Safety

Important Safety Information

This is not a complete list of risks. Talk to your provider or pharmacist about your health history and any questions.

GLP-1 medications (semaglutide, tirzepatide)

Do not use if you or a family member has had medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). In animal studies these medicines caused thyroid C-cell tumors; it is not known whether they cause these tumors in people.
Do not use if you are pregnant, planning to become pregnant, or breastfeeding, or if you have had a serious allergic reaction to any ingredient.
Serious side effects may include pancreatitis, gallbladder problems, low blood sugar (especially with insulin or sulfonylureas), kidney problems, serious allergic reactions, diabetic retinopathy changes, and increased heart rate.
Common side effects include nausea, vomiting, diarrhea, constipation, stomach pain, and decreased appetite.
Compounded semaglutide and tirzepatide are not FDA-approved and are not the same as Ozempic®, Wegovy®, Mounjaro®, or Zepbound®.

Men's sexual health medications (sildenafil, tadalafil, vardenafil and combinations)

Do not use if you take nitrates (such as nitroglycerin) or guanylate cyclase stimulators (such as riociguat). Combining them can cause a sudden, dangerous drop in blood pressure.
Tell your provider about heart problems, low or high blood pressure, stroke, liver or kidney problems, and all medicines you take, including alpha-blockers.
Seek emergency care for an erection lasting more than 4 hours, sudden vision or hearing loss, or chest pain.
Common side effects include headache, flushing, upset stomach, nasal congestion, back pain, and dizziness.
Combination and rapid-dissolve products are compounded medications that are not FDA-approved.

You are encouraged to report negative side effects of prescription drugs to the FDA at www.fda.gov/medwatch or 1-800-FDA-1088. If you are having a medical emergency, call 911.