Compounded medications
Some medications prescribed through PureMuze are compounded, meaning they are prepared by a licensed pharmacy for an individual patient based on a clinician’s prescription. Compounded drug products are not FDA-approved. The FDA does not evaluate compounded products for safety, effectiveness, or quality. PureMuze does not manufacture compounded medications and the appearance and labeling of what you receive will differ from any image on this website.
Reporting a side effect
Tell your care team about any side effect, however minor, through your patient portal or by emailing support@puremuze.com. Serious or unexpected reactions should also be reported to the FDA MedWatch program at fda.gov/safety/medwatch or 1-800-FDA-1088. Stop the medication and seek care immediately for signs of a severe allergic reaction: trouble breathing, swelling of the face, lips or throat, or a spreading rash.
GLP-1 medications (semaglutide, tirzepatide)
Common side effects include nausea, vomiting, diarrhea, constipation and abdominal discomfort, most often while the dose is increasing. Less common but serious risks include pancreatitis, gallbladder problems, kidney injury from dehydration and low blood sugar when combined with certain diabetes medications. These medications are not appropriate for everyone, including people with a personal or family history of medullary thyroid carcinoma or MEN 2 and they should not be used during pregnancy or while trying to conceive.
Hormone therapy (estradiol, progesterone)
Hormone therapy carries risks that depend heavily on your age, time since menopause and personal and family history, including risks related to blood clots, stroke and certain cancers. It is not appropriate for everyone. Your clinician will review your history before anything is prescribed and will discuss the specific risks and benefits for you.
Paroxetine and desvenlafaxine
These are prescription antidepressants sometimes used for hot flashes. They carry warnings including changes in mood, worsening depression and suicidal thoughts or behavior, particularly when starting or changing a dose. Do not stop them abruptly. Tell your clinician about every other medication you take, especially other serotonergic medications, because of the risk of serotonin syndrome.
Peptides and injectables (NAD+, sermorelin, B12-MIC)
Injection-site reactions such as redness, swelling and soreness are the most common effects. Tell your clinician about any history of cancer, thyroid disease, or hormone-sensitive conditions before starting sermorelin. These products are compounded and are not FDA-approved.
Storage, handling and disposal
Store medication exactly as directed on the label, keep temperature-sensitive products refrigerated and keep everything in child-resistant packaging and out of reach of children and pets. Never share a prescription. Dispose of needles in an approved sharps container and unused medication through a pharmacy take-back program.
Drug interactions and other conditions
Give your clinician a complete list of prescriptions, over-the-counter products, supplements and herbal products you take and tell them if you are pregnant, planning to become pregnant, or breastfeeding. An incomplete history is the most common reason a plan turns out to be inappropriate.
No guarantee of results
There is no guarantee of results or of the effectiveness of any treatment or care plan. Individual results vary. Prescriptions are issued only if a licensed clinician determines they are clinically appropriate and not everyone who completes an intake will be eligible.
Questions
Message your care team in the patient portal or email support@puremuze.com. See also our Compounded Medication Disclosure and Terms of Use, which list our pharmacy partners and state coverage.