitalopram: headache, nausea, diarrhea, dry mouth, increased sweating, feeling
nervous, restless, fatigued, sleepy or having trouble sleeping (insomnia).
Sexual side effects, such as problems with orgasm or ejaculatory delay often do
not diminish over time.
Escitalopram is a prescription medicine used to treat major depressive disorder
(MDD) and generalized anxiety disorder (GAD). (May also be helpful when
prescribed “off-label” for obsessive compulsive disorder (OCD), panic disorder,
and premenstrual dysphoric disorder.)
If you miss a dose of Escitalopram, take it as soon as you remember, unless it
is closer to the time of your next dose. Discuss this with your healthcare
provider. Do not double your next dose or take more than what is prescribed.
Do not abruptly stop taking Escitalopram even when you feel better. Abruptly
stopping can cause withdrawal symptoms including: vomiting, irritability,
dizziness, headaches, sensation of tingling skin, or nightmares.
Sleep, energy, or appetite may show some improvement within the first 1-2 weeks.
Improvement in these physical symptoms can be an important early signal that the
medication is working. Depressed mood and lack of interest in activities may
need up to 6-8 weeks to fully improve.
Patients, their families, and caregivers should be alert to the emergence of
anxiety, restlessness, irritability, aggressiveness and insomnia. If these
symptoms emerge, they should be reported to the patient’s prescriber or
healthcare professional. All patients being treated with antidepressants for any
indication should watch for and notify their healthcare provider for worsening
symptoms, suicidality and unusual changes in behavior, especially during the
first few months of treatment.
If you no longer need your medication, the best way to dispose of most types of
old, unused, unwanted, or expired medicines (both prescription and over the
counter) is to drop off the medicine at a drug take back site, location, or
program immediately. You can use the DEA DIVERSION CONTROL DIVISION LOOKUP to
find your nearest drug disposal site.
If no drug take back sites, locations, or programs are available in your area,
and there are no specific disposal instructions (such as flushing) in the
medication guide or package insert, you can follow these simple steps to dispose
of most medicines in your trash at home:
 * Mix medicines (liquid or pills; do not crush tablets or capsules) with an
   unappealing substance such as dirt, cat litter, or used coffee grounds;
 * Place the mixture in a container such as a sealed plastic bag;
 * Throw away the container in your trash at home; and
 * Delete all personal information on the prescription label of empty medicine
   bottles or medicine packaging, then trash or recycle the empty bottle or
   packaging.



Important Safety Information

What is the most important information that I should know about the Anti-Aging
Treatment?

 * Do not use the Anti-Aging treatment if you are:
    * Pregnant, planning to become pregnant, or breastfeeding
    * Allergic to any of the ingredients:
      ▪ Tretinoin
      ▪ Niacinamide
      ▪ Azelaic Acid

    * Younger than 18 years of age

What if I am currently using a product containing a retinoid (tretinoin,
Retin-A®, Tazorac®, Differin®, or another over-the-counter retinol)?

Please stop the treatment that you are currently using and continue using the
Anti-Aging treatment in the same fashion. While using the Anti-Aging treatment,
please do not use any other treatments on your face that contain a retinoid
(including over-the-counter products)

What are the most common side effects of this medication:

You may experience side effects with this medication. These side effects are
common and typically go away with time and regular use:

 * Stinging of the skin

 * Irritation

 * Itching

 * Burning

 * Redness

 * Dryness

 * Peeling

 * Increased sensitivity to the sun

You should also avoid other products known to cause skin irritation on the area
of treatment, such as medicated or abrasive (rough) soaps, products with alcohol
or astringents, chemical hair removers, and cosmetics with a strong drying
effect. If you are having any treatments such as a facial, electrolysis, or
waxing, please inform the individual providing the service that you are using a
product with tretinoin.

What should I tell my medical provider before the Anti-Aging treatment is
prescribed?

 * If you are pregnant, planning to become pregnant, or breastfeeding

 * If you are currently using any products containing a retinoid (e.g.,
   tretinoin, Retin-A®, Tazorac®, Differin®, or another over-the-counter
   retinol)

 * If you have a hypersensitivity or allergy to tretinoin, other retinoids, or
   any component of the Anti-aging treatment

 * If you have a history of perioral dermatitis or rosacea

 * If you have a current or past history of skin cancer

 * If you are currently taking other medications that make you more sensitive to
   sunlight (e.g., tetracyclines, fluoroquinolones, sulfonamides, thiazides,
   phenothiazines)

 * If you are currently sunburned on your face

Can I use the Anti-Aging treatment more than once a day?

 * No - the treatment is meant to be applied no more than once a day in the
   evening

Will my skin be more sensitive to the sun while using the Anti-Aging treatment?

 * This treatment may make your skin more susceptible to sunburn and other
   adverse effects of the sun (this includes the use of tanning beds, artificial
   sunlamps, etc.). It is important to apply sunscreen on a daily basis with an
   SPF of at least 15 while using this treatment.

What if I get a sunburn while using the Anti-Aging treatment?

 * Stop your treatment until your skin has recovered

What type of facial cleanser should I use with the Anti-Aging treatment?

 * Use a mild, non-medicated cleanser. Abrasive, or rough soaps, may irritate
   the skin. Wait 20-30 minutes after washing your face before you apply this
   treatment.

What will happen once I stop using the Anti-Aging Treatment?

 * Once this treatment is stopped, the improvement may gradually disappear.



Important Safety Information

Do not take Escitalopram if you:
 * are allergic to Escitalopram, or any of the ingredients in Escitalopram
 * take any medicines called monoamine oxidase inhibitor (MAOI), or if you have
   stopped taking an MAOI in the last 14 days
 * also take pimozide (Orap) or citalopram (Celexa)
 * are drinking alcohol
 * are using or abusing recreation drugs or prescription medications

Escitalopram can cause serious side effects. Rarely reported side effects
include:
 * increased bleeding (gums)
 * low sodium blood levels (symptoms may include headache, weakness and
   difficulty remembering or concentrating)
 * teeth grinding
 * seizure
 * angle closure glaucoma (symptoms of angle closure glaucoma may include eye
   pain, changes in vision, swelling or redness in or around eye)
 * serotonin syndrome (symptoms may include shivering, diarrhea, confusion,
   severe muscle tightness, fever, seizures, and death)

Before you take Escitalopram, tell your healthcare provider if you:
 * have thoughts of suicide or harming yourself
 * have a history of psychiatric or medical problems, including bipolar disorder
 * have taken any medication in the past for your condition, whether effective
   or not
 * have suffered adverse or side effects from previous medication therapies
 * are receiving any non-medication treatment, such as talk therapy
 * drink alcohol or use/abuse recreational or prescription drugs
 * are pregnant, plan to become pregnant, or are breastfeeding

Tell your healthcare provider about all the medicines you take, including
prescription and over-the-counter medicines, vitamins, herbal supplements, and
recreational drugs.
Escitalopram may affect the way other medicines work, and other medicines may
affect the way Escitalopram works, causing side effects. Especially tell your
healthcare provider if you take any of the following:
 * aspirin, nonsteroidal anti-inflammatory drugs (e.g. ibuprofen, naproxen)
 * warfarin, and other anticoagulants
 * any other serotonergic medications, migraine medications (triptans), pain
   medications, antibiotic linezolid, amphetamines

During treatment with this medication, the side effects of this medication may
go away as your body adjusts to the medication. The most common side effects of
Escitalopram: headache, nausea, diarrhea, dry mouth, increased sweating, feeling
nervous, restless, fatigued, sleepy or having trouble sleeping (insomnia).
Sexual side effects, such as problems with orgasm or ejaculatory delay often do
not diminish over time.
Escitalopram is a prescription medicine used to treat major depressive disorder
(MDD) and generalized anxiety disorder (GAD). (May also be helpful when
prescribed “off-label” for obsessive compulsive disorder (OCD), panic disorder,
and premenstrual dysphoric disorder.)
If you miss a dose of Escitalopram, take it as soon as you remember, unless it
is closer to the time of your next dose. Discuss this with your healthcare
provider. Do not double your next dose or take more than what is prescribed.
Do not abruptly stop taking Escitalopram even when you feel better. Abruptly
stopping can cause withdrawal symptoms including: vomiting, irritability,
dizziness, headaches, sensation of tingling skin, or nightmares.
Sleep, energy, or appetite may show some improvement within the first 1-2 weeks.
Improvement in these physical symptoms can be an important early signal that the
medication is working. Depressed mood and lack of interest in activities may
need up to 6-8 weeks to fully improve.
Patients, their families, and caregivers should be alert to the emergence of
anxiety, restlessness, irritability, aggressiveness and insomnia. If these
symptoms emerge, they should be reported to the patient’s prescriber or
healthcare professional. All patients being treated with antidepressants for any
indication should watch for and notify their healthcare provider for worsening
symptoms, suicidality and unusual changes in behavior, especially during the
first few months of treatment.
If you no longer need your medication, the best way to dispose of most types of
old, unused, unwanted, or expired medicines (both prescription and over the
counter) is to drop off the medicine at a drug take back site, location, or
program immediately. You can use the DEA DIVERSION CONTROL DIVISION LOOKUP to
find your nearest drug disposal site.
If no drug take back sites, locations, or programs are available in your area,
and there are no specific disposal instructions (such as flushing) in the
medication guide or package insert, you can follow these simple steps to dispose
of most medicines in your trash at home:
 * Mix medicines (liquid or pills; do not crush tablets or capsules) with an
   unappealing substance such as dirt, cat litter, or used coffee grounds;
 * Place the mixture in a container such as a sealed plastic bag;
 * Throw away the container in your trash at home; and
 * Delete all personal information on the prescription label of empty medicine
   bottles or medicine packaging, then trash or recycle the empty bottle or
   packaging.



Important Safety Information

COMPOUNDED SEMAGLUTIDE is a glucagon-like peptide-1 (GLP-1) receptor agonist
indicated as an adjunct to a reduced-calorie diet and increased physical
activity for chronic weight management in adults with an initial body mass index
(BMI) of:
 * >27 kg/m2 or greater (overweight or obesity)

Limitations of Use:
 * Co-administration with other COMPOUNDED SEMAGLUTIDE-containing products or
   any GLP-1 receptor agonist is not recommended.
 * The safety and efficacy of coadministration with other products for weight
   management have not been established.
 * COMPOUNDED SEMAGLUTIDE has not been studied in patients with a history of
   pancreatitis.

IMPORTANT SAFETY INFORMATION
WARNING: RISK OF THYROID C-CELL TUMORS See full prescribing information for
complete boxed warning.
 * In rodents, SEMAGLUTIDE causes thyroid C-cell tumors in clinically relevant
   exposures. It is unknown whether SEMAGLUTIDE causes thyroid C-cell tumors,
   including medullary thyroid carcinoma (MTC), in humans as the human relevance
   of SEMAGLUTIDE-induced rodent thyroid C-cell tumors has not been determined
 * SEMAGLUTIDE is contraindicated in patients with a personal or family history
   of MTC or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN
   2). Counsel patients regarding the potential risk of MTC and symptoms of
   thyroid tumors.

Do not take COMPOUNDED SEMAGLUTIDE if you:
 * Have a personal or family history of medullary thyroid carcinoma (MTC) or in
   patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN2).
 * Have been diagnosed with Diabetes (Type 1 or 2)
 * Have been diagnosed with pancreatitis or history of pancreatitis
 * Have a diagnosis or history of gastroparesis - severe problems with your
   stomach, such as slowed emptying of your stomach (gastroparesis) or problems
   with digesting food
 * Have a known allergy to semaglutide/any other GLP-1 drug or any of the
   inactive ingredients in COMPOUNDED SEMAGLUTIDE. Inactive ingredients include:
   di-sodium hydrogen phosphate dihydrate, sodium chloride, benzyl alcohol,
   hydrochloric acid, sodium hydroxide pellets and water.
 * Have a history of suicidal attempts or active suicidal ideation

WARNINGS AND PRECAUTIONS
 * Acute Pancreatitis: Has occurred in clinical trials. Discontinue promptly if
   pancreatitis is suspected. Do not restart if pancreatitis is confirmed.
 * Acute Gallbladder Disease: Has occurred in clinical trials. If cholelithiasis
   is suspected, gallbladder studies and clinical follow-up are indicated.
 * Gastroparesis: Uncommon, but more serious, gastrointestinal adverse effect
   may also occur more frequently with GLP-1 receptor agonists than with other
   weight loss agents.
 * Hypoglycemia: Concomitant use with an insulin secretagogue or insulin may
   increase the risk of hypoglycemia, including severe hypoglycemia. Reducing
   the dose of insulin secretagogue or insulin may be necessary. Inform all
   patients of the risk of hypoglycemia and educate them on the signs and
   symptoms of hypoglycemia.
 * Acute Kidney Injury: Has occurred. Monitor renal function when initiating or
   escalating doses of COMPOUNDED SEMAGLUTIDE in patients reporting severe
   adverse gastrointestinal reactions or in those with renal impairment
   reporting severe adverse gastrointestinal reactions.
 * Hypersensitivity Reactions: Anaphylactic reactions and angioedema have been
   reported postmarketing. Discontinue COMPOUNDED SEMAGLUTIDE if suspected and
   promptly seek medical advice.
 * Females and males of reproductive potential: Discontinue COMPOUNDED
   SEMAGLUTIDE at least 2 months before a planned pregnancy because of the long
   half-life of COMPOUNDED SEMAGLUTIDE.
 * Pregnancy: May cause fetal harm. When pregnancy is recognized, discontinue
   COMPOUNDED SEMAGLUTIDE immediately
 * Diabetic Retinopathy Complications in Patients with Type 2 Diabetes: Has been
   reported in trials with COMPOUNDED SEMAGLUTIDE. Patients with a history of
   diabetic retinopathy should be monitored. Diabetic retinopathy damages blood
   vessels in the retina and can scar your retina. As the scars get bigger, they
   can pull on your retina and detach it from the back of your eye, a serious
   condition called retinal detachment.
 * Heart Rate Increase: Monitor heart rate at regular intervals.
 * Suicidal Behavior and Ideation: Monitor for depression or suicidal thoughts.
   Discontinue COMPOUNDED SEMAGLUTIDE if symptoms develop.
 * A recent study suggested there may be a connection between semaglutide use
   and increased risk for a blinding eye disease called non-arteritic anterior
   ischemic optic neuropathy (NAION). There isn't enough data yet to suggest
   patients should be concerned or should stop taking their medications. People
   who have diabetes are already at risk for NAION, whether they use semaglutide
   or not. It is premature to conclude that the association is a causal
   association. More research is necessary to test the hypothesis. Until then,
   patients should be aware of this information and make a careful, informed
   choice based on their individual risk profile.

Side Effects Most common side effects (incidence ≥ 5%) in adults or pediatric
patients aged 12 years and older are: nausea, diarrhea, vomiting, constipation,
abdominal pain, headache, fatigue, dyspepsia, dizziness, abdominal distension,
eructation, hypoglycemia in patients with type 2 diabetes, flatulence,
gastroenteritis, gastroesophageal reflux disease, and nasopharyngitis.
To report SUSPECTED ADVERSE REACTIONS, contact the FDA at 1-800-FDA-1088 or
www.fda.gov/medwatch
DRUG INTERACTIONS COMPOUNDED SEMAGLUTIDE delays gastric emptying. May impact
absorption of concomitantly administered oral medications. Use with caution.
USE IN SPECIFIC POPULATIONS
 * Pregnancy: May cause fetal harm. When pregnancy is recognized, discontinue
   COMPOUNDED SEMAGLUTIDE.
 * Females and Males of Reproductive Potential: Discontinue COMPOUNDED
   SEMAGLUTIDE at least 2 months before a planned pregnancy because of the long
   half-life of COMPOUNDED SEMAGLUTIDE.



Important Safety Information

Tadalafil Hard Mints is a compounded product and is not FDA-approved. FDA does
not verify the safety or effectiveness of compounded drugs.
Do not take Tadalafil Hard Mints if you:
 * take any medicines called nitrates, often prescribed for chest pain, or
   guanylate cyclase stimulators like Adempas© (riociguat) for pulmonary
   hypertension. Your blood pressure could drop to an unsafe level
 * are allergic to tadalafil or any of the ingredients in Tadalafil Hard Mints.
   Inactive ingredients in the chewable tablets include: magnesium stearate,
   dextrose, citric acid, sucralose, wintergreen, microcrystalline cellulose,
   wintergreen flecks, bitterness masking powder
 * are younger than 18 years of age

Discuss your health with your doctor to ensure that you are healthy enough for
sex. If you experience chest pain, dizziness, or nausea during sexual
intercourse, seek immediate medical help.
Tadalafil can cause serious side effects. Rarely reported side effects include:
 * an erection that will not go away (priapism). If you have an erection that
   lasts more than 4 hours, get medical help right away. If it is not treated
   right away, priapism can permanently damage your penis
 * sudden vision loss in one or both eyes. Sudden vision loss in one or both
   eyes can be a sign of a serious eye problem called non-arteritic anterior
   ischemic optic neuropathy (NAION). Stop taking Tadalafil Hard Mints and call
   your healthcare provider right away if you have any sudden vision loss
 * sudden hearing decrease or hearing loss. Some people may also have ringing in
   their ears (tinnitus) or dizziness. If you have these symptoms, stop taking
   Tadalafil Hard Mints and contact a doctor right away

Before you take TadalafiL Hard Mints, tell your healthcare provider if you:
 * have or have had heart problems such as a heart attack, irregular heartbeat,
   angina, chest pain, narrowing of the aortic valve, or heart failure
 * have had heart surgery within the last 6 months
 * have pulmonary hypertension
 * have had a stroke
 * have low blood pressure, or high blood pressure that is not controlled
 * have a deformed penis shape
 * have had an erection that lasted for more than 4 hours
 * have problems with your blood cells such as sickle cell anemia, multiple
   myeloma, or leukemia
 * have retinitis pigmentosa, a rare genetic (runs in families) eye disease
 * have ever had severe vision loss, including an eye problem called NAION
 * have bleeding problems
 * have or have had stomach ulcers
 * have liver problems
 * have kidney problems or having kidney dialysis
 * have any other medical conditions

Tadalafil Hard Mints can cause small declines in your blood pressure that may
cause dizziness, lightheadedness or even fainting in people sensitive to blood
pressure changes. Be sure that you are well-hydrated and in a safe, controlled
environment the first time that you take Tadalafil Hard Mints.
Tell your healthcare provider about all the medicines you take, including
prescription and over-the-counter medicines, vitamins, and herbal supplements.
Tadalafil may affect the way other medicines work, and other medicines may
affect the way tadalafil works, causing side effects. Especially tell your
healthcare provider if you take any of the following:
 * medicines called nitrates
 * medicines called guanylate cyclase stimulators such as Adempas (riociguat)
 * medicines called alpha-blockers such as Hytrin© (terazosin HCl), Flomax©
   (tamsulosin HCl), Cardura© (doxazosin mesylate), Minipress© (prazosin HCl),
   Uroxatral© (alfuzosin HCl), Jalyn© (dutasteride and tamsulosin HCl), or
   Rapaflo© (silodosin). Alpha-blockers are sometimes prescribed for prostate
   problems or high blood pressure. In some patients, the use of tadalafil with
   alpha-blockers can lead to a drop in blood pressure or to fainting
 * medicines called HIV protease inhibitors, such as ritonavir (Norvir©),
   indinavir sulfate (Crixivan©), saquinavir (Fortovase© or Invirase©), or
   atazanavir sulfate (Reyataz©)
 * some types of oral antifungal medicines, such as ketoconazole (Nizoral©) and
   itraconazole (Sporanox©)
 * some types of antibiotics, such as clarithromycin (Biaxin®, telithromycin
   (Ketek®), or erythromycin
 * other medicines that treat high blood pressure
 * other medicines or treatments for ED

Tadalafil Hard Mints should not be used with REVATIO© or with other PAH
treatments containing PDE5 inhibitors.
Tadalafil Hard Mints do not protect against sexually transmitted diseases,
including HIV.
The most common side effects of Tadalafil Hard Mints include all of the common
side effects for tadalafil. These include the following: headache; flushing;
upset stomach; abnormal vision, such as changes in color vision (such as having
a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle
pain; nausea; dizziness; rash.
Uncommon adverse events (<2%) have been reported in controlled clinical trials
of tadalafil for once daily use or use as needed. A causal relationship of these
events to tadalafil use is uncertain. Body as a whole — asthenia, face edema,
fatigue, pain Cardiovascular — angina pectoris, chest pain, hypotension,
myocardial infarction, postural hypotension, palpitations, syncope, tachycardia
Digestive — abnormal liver function tests, dry mouth, dysphagia, esophagitis,
gastritis, GGTP increased, loose stools, nausea, upper abdominal pain, vomiting
Musculoskeletal — arthralgia, neck pain Nervous — dizziness, hypesthesia,
insomnia, paresthesia, somnolence, vertigo Respiratory — dyspnea, epistaxis,
pharyngitis Skin and Appendages — pruritus, rash, sweating Ophthalmologic —
blurred vision, changes in color vision, conjunctivitis (including conjunctival
hyperemia), eye pain, lacrimation increase, swelling of eyelids Otologic —
sudden decrease or loss of hearing, tinnitus Urogenital — erection increased,
spontaneous penile erection
Tadalafil Hard Mints is a prescription medicine used for the treatment of
erectile dysfunction (ED). Tadalafil Hard Mints is not for females or children.


Important Safety Information

This prescription is for use by MEN only and should NOT be used by women or
children.
Read this patient information before you start taking Finasteride & Minoxidil +
Hair Vitamins and each time you get a refill. There may be new information. This
information does not take the place of talking with your healthcare provider
about your medical condition or treatment.
What is finasteride and minoxidil?
Finasteride and minoxidil are prescription medicines used for the treatment of
male pattern hair loss (androgenetic alopecia):
Who should not take finasteride & minoxidil?
Finasteride is not for use by women and children and should not be handled by
women or children.
Do not take finasteride & minoxidil if you:
 * Are pregnant or may become pregnant. Finasteride may harm your unborn baby.
 * Females who are pregnant or who may become pregnant should not come in
   contact with finasteride & minoxidil compounded tablets.
 * If a pregnant woman comes in contact with finasteride & minoxidil compounded
   tablets, wash the contact area right away with soap and water. If a woman who
   is pregnant comes into contact with finasteride, a healthcare provider should
   be consulted. If a woman who is pregnant with a male baby swallows or comes
   in contact with finasteride, the baby may be born with sex organs that are
   not normal.

If any of the following apply to you, please speak with a healthcare provider in
person about seeking treatment for your male pattern hair loss:
 * Younger than 18 years of age
 * Have heart, kidney or liver disease
 * Have pheochromocytoma
 * Have active depression or anxiety
 * Have prostate problems
 * Have recently treated cancer
 * Are allergic to any of the following ingredients: oral minoxidil, biotin,
   vitamin B5, vitamin B6, or vitamin C

What should I tell my healthcare provider before taking finasteride and
minoxidil?
Before taking finasteride and minoxidil, tell your healthcare provider if you:
 * have any other medical conditions, including problems with your heart,
   kidney, prostate or liver.

Tell your healthcare provider about all the medicines you take, including
prescription and nonprescription medicines, vitamins, and herbal supplements.
Know the medications you take. Keep a list of them to show your healthcare
provider and pharmacist when you get a new medication.
How should I take Finasteride & Minoxidil + Hair Vitamins?
 * Take this medication exactly as your healthcare provider tells you to take
   it.
 * You may take it with or without food.
 * If you forget to take a dose, do not take an extra tablet. Just take the next
   tablet as usual.

This medication will not work faster or better if you take it more than once a
day.
Oral minoxidil can cause early hair shedding as beneficial hair cycling is
triggered. This is an expected side effect that will improve with continued
medication use.
What are the most common side effects of minoxidil?
 * Hypertrichosis, or increased hair growth on the face or body
 * Lightheadedness
 * Palpitations or tachycardia
 * Headaches
 * Leg swelling or fluid retention (edema)
 * Swelling around the eyes
 * Insomnia
 * Nausea
 * Rash

What are the most common side effects of finasteride?
 * Breast tenderness or enlargement of the breasts (reported in less than 1% of
   patients; typically resolves after the medication is stopped)
 * Sexual dysfunction

In clinical trials, 1.2%-1.4% of patients taking finasteride experienced sexual
dysfunction side effects including decreased libido, erectile dysfunction or a
decrease in the volume of ejaculation vs. 1% of those taking placebo:
 * Decreased libido 1.8%
 * Erectile dysfunction 1.3%
 * Decreased volume of ejaculate 1.2%

Several studies have documented the majority of these side effects are
reversible. However, 1.4% of the patients who experience side effects may
continue to have symptoms following discontinuation of Finasteride. Of
particular note there has been an association of the sexual dysfunction symptoms
and the use of NSAIDS (Motrin, Advil, Aleve type medications.) For this reason
Finasteride should be stopped for the period of time when you take NSAIDS.
Does finasteride cause depression?
A literature review shows there may be evidence of increased depressive symptoms
in individuals younger than age 45 while using Finasteride for hair loss.
Patients with new or worsening depression should stop Finasteride use and follow
up with their health care provider or a mental health therapist. SOURCE:
MEDPAGETODAY.ORG
Does finasteride cause prostate cancer or prostate enlargement (BPH)?
There have been reports of a slight increased risk (1.8% with 5mg finasteride
dosage versus 1.0% placebo) of high grade prostate cancer for men over age 55
years old. These reports are from men taking a higher dosage of finasteride
(5mg) than the dosage we prescribe for hair loss (1mg). There have been
conflicting studies on the increased risk in the number of high grade prostate
cancers; however, several recent studies have shown no increase in the number of
deaths (with a recent study showing fewer deaths) in patients who use
finasteride at the 1mg dosage.
Does finasteride change blood Prostate Specific Antigen (PSA) levels?
Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for
the screening of prostate cancer. If you have a PSA test done you should tell
your healthcare provider that you are taking finasteride because finasteride
decreases PSA
The following have been reported in general use with finasteride:
 * breast tenderness and enlargement. Tell your healthcare provider about any
   changes in your breasts such as lumps, pain or nipple discharge.
 * decrease in sex drive that continued after stopping the medication. allergic
   reactions including rash, itching, hives and swelling of the - - - lips,
   tongue, throat, and face.
 * problems with ejaculation that continued after stopping medication.
 * testicular pain.
 * difficulty in achieving an erection that continued after stopping the
   medication.
 * male infertility and/or poor quality of semen.
 * in rare cases, male breast cancer.

Tell your healthcare provider if you have any side effects that bother you or
that do not go away.
Seek emergency medical care if you experience any of these side effects:
 * New or worsening chest pain
 * Shortness of breath
 * Sudden swelling of the lips, tongue, throat, and face
 * Sudden changes to your vision or hearing
 * Very severe heartburn

The above symptoms may be signs of a more serious reaction.
These are not all of the possible side effects of finasteride and minoxidil. For
more information, ask your healthcare provider or pharmacist. Contact your
healthcare provider for medical advice about side effects. You can message a
healthcare provider through your Hers account if you have any questions about
your treatment, including any side effects you may be experiencing. You may
report side effects to the FDA by calling 1-800-FDA-1088 or visiting
HTTP://WWW.FDA.GOV/MEDWATCH.
How should I store Finasteride & Minoxidil + Hair Vitamins?
 * Store at room temperature between 59˚F to 86˚F (15˚C to 30˚C).
 * Keep the medication in a closed container and keep tablets dry (protect from
   moisture). Keep this medication out of the reach of children.

General information about the safe and effective use of Finasteride & Minoxidil
+ Hair Vitamins.
Medicines are sometimes prescribed for purposes other than those listed in this
Patient Information. Do not use Finasteride for a condition for which it was not
prescribed. Do not give Finasteride to other people, even if they have the same
symptoms you have. It may harm them.


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