Provided by Bailey Health

Terms & Conditions

Melasma

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 use the medication, how to store the medication and other important information you should know prior to starting treatment.

It is important to wear sunscreen (at least SPF 30) when exposed to constant sunlight. This medication may increase the risk of sunburn and UV skin damage.

Compounding information

These are not mass produced, off the shelf medications. This is a personalized formula prescribed by your medical provider. These drugs have been specially compounded and individualized for you in accordance with the FDA 503(a) regulations.

Use of compounded medication

These topical medications were designed to be used on the affected areas of the face. To get most of the medication apply as directed by your medical provider. Wash your hands with each application. Apply to a clean and dry face. Do not use in combination with other topical medications without notifying your provider or pharmacist. Do not apply to eyes or swallow medication. Do not use in open wounds. Do not use if skin condition worsens with constant use.

Active ingredients

Your medication may contain one or more of the following ingredients:

• Tretinoin

• Kojic Acid

• Hydroquinone

• Hydrocortisone

Tretinoin is a retinoid (a derivative of vitamin a), used topically to treat acne. tretinoin increases the speed of cell turnover, meaning new skin will make its way to the surface faster. it may take up to 8 weeks for tretinoin to produce noticeable effects.

Kojic acid is pharmaceutical and cosmetic ingredient, used to lighten the skin and treat skin conditions related to discoloration. Kojic acid blocks an amino acid preventing too much color from naturally forming.

Hydroquinone is an effective ingredient that contributes to fading uneven skin tones. Hydroquinone decreases the amount of melanin formed. Hydroquinone may take up to 12

weeks of consistent use to see noticeable effects.

Hydrocortisone is a corticosteroid used to decrease inflammation and immune system activity at the sites of application.

Allergies and contraindications

Do not use this compounded medication if you have a history of allergies or sensitivity to any of the following ingredients: hydroquinone, kojic acid, tretinoin or hydrocortisone. If you

experience any reaction, including a suspected allergic hypersensitivity, please stop the medication and see a doctor immediately.

Side effects

You may experience side effects when using this medication. These side effects are common and may go away with time and daily use.

The following side effects are common:

• Erythema

• Desquamation

• Burning

• Dryness

• Pruritus

To minimize the risk of side effects, avoid using other products that may increase irritation of the skin. These products include but are not limited too abrasive soaps, chemical hair removers or waxes, electrolysis, products with alcohol or astringents, chemical peels such as lactic acid,

glycolic acid or TCA, and salicylic acid containing products. These products may be used if experienced with treatments over a period of time.

Let your aesthetician and any medical providers know you are using this compounded medication prior to receiving any treatments or therapy.

Call your doctor for medical advice about side effects.

You may report side effects to FDA at: 1-800-FDA-1088

Conditions

Treating skin conditions is often difficult. Sometimes medication needs 4 weeks or more to work. If after 12 to 16 weeks the skin condition has not improved, please consult a medical doctor to evaluate your skin for other treatment options.

Use in pregnant and nursing populations

There are no adequate and well-controlled studies in pregnant women. This compounded medication should be used only if the potential benefit outweighs the risk.

This compounded medication may include the ingredient, tretinoin. Tretinoin is a pregnancy category X ingredient, indicating danger to the fetus.

This compounded medication may also include a corticosteroid, such as hydrocortisone. It is not known whether topical application of these compounds may be

detected in human milk. Care should be taken to avoid contact between the medication, areas of which medication was applied and the infant.

How do I store this drug?

Store in a cool dry place away from light. The bottle should be tightly closed. The appropriate storage temperature is between 68 to 77 degrees F. Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.

General drug facts

Product may change color slightly over time. This discoloration does not effect the safety or usability of the medication.

Do not use medication past the use by dating provided on the label.

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.

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 may have additional signs and symptoms to aid their evaluation. We use the evidence based practice and guidelines as well as clinical decision support to try to minimize these risks.

Here are some other diagnoses that we attempt to rule out

other skin manifestations:

• Eczema

• Peri-oral dermatitis

• Various other examples

Accepting or declining your provider's 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 treatment plan 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.