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Important Safety Information

Custom Compounded Rx Skincare

Prescription Compounded Topical

Your Custom Rx Skincare formula is a clinician-prescribed compounded cream personalized to your specific skin concerns by a licensed provider and compounded in a licensed pharmacy. Active ingredients may include combinations of tretinoin, azelaic acid, niacinamide, tranexamic acid, clindamycin, and other prescription actives.

Emergency: If you experience chest pain, severe shortness of breath, a prolonged painful erection (over 4 hours), or sudden vision/hearing loss — call 911 or go to your nearest emergency room immediately.

Who Should Not Use Custom Compounded Rx Skincare

  • Pregnant or breastfeeding individuals without explicit provider approval (particularly if contains tretinoin)
  • Active skin infection or eczema without provider clearance
  • Children under 18 without specific provider guidance

Warnings & Precautions

Sun Sensitivity

Prescription retinoids and azelaic acid increase sun sensitivity. Use SPF 30+ daily and avoid prolonged sun exposure.

Tretinoin & Pregnancy

Topical retinoids are contraindicated in pregnancy and breastfeeding. Use reliable contraception if tretinoin is in your formula.

Initial Purging

A temporary "purging" phase with increased breakouts may occur in the first 2–6 weeks — this is normal and usually resolves.

Avoid Eye Area

Keep away from eyes, lips, and nostrils unless specifically directed otherwise by your provider.

Common Side Effects

This is not a complete list. Contact your provider if you experience any concerning symptoms.

  • Redness, peeling, or dryness (especially initially)
  • Increased sun sensitivity
  • Temporary breakout purging
  • Skin irritation or stinging (usually temporary)

Drug Interactions

Always inform your provider of all medications, supplements, and substances you are currently taking.

  • Other prescription topical medications in the same area
  • Benzoyl peroxide (may inactivate retinoids if used simultaneously)
  • Waxing or depilatory creams (avoid treated areas)

When to Contact Your Provider

  • Severe burning, blistering, or peeling
  • Signs of allergic reaction
  • Significant worsening of skin condition after 8 weeks
  • Any rash that spreads beyond the application area

This safety information is provided for general educational purposes only and does not constitute medical advice. It is not a substitute for the full prescribing information, package insert, or guidance from your licensed healthcare provider. Individual responses to medications and supplements vary. MEDVera providers review your complete health profile before recommending or prescribing any treatment.

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