Whole Body Deodorant and Antiperspirant

Introduction

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.

Instructions

You have stated that you wish to obtain treatment for prescription whole body deodorant. You are to apply topically to affected areas once daily and use as directed and should avoid contact with broken skin or mucous membranes.

Metronidazole 2%|Glycopyrrolate 0.5%|Coconut oil 5%

Application guidelines: Apply evenly across the desired skin sites to ensure full coverage, taking care to avoid clothing stains by allowing the product to dry completely before dressing. Discontinue use if skin irritation occurs. This deodorant is not a substitute for good hygiene practices, so maintain regular cleansing routines. Appropriate application sites include:

• Underarms
• Neck
• Groin
• Lower back
• Thighs
• Palms
• Feet
• Underneath your breasts

Topical Glycopyrrolate works by blocking receptors in the eccrine sweat glands to reduce sweating. (1)

Common bacteria that thrive in the underarms are typically anaerobic and can produce a foul odor (1). Metronidazole is an antibiotic effective against anaerobic bacteria (2).

Metronidazole increases sun sensitivity, apply sunscreen to sun-exposed areas to protect the skin.

Coconut oil contains lauric acid, a fatty acid with antibacterial, antifungal, and antiviral properties (1).

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.

• Metronidazole
• Parabens
• Glycopyrrolate
• Coconut oil
  
  

Conditions

We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop one of these conditions, please stop taking this medicine and call or message us immediately. This list may not be all inclusive.

• Liver disease
• Blood disorders
• Narrow Angle Glaucoma
• Paralytic ileus
• Acute hemorrhage
• Ulcerative colitis
• Toxic megacolon
• Myasthenia Gravis
• Sjogren disease
• Enlarged Prostate
• Bladder neck obstruction
• Previous bowel obstruction
• Thyrotoxicosis
• Cardiac arrythmias
  
  

Pregnancy and Breastfeeding

Pharmacokinetic studies with topical glycopyrrolate have not been conducted in pregnant patients. We do NOT recommend use of this product in pregnant patients.

No information is available on the use of glycopyrrolate during breastfeeding. We do NOT recommend use with breastfeeding. (2)

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 call or 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.

• Disulfiram
• Lopinavir
• Tipranavir
• Pyridostigmine
• Neostigmine
• Clozapine
• Olanzapine
• Bronchodilators for asthma
• Potassium Chloride
• Tricyclic Antidepressants: Amitriptyline, Nortriptyline
• Opioids: Morphine, Oxycodone
• Sedatives and CNS Depressants: Benzodiazepines and alcohol use
• Antiepileptic medications: Tegretol, Dilantin, Phenobarbitol
• Anticholinergic medications: Atropine, Scopolamine, Ipatropium
• Glaucoma medications: Pilocarpine, Prostaglandin analogs
  
  

Emergency Side Effects

This medicine can cause dangerous and potentially life-threatening side effects. If any of the emergency side effects listed in the manufacturer’s pamphlet or those below happen to you please stop taking the medicine and call 911 or seek immediate medical help in person.

• Sudden onset of chest pain
• Shortness of breath
• Difficulty or painful swallowing
• Severe skin rash and/or itching
• Facial or throat swelling
• Blurred vision
• Severe bloody diarrhea
• Seizures
• Heat illness
• Unable to urinate
  
  

Other Side Effects

This medicine can also cause other side effects including (this list is not all inclusive):

• Headache
• Skin irritation, dryness, and redness
• Metallic taste
• Tingling of the extremities
• Nausea
• Tearing of the eyes or eye irritation
• Acne
• Dry mouth, skin, eyes, nose, or throat
• Constipation
• Urinary hesitancy
• Worsening Tardive dyskinesia
  
  

Risks

Accurate Information

We have evaluated your health history and your specific health information you provided and determined it is safe to proceed with this treatment at this time. If your health history changes including diagnoses or medications please message or call us before you take the medicine to ensure it's safe to proceed. Some medications and conditions can cause dangerous interactions with the medicine we are prescribing and we will help you evaluate that risk and decide on an appropriate treatment plan.

Treatment Failure

This treatment is not guaranteed to be 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

Through telehealth, there is also a risk that we 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 may have additional resources to aid their evaluation. We use evidence-based practice and guidelines as well as clinical decision-making to minimize these risks.

Accepting or Declining Our Recommendation

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide. Message us or talk to your doctor in person to discuss alternative treatments.

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 medicines you are taking or other changes in 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.

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