Rapamycin (Sirolimus) Topical Anti-Aging Cream

Rapamycin (Sirolimus) Topical Anti-Aging Cream

Ingredients: 0.02% Rapamycin in VersaPro™ Cream Base- 20 g (excluding bottle weight). Rapamycin origin - USA; VersaPro cream base exhibits strong permeation through the skin barrier, is non-comedogenic, and is hypoallergenic. It is also free of parabens and MI/MCI.
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List all prescription medications you currently take; dosages not needed. If none please write "none."*
What are you seeking rapamycin topical cream for?*

Anti-agingSkin TextureRosaceaOther
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Are you currently using topical retinoids, tretinoin, alpha-hydroxy acids, or other active exfoliants at the intended treatment site? (barrier disruption increases absorption)*

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Please list all medication allergies in the box below; if none please write "none." If you are allergic to Rapamycin, Sirolimus, Macrolide antibiotics, or sorbitol, stop and do not complete this form. *
• I understand that rapamycin topical cream is a compounded medication and is NOT FDA-approved for cosmetic or dermatologic use.• I understand this prescription is being issued off-label based on emerging evidence, and the long-term topical safety profileis not fully established.• I have been informed of known risks, including: localskin irritation, potential systemic absorption, theoretical immunosuppression with large surface area application.• I understand this is a telehealth evaluation and no in-person physical examination has been performed.• I have been offered the opportunity to ask questions and have had them answered to my satisfaction.• I understand this service does not substitute for dermatologic evaluation of any suspicious skin lesions.• I consent to my prescription being transmitted to acompounding pharmacy. • I understand the following symptoms require me to discontinue use immediately and contact the prescriber: rash, swelling, signs of skin infection, or systemic symptoms. I agree not to apply this medication to broken, infected, or actively inflamed skin*

My Products*

Rapamycin 0.02% Topical Cream

20 grams of combined Rapamycin with VersaPro Cream Base from Medisca.

$150.00 Quantity

Total

$0.00

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You understand Rapamycin is not FDA approved for "anti-aging". You have had the opportunity to consult your primary care physician or dermatalogist about this product, and wish to proceed. *
I have had an opportunity to read the Privacy Policy https://drdavidwellness.com/privacy-policy/ & Terms of Service https://drdavidwellness.com/terms-of-service/.*
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