OMG! Cream (Sildenafil 1%) and (Sildenafil 3%) Extra Strength

This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer's pamphlet that comes with the medicine. The manufacturer's pamphlet contains full information on potential medication interactions, side effects, and other important information you should know about the medicine before you start. This is not a mass-produced, off-the-shelf medication. This is a custom formula recommended by your doctor. These drugs have been specially compounded and individualized for you. To get the most out of your medication, follow your prescriber’s recommendation for use.

Instructions

You have stated that you wish to obtain treatment with topical OMG! Cream (Sildenafil 1%) or OMG! Cream Extra Strength (Sildenafil 3%) to help enhance sensitivity during sexual activity. Apply directly to the clitoral and vaginal areas 30 minutes prior to anticipated sexual activity and gently massage in.

Refills

[Subscription customers only] You will automatically be sent a refill every 90 days (subject to a refill visit to help screen for side effects). However, you may request a refill early by logging into your Account (Subscriptions > Next Refill).

Allergies

This medicine, like all medications, may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please do not take the medicine and call or message us or see your doctor in person.

• Sildenafil Citrate
• Pentoxifylline
• Ergoloid Mesylate
  
  

Conditions

If you have or develop any one of these conditions, please stop taking this medicine and call or message us immediately. This list may not be all inclusive.

• Retinitis pigmentosa
• Cerebral/retinal hemorrhage
• Peripheral vascular disease
• Coronary heart disease
• Uncontrolled hypertension
• Severe liver or kidney impairment
  

Pregnancy and Breastfeeding

This compounded medication contains pentoxifylline, which is a Category C and is not recommended for patients who are pregnant or breastfeeding. Users who are planning to get pregnant, are pregnant or breastfeeding should discuss options with their physician.

Medicines, Supplements, and Foods

We have evaluated the specific health information you provided us, however if you are taking any of the medicines, foods, or supplements listed below, message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan. Please ensure your chart is up to date with your current medications, allergies, and medical conditions so your provider can safely treat you as this list may not be all inclusive.

• Nitrates (including nitroglycerin and other nitric oxides)
• Guanylate cyclase stimulators (e.g. riociguat)
• Alpha blockers, beta-blockers and antihypertensives
• CYP3A4 inhibitors (e.g., ritonavir, ketoconazole, erythromycin)
• Ergot-type medications or 5-HT1 agonists (e.g., triptans like sumatriptan) concomitant use within 24 hours
• Nicotine
  

Emergency Side Effects

You may experience side effects with these medications. These side effects are common and may go away with time and daily use. Itching, redness, scaling, and dryness can be managed with the frequent use of a moisturizer.

• Itching
• Redness
• Dryness
• Headaches
  
  

Risks

This topical cream combines sildenafil, pentoxifylline, and ergoloid to help improve local blood flow, but it can cause redness, burning, or irritation where applied, and sometimes headaches, flushing, dizziness, or stomach upset if absorbed into the bloodstream. Rarely, it may affect mood or thinking, increase bleeding risk, or cause changes in circulation. Use only as prescribed, avoid applying on broken skin, and wash hands after use. Do not combine with nitroglycerin or certain blood pressure medicines without medical approval, and contact your doctor if you experience severe skin reactions, fainting, unusual bleeding, or sudden changes in mood or circulation.

Accurate Information

We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide 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 clarify or update any information about your health, you can message or call us anytime.

Treatment Failure

This treatment is not 100% effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, message us anytime. If it is an emergency, call 911 or seek immediate medical help in person. You may need to seek alternative treatment such as those listed below or in the follow-up plan.

Misdiagnosis or Delayed Diagnosis

There is also a risk that we will misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in person as well but they have additional signs or symptoms to aid their evaluations. We use evidence-based practice and guidelines as well as clinical decision support to try to minimize these risks.

Accepting or Declining Our Recommendation

We are recommending this treatment for you because the potential benefits outweigh the risks, in our estimation. You should evaluate this information and any input from your in-person healthcare team, and any other relevant information to decide if this medication is appropriate for you. You are free to not follow our recommendations; although, there may also be risks associated with no treatment or self-treatment without medical provider supervision.

Share with Your In-Person Healthcare Team

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medication you are taking or other changes to your health. You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.

Storage

• Store in a cool, dry place away from light.
• Keep all medication in a safe place away from children and pets.
  

Additional information

Do not use this medication past the use-by date provided on the label.