Semaglutide

GLP-1 medications may cause thyroid C-cell tumors, including medullary thyroid carcinoma, based on studies in rodents; it is unknown whether this happens in people. Do not use if you or a family member has had medullary thyroid carcinoma or if you have MEN 2. Other serious risks include pancreatitis, gallbladder problems, low blood sugar when used with other diabetes medicines, kidney problems from dehydration, serious allergic reactions, increased heart rate, and changes in vision for people with diabetic retinopathy. Watch for changes in mood or thoughts of self-harm and tell your provider right away.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Tirzepatide

GLP-1 medications may cause thyroid C-cell tumors, including medullary thyroid carcinoma, based on studies in rodents; it is unknown whether this happens in people. Do not use if you or a family member has had medullary thyroid carcinoma or if you have MEN 2. Other serious risks include pancreatitis, gallbladder problems, low blood sugar when used with other diabetes medicines, kidney problems from dehydration, serious allergic reactions, increased heart rate, and changes in vision for people with diabetic retinopathy. Watch for changes in mood or thoughts of self-harm and tell your provider right away.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Brand-Name GLP‑1s

GLP-1 medications may cause thyroid C-cell tumors, including medullary thyroid carcinoma, based on studies in rodents; it is unknown whether this happens in people. Do not use if you or a family member has had medullary thyroid carcinoma or if you have MEN 2. Other serious risks include pancreatitis, gallbladder problems, low blood sugar when used with other diabetes medicines, kidney problems from dehydration, serious allergic reactions, increased heart rate, and changes in vision for people with diabetic retinopathy. Watch for changes in mood or thoughts of self-harm and tell your provider right away. Wegovy® and Ozempic® are registered trademarks of Novo Nordisk. Zepbound® and Mounjaro® are registered trademarks of Eli Lilly and Company. Surna Health is not affiliated with these companies.

Tesamorelin

Tesamorelin can cause injection site reactions, joint pain, fluid retention, and increased blood sugar, and can raise IGF-1 levels. Do not use it if you have pituitary problems, have had pituitary surgery or radiation to the head, have active cancer, are pregnant, or are allergic to tesamorelin or mannitol. Use for weight loss is off-label. Egrifta® is a registered trademark of its owner.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

NAD+ Injection

NAD+ injections can cause flushing, nausea, cramping, headache, and injection site reactions. Tell your provider if you are pregnant, breastfeeding, or being treated for cancer. Seek emergency care for signs of a serious allergic reaction.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Glutathione

Glutathione can cause stomach upset and, rarely, allergic reactions. Tell your provider if you have asthma or are pregnant or breastfeeding. Glutathione is not prescribed for skin lightening. Seek emergency care for signs of a serious allergic reaction.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Sermorelin

Sermorelin can cause injection site reactions, flushing, headache, and dizziness. Tell your provider about any history of cancer, thyroid problems, pregnancy, or breastfeeding. Seek emergency care for signs of a serious allergic reaction.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

MIC-B12

Do not use if you are allergic to any ingredient, including cobalt or vitamin B12. Injections can cause pain, bruising, or infection at the injection site. Seek emergency care for signs of a serious allergic reaction.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

NAD+ Nasal Spray

NAD+ nasal spray can cause nasal irritation, congestion, headache, and flushing. Tell your provider about nasal conditions, pregnancy, or breastfeeding. Seek emergency care for signs of a serious allergic reaction.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Vitamin B12

Do not use if you are allergic to cobalt or vitamin B12, or if you have Leber's disease. Injections can cause pain or irritation at the injection site. Seek emergency care for signs of a serious allergic reaction.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Testosterone

Testosterone can raise blood pressure and red blood cell counts, which may increase the risk of heart attack, stroke, and blood clots; your provider will monitor labs and blood pressure. Testosterone cream can pass to others through skin contact; women and children should avoid contact with application sites. It can reduce sperm production, worsen sleep apnea, and cause fluid retention. Testosterone is a controlled substance with potential for abuse and dependence. It is not for men with prostate or breast cancer. Safety and effectiveness for low testosterone due to aging alone have not been established.

Enclomiphene

Enclomiphene can cause headache, hot flashes, nausea, and mood changes. Stop taking it and contact your provider right away if you notice vision changes. Tell your provider about any history of blood clots, liver disease, or thyroid or adrenal problems. Clomid® is a registered trademark of its owner.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Estradiol

Estrogen therapy increases the risk of endometrial cancer in women with a uterus who do not also take a progestogen. Estrogen, alone or with progestins, may increase the risk of heart attack, stroke, blood clots, breast cancer, and probable dementia. Use the lowest effective dose for your goals, and review treatment with your provider regularly. Report unusual vaginal bleeding right away.

Progesterone

Do not take progesterone capsules if you are allergic to peanuts. Estrogens with progestins may increase the risk of heart attack, stroke, blood clots, breast cancer, and probable dementia. Progesterone can cause drowsiness and dizziness; use caution driving or operating machinery. Report unusual vaginal bleeding right away.

Sildenafil

Do not take this medication if you take nitrates or riociguat, as the combination can cause a sudden, dangerous drop in blood pressure. Sexual activity can strain your heart; stop and get medical help if you have chest pain, dizziness, or nausea during sex. Get emergency care for an erection lasting more than 4 hours, or for sudden vision or hearing loss. Tell your provider about all medications you take, including alpha-blockers and HIV medications. Viagra® is a registered trademark of its owner. Surna Health is not affiliated with its owner.

Tadalafil

Do not take this medication if you take nitrates or riociguat, as the combination can cause a sudden, dangerous drop in blood pressure. Sexual activity can strain your heart; stop and get medical help if you have chest pain, dizziness, or nausea during sex. Get emergency care for an erection lasting more than 4 hours, or for sudden vision or hearing loss. Tell your provider about all medications you take, including alpha-blockers and HIV medications. Cialis® is a registered trademark of its owner. Surna Health is not affiliated with its owner.

ED Combo ODT

Do not take this medication if you take nitrates or riociguat, as the combination can cause a sudden, dangerous drop in blood pressure. Sexual activity can strain your heart; stop and get medical help if you have chest pain, dizziness, or nausea during sex. Get emergency care for an erection lasting more than 4 hours, or for sudden vision or hearing loss. Tell your provider about all medications you take, including alpha-blockers and HIV medications. PT-141 (bremelanotide) can cause nausea and a temporary increase in blood pressure, and is not recommended for people with uncontrolled high blood pressure or heart disease. This combination is compounded and not FDA-approved. Vyleesi® is a registered trademark of its owner.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Finasteride

Finasteride is not for use by women or children. Women who are or may become pregnant should not handle crushed or broken tablets. Finasteride can cause sexual side effects, which in rare cases may continue after stopping, and has been associated with depression and thoughts of self-harm. It lowers PSA levels and may affect prostate cancer screening. Propecia® is a registered trademark of its owner. Surna Health is not affiliated with its owner.

Topical Finasteride + Minoxidil

Topical finasteride can be absorbed into the body and may cause sexual side effects. Women who are or may become pregnant should avoid contact with the spray and treated skin. Minoxidil can cause scalp irritation and unwanted hair growth; stop and contact your provider if you have chest pain, a fast heartbeat, fainting, or sudden swelling.

Compounded by a state-licensed pharmacy. Compounded medications are not FDA-approved, and the FDA does not verify their safety, effectiveness, or quality.

Minoxidil

Minoxidil tablets are FDA-approved for severe high blood pressure and carry a boxed warning about serious heart effects, including fluid around the heart and worsening chest pain, at those doses. Use for hair loss is off-label. Tell your provider about any heart or blood pressure problems, and get medical help for chest pain, a fast heartbeat, shortness of breath, rapid weight gain, or fainting.

Prescribed off-label, meaning for a use not listed on its FDA-approved label.

Important safety information