Important Safety Information

Last Modified: March 5, 2026

Please see Important Safety Information below for intended use, potential risks and side effects, use in specific populations, and drug interactions of advertised prescription treatments.

Good Girl Rx encourages the reporting of any adverse side effects of medications to the medical professional and the distributing pharmacy. Additionally, to report suspected adverse reactions, contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go seek care at the nearest emergency room.

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Good Girl Rx Services

Good Girl Rx offers and facilitates access to consultations with licensed medical professionals to determine medical appropriateness for advertised treatments and plans. Good Girl Rx, through its services, may facilitate fulfillment of prescriptions through its third-party pharmacy network. Good Girl Rx, as a managed services organization, does not provide medical advice and does not fulfill prescription medication and is not licensed as a medical provider or a pharmacy. Good Girl Rx offers software and technology services to facilitate medical consultation and fulfillment of prescription medications. For further information, please see Good Girl Rx’s Terms of Service.

Good Girl Rx Special Advertising Offers

Advertisements from GoodGirlRx.com may include, from time to time, special or introductory offers for promotional pricing of services. All advertised offers from GoodGirlRx.com are only available for 24 hours following removal of the offer from the website and automatically expire thereafter.

“Same price per dose” or similar offers are subject to additional terms and conditions including:

GoodGirlRx.com reserves the right to adjust pricing from time to time in accordance with supply and market conditions
Same price per dose offers automatically expire within 24 hours of any price changes for services available through GoodGirlRx.com
Promotional offers including “first month” are not subject to the same price per dose offerings and are instead promotional offers. Same price per dose offers only apply to standard full-price purchases based on price listed on website.

Prescription Medications

Prescription medications require a medical consultation and prescription with a licensed healthcare provider. Writing of a prescription is solely determined by the medical professional and access to medications and treatment plans is in no way guaranteed. Prescriptions written by medical professionals may be available through Good Girl Rx software services and may be fulfilled by licensed pharmacies.

Prescription medications carry risks. To review a full list of risks and side effects, please see “Important Safety Information” and speak with your doctor regarding potential risks or side effects.

Compounded Medications

Medical professionals may issue prescriptions to compounded medications that can be filled by licensed USA-based compounding pharmacies. Compounded medications are not approved by the FDA for safety or effectiveness but may be prescribed during drug shortages or when commercially available FDA-approved drugs do not meet patient needs.

Good Girl Rx may facilitate the filling of FDA-approved medications or compounded medications through a network of licensed pharmacies throughout the US. Medication may be compounded based on a healthcare provider’s prescription to meet the specific needs of the patient, which may differ from commercially available products. For medications compounded during drug shortages, FDA-approved medications may be available.

Ownership of Trademarks

Ozempic® and Wegovy® are trademarks of Novo Nordisk A/S. Good Girl Rx has no ownership over brand-name, FDA-approved medications or products. To learn more about Novo Nordisk products, please visit https://www.novonordisk.com/our-products/our-medicines.html.

Inquiries

For questions related to Good Girl Rx’s advertisements or services, please contact legal@goodgirlrx.com.

Compounded GLP‑1 (semaglutide)

*Compounded medications may be prescribed by physicians but have not been FDA regulated for safety, effectiveness, or quality. FDA-approved medicines containing semaglutide are available.

WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side effect becomes problematic or you experience:

Severe nausea and/or vomiting resulting in dehydration — it is important to stay well hydrated and drink plenty of fluids while on this medication. Kidney problems/kidney failure — vomiting, nausea, diarrhea can cause dehydration and kidney issues and make kidney problems worse in individuals who have pre-existing kidney conditions; may sometimes lead to the need for hemodialysis
Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath (see black box warning below)
Pancreatitis: Severe pain in your abdomen or back that will not go away
Acute gallbladder disease — Pain in the middle or right upper stomach, fever, white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting. If gallstones or inflammation of the gallbladder is suspected further studies are needed.
Hepatitis/Elevated liver enzymes/Jaundice
Diabetic retinopathy problems: Changes in vision in those with type II diabetes, particularly vision problems may worsen in those with a history of diabetic retinopathy
Severe gastrointestinal disease — may cause gastrointestinal disease; do not use if you have a history of severe gastrointestinal disease
Signs of low blood sugar (for example, dizziness, weakness, shakiness, jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion, slurred speech, sweating, or lightheadedness). While this is rare with GLP-1s, if it occurs, please seek in-person care immediately. If you have these symptoms, try having liquid or food containing sugar (around 15–20 grams) — drinking juice, having regular soda, or eating some hard candies right away, as this will help raise your blood sugar quickly. If taken with insulin or an insulin secretagogue (i.e. sulfonylurea such as Glipizide, glimepiride, and glyburide) it is best to talk to your healthcare provider about possibly lowering the dose of these medications to lower the risk of hypoglycemia.
Increasing heart rate
Worsening depression, behavior changes, or suicidality

Never share semaglutide with other people.

Drug Interactions

As with other medications, compounded semaglutide can interact with alcohol and certain prescription and non-prescription medications and herbal products. The risk of hypoglycemia is increased when combined with insulin or insulin secretagogues such as sulfonylureas. Compounded semaglutide delays gastric emptying and may impact the absorption of oral medications. If you are on thyroid hormone medication, prior to starting compounded semaglutide, please review the timing of taking your thyroid hormone medication with the doctor who prescribes it as it may need to be adjusted. The drug levels of medications with narrow therapeutic windows (i.e. warfarin) should be monitored closely while on compounded semaglutide.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to compounded semaglutide, contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

BLACK BOX WARNING

GLP-1s are contraindicated in individuals with a history of medullary thyroid carcinoma, a family history of such, or in patients with multiple endocrine neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer. In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer; it is not known if they will cause thyroid tumors or cancer in humans. Please notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath.

If you experience a medical emergency, call 911 or go to the nearest emergency room.

Tell your healthcare provider about your medical history prior to taking semaglutide.

Avoid alcohol while taking this medication. If you’re taking diabetes medications, please discuss this with your prescribing doctor before starting semaglutide, as your diabetes medications may need to be adjusted as you lose weight.

Use adequate contraception while taking this medication. Do not take this medication if pregnant, trying to get pregnant or breastfeeding. If you plan to become pregnant, this medication needs to be stopped at least 2 months before trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using semaglutide and call your healthcare provider immediately if you have severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using semaglutide and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been reported. Discontinue semaglutide if suspected and promptly seek medical advice.

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Compounded GLP‑1+GIP (tirzepatide)

*Compounded medications may be prescribed by physicians but have not been FDA regulated for safety, effectiveness, or quality. FDA-approved medicines containing tirzepatide are available.

WARNING

Compounded tirzepatide usage has been associated with the potential development of thyroid tumors, including thyroid cancer. Watch for any potential symptoms, such as neck lumps or swelling, hoarseness, difficulty swallowing, or breathlessness. Should any of these symptoms arise, it is imperative to inform your healthcare provider promptly.

Avoid using compounded tirzepatide if you or any family members have a history of medullary thyroid carcinoma (MTC), a specific type of thyroid cancer. Similarly, refrain from its use if diagnosed with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or if you’ve previously experienced a severe allergic reaction to tirzepatide or any of its components.

Serious Side Effects

Compounded tirzepatide carries the risk of severe side effects, which include:

Gastrointestinal Issues: Reports indicate the possibility of severe stomach problems associated with compounded tirzepatide usage. Notify your healthcare provider if you experience persistent or severe stomach discomfort.
Kidney Complications: Diarrhea, nausea, and vomiting may lead to dehydration, potentially resulting in kidney problems. Adequate fluid intake is crucial to mitigate this risk.
Gallbladder Concerns: Some individuals may encounter gallbladder problems while using compounded tirzepatide. Seek immediate medical attention if symptoms such as upper abdominal pain, fever, jaundice, or changes in stool color occur.
Pancreatitis: Discontinue use and contact your healthcare provider if you experience persistent abdominal pain, with or without vomiting, as it could indicate inflammation of the pancreas.
Allergic Reactions: Cease compounded tirzepatide usage and seek urgent medical assistance if you develop symptoms of a severe allergic reaction, including facial swelling, breathing difficulties, rash, or rapid heartbeat.
Hypoglycemia: The risk of low blood sugar may increase when using compounded tirzepatide alongside medications that lower blood sugar levels. Recognizable symptoms include dizziness, sweating, confusion, and rapid heartbeat.
Vision Changes: Notify your healthcare provider of any alterations in vision observed during tirzepatide treatment.
Depression or Suicidal Thoughts: Pay close attention to changes in mood or mental state while using tirzepatide, and promptly report any concerns to your healthcare provider.

Common Side Effects

The most frequently reported side effects of compounded tirzepatide include:

Nausea
Diarrhea
Vomiting
Constipation
Abdominal pain
Indigestion
Injection site reactions
Fatigue
Allergic reactions
Belching
Hair loss
Heartburn

These side effects are not exhaustive. Should you experience any persistent or bothersome side effects, discuss them with your healthcare provider for appropriate management.

Tell your healthcare provider if you have any side effects.

To report suspected severe side effects or adverse reactions to compounded tirzepatide, contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. In case of emergencies, please call 911 or go to the nearest emergency room.

Drug Interactions

As with other medications, compounded tirzepatide can interact with alcohol and certain prescription and non-prescription medications and herbal products. The risk of hypoglycemia is increased when combined with insulin or insulin secretagogues such as sulfonylureas. Compounded tirzepatide delays gastric emptying and may impact the absorption of oral medications. If you are on thyroid hormone medication, prior to starting compounded tirzepatide, please review the timing of taking your thyroid hormone medication with the doctor who prescribes it as it may need to be adjusted. The drug levels of medications with narrow therapeutic windows (i.e. warfarin) should be monitored closely while on compounded tirzepatide.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

Tirzepatide may alter the efficacy of birth control pills. Talk with your doctor before starting tirzepatide if you are on birth control. Your healthcare provider may recommend another type of birth control for 4 weeks after you start tirzepatide and for 4 weeks after each increase in your dose.

Note: The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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Glutathione

Common Side Effects

Mild redness, soreness, or swelling at the injection site
Headache
Temporary fatigue or dizziness
Flushing or warmth
Nausea or stomach discomfort (rare)

These symptoms are typically mild and short-lived, especially when injections are administered slowly. Rotating injection sites can help minimize local irritation.

More Serious Side Effects (less common)

Allergic reaction (e.g., rash, itching, swelling, difficulty breathing)
Chest tightness or shortness of breath
Joint pain or muscle cramps
Unusual weakness or tingling

If any of these occur, discontinue use and contact your healthcare provider immediately.

Warnings (serious risks)

Rare cases of allergic or anaphylactic reactions have been reported with IV or intramuscular glutathione. Patients with known sensitivities should use caution.
Use cautiously in individuals with asthma or a history of sulfur allergies.
Glutathione may alter levels of other antioxidants or medications metabolized through glutathione-dependent pathways.

Contraindications (not recommended for)

Known hypersensitivity to glutathione or any injection components
Current or recent diagnosis of cancer unless specifically approved by an oncologist
Pregnancy or breastfeeding (due to limited safety data)

Drug Interactions

No major interactions are well-established, but caution is advised in patients taking: chemotherapy agents, medications affecting liver metabolism, or high-dose antioxidant supplements
Always disclose all current medications and supplements during your provider consultation

Pregnancy & Breastfeeding

Glutathione injections are not recommended during pregnancy or while breastfeeding due to a lack of controlled safety data. Speak with your provider if you are pregnant, nursing, or planning to conceive.

Storage

Store in the refrigerator at 2–8°C (36–46°F)
Do not freeze
Keep the vial sealed and protected from direct light
Use within the prescribed time frame and follow proper injection technique guidelines

Keep out of reach of children. Do not use expired product.

Disclaimer: Glutathione injections provided through Good Girl Rx are compounded and prescribed off-label by licensed healthcare providers. These formulations are not FDA-approved. Statements above have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

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MIC+B12

Safety Information

Side effects are typically mild and go away over time.

Common Side Effects

Discomfort or redness at the injection area
Skin itching or sensations of overall swelling
Muscular cramps and weakness
Nausea and issues with urination
Swelling around the ankles or feet
Excessive fatigue

Precautions

Avoid using MIC+B12 if you are pregnant, nursing, or if you are planning to become pregnant or to breastfeed.
Should itching/irritation persist, consider using an over-the-counter anti-itch cream containing hydrocortisone, or stop using the product altogether.
In the uncommon event of more severe reactions, such as an irregular heartbeat or difficulty breathing, cease usage immediately and consult your healthcare provider.

Note: The statements above have not been reviewed by the Food and Drug Administration. This product is not designed to diagnose, treat, cure, or prevent any condition.

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Methylene Blue

BLACK BOX WARNING

WARNING: SEROTONIN SYNDROME WITH CONCOMITANT USE OF SEROTONERGIC DRUGS. Methylene blue may cause serious or fatal serotonergic syndrome when used in combination with serotonergic drugs.

Serotonin Syndrome Risk: Methylene blue can inhibit the enzyme monoamine oxidase A (MAO-A), which is responsible for breaking down serotonin. In patients taking medications that increase serotonin levels (such as SSRIs, SNRIs, MAOIs, tricyclic antidepressants, and other serotonergic drugs), the additional inhibition of serotonin metabolism by methylene blue can lead to serotonin syndrome.

Symptoms of serotonin syndrome include: agitation or restlessness, confusion, rapid heart rate, high blood pressure, dilated pupils, loss of muscle coordination or twitching muscles, muscle rigidity, heavy sweating, diarrhea, nausea, or vomiting. Severe cases may lead to high fever, seizures, or loss of consciousness.

Contraindications: Methylene blue is contraindicated in patients who are on serotonergic drugs unless it is an emergency situation where the benefits outweigh the risks, and proper monitoring for serotonin syndrome can be done.

Special Considerations: It is advised to discontinue serotonergic medications 2 weeks before administering methylene blue if possible, and monitoring is essential if it must be given.

This black box warning is critical to ensure patient safety, particularly in avoiding life-threatening serotonin syndrome in vulnerable populations.

Common Side Effects

The side effects of low-dose methylene blue are generally mild, but can include several notable adverse reactions.

Headache
Blue/green urine or other bodily secretions
Hypokalemia (low potassium levels)
Diarrhea
Hypomagnesemia (low magnesium levels)
Myoclonus (sudden, brief, involuntary muscle contractions/jerks)
Nausea
Seizure-like phenomena

Other potential side effects include hemolytic anemia, particularly in individuals with G6PD deficiency, and various gastrointestinal and respiratory symptoms such as abdominal pain, dry mouth, and nasal congestion. Additionally, methylene blue can interfere with in-vivo monitoring devices and laboratory tests, which is an important consideration for patients undergoing regular medical evaluations.

Contraindications

Do not use methylene blue if you have G6PD deficiency, or if you use SSRIs, SNRIs, MAOIs, or ADHD stimulants. You should also avoid this medication if you have hypersensitivity to methylene blue or its components.

Precautions

Regular monitoring of serotonin levels is required for patients on certain antidepressants. Patients should also avoid excessive exposure to light, as methylene blue is photosensitizing.

Storage

Store in a cool, dry place away from direct sunlight. Do not freeze.

Note: The statements above have not been reviewed by the Food and Drug Administration. This product is not designed to diagnose, treat, cure, or prevent any condition.

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Mounjaro®

Safety Information

Do not use if you have been diagnosed with the following:

Diabetic ketoacidosis
Type 1 diabetes
Diabetic retinopathy
Kidney disease
Multiple endocrine neoplasia syndrome type 2 (MEN 2)
Thyroid cancer
Pancreatitis

Some side effects may occur that do not require medical attention, as they may lessen as your body adjusts to the medication. You may experience more gastrointestinal (GI) side effects when you increase your dose, however it should be less over time. Reach out to your healthcare provider if you experience any unwanted side effects as there may be ways to prevent or reduce side effects.

More Common Side Effects

Acid or sour stomach
Belching
Constipation
Diarrhea
Stomach discomfort or upset
Stomach pain
Hypoglycemia (low blood sugar)
Injection-site reactions
Gallbladder disease
Hypersensitivity reactions

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

For a full list of side effects: https://www.mayoclinic.org

Mounjaro® Safety Information

Mounjaro® is an injectable medicine for adults with type 2 diabetes used along with diet and exercise to improve blood sugar (glucose). It is not known if Mounjaro can be used in people who have had inflammation of the pancreas (pancreatitis). Mounjaro is not for use in people with type 1 diabetes. It is not known if Mounjaro is safe and effective for use in children under 18 years of age.

Warnings

Mounjaro® may cause tumors in the thyroid, including thyroid cancer. Watch for possible symptoms, such as a lump or swelling in the neck, hoarseness, trouble swallowing, or shortness of breath. If you have any of these symptoms, tell your healthcare provider.

Do not use Mounjaro if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC).
Do not use Mounjaro if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
Do not use Mounjaro if you are allergic to it or any of the ingredients in Mounjaro.

Mounjaro® May Cause Serious Side Effects, Including:

Inflammation of the pancreas (pancreatitis). Stop using Mounjaro and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back.
Low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use Mounjaro with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin. Signs and symptoms of low blood sugar may include dizziness or light-headedness, sweating, confusion or drowsiness, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, or mood changes, hunger, weakness and feeling jittery.
Serious allergic reactions. Stop using Mounjaro and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue or throat, problems breathing or swallowing, severe rash or itching, fainting or feeling dizzy, and very rapid heartbeat.
Kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydration.
Severe stomach problems. Stomach problems, sometimes severe, have been reported in people who use Mounjaro. Tell your healthcare provider if you have stomach problems that are severe or will not go away.
Changes in vision. Tell your healthcare provider if you have changes in vision during treatment with Mounjaro.
Gallbladder problems. Gallbladder problems have happened in some people who use Mounjaro. Tell your healthcare provider right away if you get symptoms of gallbladder problems, which may include pain in your upper stomach (abdomen), fever, yellowing of skin or eyes (jaundice), and clay-colored stools.

Common Side Effects

The most common side effects of Mounjaro® include nausea, diarrhea, decreased appetite, vomiting, constipation, indigestion, and stomach (abdominal) pain. These are not all the possible side effects of Mounjaro. Talk to your healthcare provider about any side effect that bothers you or doesn’t go away.

Tell your healthcare provider if you have any side effects. You can report side effects at 1-800-FDA-1088 or www.fda.gov/medwatch.

Before Using Mounjaro®

Your healthcare provider should show you how to use Mounjaro before you use it for the first time.
Talk to your healthcare provider about low blood sugar and how to manage it.
If you take birth control pills by mouth, talk to your healthcare provider before you use Mounjaro. Birth control pills may not work as well while using Mounjaro. Your healthcare provider may recommend another type of birth control for 4 weeks after you start Mounjaro and for 4 weeks after each increase in your dose of Mounjaro.

How to Take

Use Mounjaro exactly as your healthcare provider says.
Mounjaro is injected under the skin (subcutaneously) of your stomach (abdomen), thigh, or upper arm.
Use Mounjaro 1 time each week, at any time of the day.
Do not mix insulin and Mounjaro together in the same injection.
Change (rotate) your injection site with each weekly injection. Do not use the same site for each injection.
If you take too much Mounjaro, call your healthcare provider or seek medical advice promptly.

Learn More

Mounjaro® is a prescription medicine. For more information, call 1-833-807-MJRO (833-807-6576) or go to www.mounjaro.com.

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NAD+

Common Side Effects

NAD+ Injection

Redness, tenderness, or soreness at the injection site
Mild flushing or warmth
Lightheadedness
Temporary fatigue
Mild nausea

NAD+ Nasal Spray

Nasal dryness or irritation
Sneezing or transient burning sensation
Headache
Mild dizziness

NAD+ Face Cream

Skin sensitivity at the application site
Temporary redness or tingling
Dryness or irritation, especially with overuse

These effects are generally mild and short-lived. Rotate application or injection sites and follow provider guidance to reduce the risk of irritation.

More Serious Side Effects (less common)

Allergic reaction (rash, swelling, shortness of breath)
Dizziness or fainting (especially post-injection)
Persistent fatigue or flu-like symptoms
Flushing with rapid heartbeat

If you experience signs of an allergic reaction or severe discomfort, stop treatment and seek medical care immediately.

Contraindications (not recommended for)

Individuals with known hypersensitivity to NAD+ or formulation components
People currently pregnant or breastfeeding
Anyone with active infection, uncontrolled chronic illness, or ongoing cancer treatment without prior approval from their specialist

Drug Interactions

No widely reported drug interactions, but NAD+ may affect oxidative metabolism and mitochondrial function
Use caution if you are taking medications that impact energy metabolism, including insulin, metformin, or corticosteroids
Always disclose all prescription medications, supplements, and herbal products to your provider during your consultation

Pregnancy & Breastfeeding

NAD+ products are not recommended during pregnancy or while breastfeeding, as safety data in these populations is limited. Discuss alternative options with your provider if you are planning to become pregnant or nursing.

Storage

Injection: Store in the refrigerator (2–8°C / 36–46°F). Do not freeze. Protect from light.
Nasal Spray: Store at room temperature. Keep the cap tightly closed and avoid contamination of the nozzle.
Face Cream: Store in a cool, dry place, away from direct sunlight and heat.

Keep all formulations out of reach of children. Do not use any product past its expiration date.

Disclaimer: The NAD+ formulations offered through Good Girl Rx are compounded and prescribed off-label by licensed providers. These medications are not approved by the FDA. Statements above are for educational purposes and have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

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Ozempic®

BLACK BOX WARNING

If you experience a medical emergency, call 911 or go to the nearest emergency room.

Tell your healthcare provider about your medical history prior to taking Ozempic®.

Avoid alcohol while taking this medication. If you’re taking diabetes medications, please discuss this with your prescribing doctor before starting Ozempic®, as your diabetes medications may need to be adjusted as you lose weight.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Ozempic® and call your healthcare provider immediately if you have severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Ozempic® and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been reported. Discontinue Ozempic® if suspected and promptly seek medical advice.

WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side effect becomes problematic or you experience:

Severe nausea and/or vomiting resulting in dehydration — it is important to stay well hydrated and drink plenty of fluids while on this medication
Kidney problems/kidney failure — vomiting, nausea, diarrhea can cause dehydration and kidney issues and make kidney problems worse in individuals who have pre-existing kidney conditions; may sometimes lead to the need for hemodialysis
Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath (see black box warning above)
Pancreatitis: Severe pain in your abdomen or back that will not go away
Acute gallbladder disease — Pain in the middle or right upper stomach, fever, white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting. If gallstones or inflammation of the gallbladder is suspected further studies are needed.
Hepatitis/Elevated liver enzymes/Jaundice
Diabetic retinopathy problems: Changes in vision in those with type II diabetes, particularly vision problems may worsen in those with a history of diabetic retinopathy
Severe gastrointestinal disease — may cause gastrointestinal disease; do not use if you have a history of severe gastrointestinal disease
Signs of low blood sugar (for example, dizziness, weakness, shakiness, jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion, slurred speech, sweating, or lightheadedness). While this is rare with GLP-1s, if it occurs, please seek in-person care immediately. If you have these symptoms, try having liquid or food containing sugar (around 15–20 grams) — drinking juice, having regular soda, or eating some hard candies right away, as this will help raise your blood sugar quickly. If taken with insulin or an insulin secretagogue (i.e. sulfonylurea) it is best to talk to your healthcare provider about possibly lowering the dose of these medications to lower the risk of hypoglycemia.
Increasing heart rate
Worsening depression, behavior changes, or suicidality
Never share the Ozempic® pen with other people

Side Effects

Many people experience no side effects. Some of the most common or potential side effects include: nausea, constipation, vomiting, diarrhea, abdominal pain, headache, indigestion, injection site reactions, dizziness, back pain, increased lipase or amylase, altered taste, nasopharyngitis (common cold), passing gas, bloating, belching, gastroenteritis, decreased appetite, fatigue, gastroesophageal reflux disease, low blood sugar (hypoglycemia) in those with type II diabetes, upset stomach.

These symptoms often subside as your body adjusts to the medications. Please notify your provider if side effects persist. For a complete list of side effects, review the medication packaging inserts.

Drug Interactions

As with other medications, Ozempic® can interact with alcohol and certain prescription and non-prescription medications and herbal products. The risk of hypoglycemia is increased when combined with insulin or insulin secretagogues such as sulfonylureas. Ozempic® delays gastric emptying and may impact the absorption of oral medications. If you are on thyroid hormone medication, prior to starting Ozempic®, please review the timing of taking your thyroid hormone medication with the doctor who prescribes it as it may need to be adjusted. The drug levels of medications with narrow therapeutic windows (i.e. warfarin) should be monitored closely while on Ozempic®.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to Ozempic® contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. In case of emergencies, please call 911 or go to the nearest emergency room.

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Sermorelin

Safety Information

Side effects are typically mild and go away over time.

Common Side Effects

Fatigue or mild dizziness
Sermorelin injection: Pain, redness, or swelling at the injection site
Sermorelin ODT: Temporary changes in taste or dry mouth after taking the tablet

Less Common Side Effects

Some rare side effects may include: itching, trouble swallowing, dizziness, flushing, headache, sleepiness or fatigue, hyperactivity or restlessness.

Most of these effects are temporary and resolve with continued use. Contact your provider if any symptom becomes bothersome or does not go away.

Contraindications

You should not use Sermorelin if:

You have a known hypersensitivity to Sermorelin or any of its ingredients
You are currently pregnant or are planning to become pregnant
You are breastfeeding
You have active cancer or a history of cancer not in remission

Drug Interactions

Sermorelin may interact with glucocorticoids (e.g., prednisone), which may blunt the effectiveness of growth hormone stimulation, and thyroid medications, which may alter hormonal balance or interfere with monitoring. Always inform your provider about all medications and supplements you are currently taking.

Pregnancy & Breastfeeding

Sermorelin is not recommended during pregnancy or while breastfeeding. Its safety in these populations has not been established. Use effective contraception while on treatment unless otherwise directed by your provider.

Storage

Sermorelin Injection: Store refrigerated at 2–8°C (36–46°F). Do not freeze. Protect from light.
Sermorelin ODT: Store at room temperature, in a dry place away from heat, moisture, and direct sunlight.

Keep out of reach of children. Do not use after the expiration date printed on the packaging.

Disclaimer: The statements above have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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Wegovy®

BLACK BOX WARNING

If you experience a medical emergency, call 911 or go to the nearest emergency room.

Tell your healthcare provider about your medical history prior to taking Wegovy®.

Avoid alcohol while taking this medication. If you’re taking diabetes medications, please discuss this with your prescribing doctor before starting Wegovy®, as your diabetes medications may need to be adjusted as you lose weight.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Wegovy® and call your healthcare provider immediately if you have severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Wegovy® and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been reported. Discontinue Wegovy® if suspected and promptly seek medical advice.

WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side effect becomes problematic or you experience:

Severe nausea and/or vomiting resulting in dehydration — it is important to stay well hydrated and drink plenty of fluids while on this medication
Kidney problems/kidney failure — vomiting, nausea, diarrhea can cause dehydration and kidney issues and make kidney problems worse in individuals who have pre-existing kidney conditions; may sometimes lead to the need for hemodialysis
Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath (see black box warning above)
Pancreatitis: Severe pain in your abdomen or back that will not go away
Acute gallbladder disease — Pain in the middle or right upper stomach, fever, white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting. If gallstones or inflammation of the gallbladder is suspected further studies are needed.
Hepatitis/Elevated liver enzymes/Jaundice
Diabetic retinopathy problems: Changes in vision in those with type II diabetes, particularly vision problems may worsen in those with a history of diabetic retinopathy
Severe gastrointestinal disease — may cause gastrointestinal disease; do not use if you have a history of severe gastrointestinal disease
Signs of low blood sugar (for example, dizziness, weakness, shakiness, jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion, slurred speech, sweating, or lightheadedness). While this is rare with GLP-1s, if it occurs, please seek in-person care immediately. If you have these symptoms, try having liquid or food containing sugar (around 15–20 grams) — drinking juice, having regular soda, or eating some hard candies right away, as this will help raise your blood sugar quickly. If taken with insulin or an insulin secretagogue (i.e. sulfonylurea) it is best to talk to your healthcare provider about possibly lowering the dose of these medications to lower the risk of hypoglycemia.
Increasing heart rate
Worsening depression, behavior changes, or suicidality
Never share the Wegovy® pen with other people

Side Effects

Drug Interactions

As with other medications, Wegovy® can interact with alcohol and certain prescription and non-prescription medications and herbal products. The risk of hypoglycemia is increased when combined with insulin or insulin secretagogues such as sulfonylureas. Wegovy® delays gastric emptying and may impact the absorption of oral medications. If you are on thyroid hormone medication, prior to starting Wegovy®, please review the timing of taking your thyroid hormone medication with the doctor who prescribes it as it may need to be adjusted. The drug levels of medications with narrow therapeutic windows (i.e. warfarin) should be monitored closely while on Wegovy®.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to Wegovy® contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. In case of emergencies, please call 911 or go to the nearest emergency room.

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Zepbound®

Safety Information

Do not use if you have been diagnosed with the following:

Diabetic ketoacidosis
Type 1 diabetes
Diabetic retinopathy
Kidney disease
Multiple endocrine neoplasia syndrome type 2 (MEN 2)
Thyroid cancer
Pancreatitis

More Common Side Effects

Acid or sour stomach
Belching
Constipation
Diarrhea
Stomach discomfort or upset
Stomach pain
Hypoglycemia (low blood sugar)
Injection-site reactions
Gallbladder disease
Hypersensitivity reactions

Other side effects not listed may also occur in some patients. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

For a full list of side effects: https://www.mayoclinic.org

Zepbound® Safety Information

Zepbound® is an injectable prescription medicine that may help adults with obesity, or with excess weight (overweight) who also have weight-related medical problems, lose weight and keep it off. It should be used with a reduced-calorie diet and increased physical activity.

Zepbound® contains tirzepatide and should not be used with other tirzepatide-containing products or any GLP-1 receptor agonist medicines. It is not known if Zepbound is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if Zepbound can be used in people who have had pancreatitis. It is not known if Zepbound is safe and effective for use in children under 18 years of age.

Warning

Zepbound® may cause tumors in the thyroid, including thyroid cancer. Watch for possible symptoms, such as a lump or swelling in the neck, hoarseness, trouble swallowing, or shortness of breath. If you have any of these symptoms, tell your healthcare provider.

Do not use Zepbound if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC).
Do not use Zepbound if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
Do not use Zepbound if you have had a serious allergic reaction to tirzepatide or any of the ingredients in Zepbound.

Zepbound® May Cause Serious Side Effects, Including:

Severe stomach problems. Stomach problems, sometimes severe, have been reported in people who use Zepbound. Tell your healthcare provider if you have stomach problems that are severe or will not go away.
Kidney problems (kidney failure). Diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems. It is important for you to drink fluids to help reduce your chance of dehydration.
Gallbladder problems. Gallbladder problems have happened in some people who use Zepbound. Tell your healthcare provider right away if you get symptoms of gallbladder problems, which may include pain in your upper stomach (abdomen), fever, yellowing of skin or eyes (jaundice), or clay-colored stools.
Inflammation of the pancreas (pancreatitis). Stop using Zepbound and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back.
Serious allergic reactions. Stop using Zepbound and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue or throat, problems breathing or swallowing, severe rash or itching, fainting or feeling dizzy, or very rapid heartbeat.
Low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use Zepbound with medicines that can cause low blood sugar, such as a sulfonylurea or insulin. Signs and symptoms of low blood sugar may include dizziness or light-headedness, sweating, confusion or drowsiness, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, mood changes, hunger, weakness or feeling jittery.
Changes in vision in patients with type 2 diabetes. Tell your healthcare provider if you have changes in vision during treatment with Zepbound.
Depression or thoughts of suicide. You should pay attention to changes in your mood, behaviors, feelings or thoughts. Call your healthcare provider right away if you have any mental changes that are new, worse, or worry you.

Common Side Effects

The most common side effects of Zepbound® include nausea, diarrhea, vomiting, constipation, stomach (abdominal) pain, indigestion, injection site reactions, feeling tired, allergic reactions, belching, hair loss, and heartburn. These are not all the possible side effects of Zepbound. Talk to your healthcare provider about any side effect that bothers you or doesn’t go away.

Tell your healthcare provider if you have any side effects. You can report side effects at 1-800-FDA-1088 or www.fda.gov/medwatch.

Before Using Zepbound®

Your healthcare provider should show you how to use Zepbound before you use it for the first time.
Tell your healthcare provider if you are taking medicines to treat diabetes including insulin or sulfonylureas which could increase your risk of low blood sugar.
If you take birth control pills by mouth, talk to your healthcare provider before you use Zepbound. Birth control pills may not work as well while using Zepbound. Your healthcare provider may recommend another type of birth control for 4 weeks after you start Zepbound® and for 4 weeks after each increase in your dose of Zepbound.
Zepbound® may harm your unborn baby. Tell your healthcare provider if you become pregnant while using Zepbound. It is not known if Zepbound passes into your breast milk.

Pregnancy Exposure Registry: There will be a pregnancy exposure registry for women who have taken Zepbound® during pregnancy. The purpose of this registry is to collect information about the health of you and your baby. Talk to your healthcare provider about how you can take part in this registry, or you may contact Lilly at 1-800-LillyRx (1-800-545-5979).

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

For a full list of side effects: https://www.mayoclinic.org

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