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This treatment plan contains information regarding the medication that was prescribed to you including but not limited to: ingredient information, interactions, side effects, how to take the medication, how to store the medication, and other important information you should know prior to starting the medication.

Is it safe to use prior to oral sex? No, Sildenafil is a prescription medication and should not be ingested orally. However, once the medication has taken effect, it may be cleaned off with a body wipe to proceed with oral sex.

Is OMG! Cream sticky & is it scented? OMG! Cream is a light topical lotion, that is not sticky or heavy in feel. The cream has a "minty" scent.

How often can OMG! Cream be used? It is not recommended for use more than 4 times in 24 hours.

Compounding information

These are not mass-produced, off-the-shelf medications. 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. Wash hands thoroughly after applying.

Instructions

You have stated that you wish to use topical medication to 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).

Active Ingredients

This medicine contains the following active ingredients. If you are allergic to any of these components, similar components, or any of the others components listed in the manufacturer's pamphlet do not take it and call or message us immediately.

• Sildenafil Citrate: Sildenafil Citrate is a phosphodiesterase 5 inhibitor, an enzyme that promotes breakdown of cGMP, which regulates blood flow.
• Pentoxifylline: Pentoxifylline increases red blood cell flexibility and improves the flow of blood through blood vessels.
• Ergoloid Mesylate: Ergoloid Mesylate is used to increase blood flow.
  
  

Allergies

This medication may cause an allergic reaction if you are allergic to similar medications or components. If you are allergic to any of the following, please stop the medicine, reach out to us and see a doctor:

• Sildenafil Citrate
• Pentoxifylline
• Ergoloid Mesylate
  
  

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.

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
  
  

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, give us a call or 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.

Storage

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

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.

Additional information

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

Disclaimer

This message and its contents may contain private and confidential information that is intended for the individual or entity to which it is addressed. This message may contain information that is exempt from disclosure under laws including but not limited to the health insurance portability and accountability act (HIPAA). Unless explicitly stated, you are strictly prohibited from disseminating, copying, or distributing any material contained within. violators will be prosecuted to the fullest extent of the law. If you received this communication in error, please notify us immediately.