Sex Rx + Hair Health (Tadalafil + Minoxidil + Finasteride + Supplement Blend)

^{Following consultation, a You Health provider determined that Sex Rx + Hair Health is medically appropriate and necessary for your treatment.}

Sex Rx + Hair Health is compounded by licensed pharmacists using active pharmaceutical ingredients–tadalafil, minoxidil, finasteride, biotin, Vitamin B12, Vitamin D3, and l-theanine. Unless otherwise indicated, the safety information below is based on the known safety profiles of these active ingredients as used in the compounded medication. Like all compounded medications, Sex Rx + Hair Health is not FDA approved. This means that the safety, effectiveness, and quality of this medication has not been verified by the FDA, as the FDA does not verify the safety, effectiveness, and quality of any compounded drugs.

The following provides a medication overview of Sex Rx + Hair Health, how the active ingredients work, and how to effectively and safely use it to treat erectile dysfunction and male pattern hair loss. It does not contain all possible information. You will also receive a physical document called a medication guide or patient drug information in the package with your medication when it arrives from the pharmacy which contains full information about Sex Rx + Hair Health. Please read all of the information, specific to the medication(s) you were prescribed, before taking your medication and at each refill. It’s important to take your medication as directed by your provider and to always read your prescription label and follow your healthcare provider's instructions. If you’re not sure which medication you were prescribed, please reference the label on your prescription bottle or contact a member of your Care Team.

In this medication overview you will find more information for the following:

Usage

How does Sex Rx + Hair Health work?

This compounded medication contains three active ingredients, tadalafil, minoxidil and finasteride

• Tadalafil: Tadalafil belongs to a class of medications called phosphodiesterase 5 inhibitors. These medications boost sexual performance by increasing blood flow to the penis. They work by blocking the enzyme that turns off an erection (phosphodiesterase-5).

• Minoxidil: Minoxidil is FDA-approved for the treatment of high blood pressure. In low doses, it is also used as an off-label treatment for hair loss. Minoxidil works by boosting blood flow to hair follicles, which extends the hair growth phase and shortens the resting phase where strands are no longer growing.

• Finasteride: Finasteride blocks the conversion of testosterone to its active metabolite, DHT. By blocking this conversion, finasteride decreases the level of DHT and the resulting hair loss it causes.

How to get the most out of your treatment:

Can I drink alcohol while using Sex Rx + Hair Health?

It is OK to drink alcohol when taking Sex Rx + Hair Health, but not too much. Drinking more than 2-3 glasses of wine, beers, or shots of hard alcohol can increase your chances of headache, dizziness, fast heart rate, and low BP. Alcohol can also inhibit your erection.

Are there any dietary restrictions that I should follow while Sex Rx + Hair Health?

We recommend that you do not take additional biotin, which is often found in hair and nail supplements. This tablet was formulated with dermatologists who determined that biotin at a dosage of 2.5 mg is appropriate when combined with oral minoxidil. High doses of biotin (5 mg or higher) may interfere with certain lab tests, including specific tests to aid in heart attack diagnosis.

What if I miss a dose of Sex Rx + Hair Health?

• Hair loss treatments work best when taken consistently to maintain progress.

• If you stop treatment, your hair density will revert to what it would have been had your hair loss naturally progressed without medication.

Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Side Effects

Common side effects of tadalafil, minoxidil, and finasteride may include:

The most common side effects of tadalafil include: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash. headache, indigestion, back pain, muscle aches, flushing, and stuffy or runny nose. These side effects usually go away after a few hours. Men who get back pain and muscle aches usually get it 12 to 24 hours after taking tadalafil. Back pain and muscle aches usually go away within 2 days of stopping daily tadalafil, but in some cases may persist. Tell your healthcare provider If you have any persistent side effects that bother you.

Side effects of minoxidil and finasteride can include:

• Hypertrichosis, or increased hair growth on the face or body

• Lightheadedness

• Palpitations or tachycardia

• Headaches

• Leg swelling or fluid retention (edema)

• Swelling around the eyes

• Insomnia

• Nausea or vomiting

• Rash

• Minoxidil may cause changes to your EKG. Tell your healthcare provider prior to an EKG that you are taking oral minoxidil.

Sexual side effects of finasteride: In clinical trials of finasteride 1 mg daily, the following sexual side effects were experienced by patients. These side effects may or may not occur with Sex Rx + Hair Health. In rare cases patients have reported persistence of these side effects after medication cessation. 

• Decreased libido or lower sex drive (reported in 1.8% of patients taking finasteride vs. 1.3% taking placebo)

• Erectile dysfunction (reported in 1.3% of patients taking finasteride vs. 0.7% taking placebo)

• Ejaculation disorder (reported in 1.2% of patients taking finasteride vs. 0.7% taking placebo)

• Decreased volume of ejaculate (reported in 0.8% of patients taking finasteride vs. 0.4% taking placebo)

The following have been reported as less common side effects with finasteride use:

• Allergic reactions including: rash, itching, hives and swelling of the lips, tongue, throat, and face

• Testicular pain

• Male infertility and/or poor quality of semen

• In rare cases, male breast cancer

• Breast tenderness or enlargement (reported in less than 1% of patients)

Tell your healthcare provider If you have any persistent side effects that bother you.

Does finasteride cause depression?

A literature review shows there may be evidence of increased depressive symptoms in individuals younger than age 45 while taking finasteride for hair loss. Patients with new or worsening depression should stop this medication and follow up with their health care provider or a mental health therapist. SOURCE: MEDPAGETODAY.ORG

Does finasteride cause prostate cancer or prostate enlargement (BPH)?

There have been reports of a slight increased risk (1.8% with 5mg finasteride dosage versus 1.0% placebo) of high grade prostate cancer for men over age 55 years old. These reports are from men taking a higher dosage of finasteride (5mg) than the dosage we prescribe for hair loss (1mg). There have been conflicting studies on the increased risk in the number of high grade prostate cancers; however, several recent studies have shown no increase in the number of deaths (with a recent study showing fewer deaths) in patients who use finasteride at the 1mg dosage.

Does finasteride change blood Prostate Specific Antigen (PSA) levels?

Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done, you should tell your healthcare provider that you are taking finasteride because finasteride decreases PSA.

Tell your healthcare provider If you have any persistent side effects that bother you.

Rare but serious side effects:

Tadalafil, the active pharmaceutical ingredient in Sex Rx + Hair Health, can cause serious side effects in rare instances. If you notice any of these side effects, stop taking the medication and seek urgent medical care.

• An erection that won’t go away (priapism). Sexual dysfunction medications, including tadalafil, can very rarely cause priapism, which refers to a penetration-hardness erection that lasts for more than 4 hours. This condition is a medical emergency that can permanently damage your penis if it isn’t promptly treated within a couple of hours.

• Sudden vision loss. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). It is uncertain whether sexual dysfunction medications like tadalafil directly cause vision loss, but prompt evaluation and treatment are critically important.

• Sudden hearing decrease or loss. Sexual dysfunction medications can very rarely cause sudden hearing decrease or loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking this medication Sex Rx + Hair Health and contact a provider right away.

• Other reported serious side effects: it is not known if tadalafil caused these problems, but other serious medical events that have been reported after tadalafil use include: heart attack, stroke, irregular heartbeats, seizures, and death.

• If you experience signs or symptoms of an allergic reaction, including swelling of the face, lips, or tongue; difficulty swallowing or breathing; wheezing; hives; flushing of the skin; or itching of the throat or ears, stop taking the medication and seek medical attention immediately.

Minoxidil and finasteride, two of the active ingredients in Sex Rx + Hair Health, can cause serious side effects in rare instances. If you notice any of these side effects, stop taking the medication and seek urgent medical care.

• New or worsening chest pain

• Shortness of breath

• Sudden changes to your vision or hearing

• Very severe heartburn

These are not all the side effects  of tadalafil, minoxidil, and finasteride. For more information, read the drug information that comes with your compounded medication, ask your healthcare provider, or ask your pharmacist.Tell your healthcare provider if you have any side effect that bothers you or that does not go away. You are encouraged to report all side effects to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.