Important Safety Information

This page provides a summary of important safety information for the medications offered by PharmAssist. This information is not a substitute for a thorough consultation with a qualified healthcare provider. Your safety is our top priority, and a provider will conduct a comprehensive review of your medical history before prescribing any medication. Please read the following information carefully.

Medical Weight Loss Therapies

Zepbound® (tirzepatide) & Wegovy® (semaglutide)

These are FDA-approved injectable prescription medications for weight management.

  • Serious Warnings: Zepbound®, Wegovy®, and other GLP-1 medications have a potential risk of thyroid C-cell tumors. Do not use these medications if you or your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC), or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
  • Common Side Effects may include nausea, diarrhea, vomiting, constipation, indigestion, and stomach pain.

Compounded GLP-1 (Liraglutide)

This is a compounded medication prepared by a state-licensed sterile compounding pharmacy. Compounded drugs are not FDA-approved, and the FDA does not verify their safety or effectiveness.

  • Common Side Effects are similar to other GLP-1 medications and may include nausea, diarrhea, vomiting, constipation, indigestion, and stomach pain.

Contrave® (naltrexone / bupropion)

Contrave® is an FDA-approved, non-stimulant oral medication for weight management.

  • BOXED WARNING: SUICIDAL THOUGHTS AND BEHAVIORS. Contrave® contains bupropion, an antidepressant that can increase the risk of suicidal thoughts and behaviors in young adults.
  • Serious Warnings: Do not take Contrave® if you are taking opioid medications, as it can cause serious opioid withdrawal. Do not take if you have a seizure disorder or uncontrolled high blood pressure.
  • Common Side Effects may include nausea, constipation, headache, and vomiting.

Phentermine

Phentermine is an FDA-approved oral medication for short-term weight management.

  • Important Considerations: Phentermine is a DEA Schedule IV controlled substance due to its potential for dependence. It is not suitable for individuals with a history of cardiovascular disease, uncontrolled high blood pressure, or glaucoma. Prescriptions are issued strictly at provider discretion following a formal medical evaluation.
  • Common Side Effects may include increased heart rate, elevated blood pressure, and insomnia.

Hormone Replacement Therapies

Testosterone Replacement Therapy (TRT)

Testosterone is a controlled substance prescribed only when there is a clinical need based on your symptoms and lab work.

  • Important Considerations: TRT is not suitable for individuals with a history of prostate or breast cancer and can impact fertility. Your provider will monitor your lab values to ensure safety.
  • Common Side Effects may include acne, fluid retention, and mood swings.

Women’s Hormone Replacement Therapy (HRT)

HRT involves a careful consideration of benefits and risks based on your personal medical history.

  • Important Considerations: HRT is not suitable for individuals with a history of certain cancers (like breast cancer), blood clots, stroke, or heart disease.
  • Common Side Effects may include bloating, breast tenderness, and headaches.

Peptide, Longevity & Specialty Therapies

Peptide Therapy

This is a compounded medication that is not FDA-approved. It is prescribed for injury repair and athletic recovery.

  • Common Side Effects are generally mild but can include injection site reactions (such as pain or redness), headache, or dizziness.

Sermorelin

This is a compounded peptide that encourages your body’s own production of growth hormone. It is not FDA-approved.

  • Common Side Effects may include injection site reactions, headache, or flushing.

NAD+ Therapy

This is a compounded coenzyme therapy that is not FDA-approved.

  • Common Side Effects may include flushing, headache, or shortness of breath.

Low Dose Naltrexone (LDN)

This is a compounded medication that is not FDA-approved.

  • CRITICAL WARNING: Do not take Low Dose Naltrexone (LDN) if you are taking opioid medications, as it can cause sudden and severe opioid withdrawal.
  • Common Side Effects may include vivid dreams or mild headaches, which often subside.

PT-141 (Bremelanotide)

This is a compounded peptide for sexual health that is not FDA-approved.

  • Common Side Effects may include flushing, nausea, and headache.

Oxytocin Nasal Spray

This is a compounded product that is not FDA-approved.

  • Common Side Effects are generally well-tolerated and may include mild nasal irritation.

Sexual Arousal Cream (“Scream Cream”)

This is a compounded topical cream and is not FDA-approved.

  • Common Side Effects are localized to the application area and may include sensitivity, irritation, or redness.

* This is not a complete list of all possible side effects or risks. A consultation with your provider is required to determine if any of these treatments are appropriate and safe for you.