Customized formulas may contain a combination of the following active ingredients: Azelaic Acid, Oxymetazoline, Metronidazole, Ivermectin in a prescription cosmetic cream base
Customized formulas may contain a combination of the following active ingredients:
Azelaic Acid, Oxymetazoline, Metronidazole, Ivermectin
Important Safety Information for Strut Rosacea Formula
Compound Ingredients:
Potential ingredients may include:
Azelaic Acid, Oxymetazoline in Prescription Dermatology Base Cream
Overview of Contained Information:
-Ingredient information
-InteractionsSide effects
-How to take the medication
-How to store the medication
-Other important information you should know prior to starting the medication
Instructions:
This treatment plan may help: reduce the redness, swelling, flushing, and small pimples characteristic of rosacea when used regularly and as prescribed.
The main mechanism of action is to reduce bacteria in pores and constrict the underlying vessels causing the redness.
It may take up to several weeks to see maximum results, improvement normally occurs within 4 weeks.
Follow all directions on your prescription label and read all medication guides or instruction sheets.
Use the medicine exactly as directed. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects.
Do not take by mouth. Topical medicine is for use only on the skin. Avoid getting this medication in your eyes or mouth, if this does occur, rinse with water.
Do not use on sunburned, broken skin, or skin affected by eczema.
Wash your hands before and after applying the formula.
Before applying, clean and dry the skin area to be treated. Do not cover the treatment area after application, this may cause too much medication to be absorbed and increase the risk of side effects.
Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
You can use this medicine in conjunction with other topical skin products, but avoid other products that also contain Azelaic Acid, Oxymetazoline, other topical acids, other vasoconstrictors, or other topical medications unless directed otherwise by your doctor.
Allergies:
This medication may cause allergic reactions if you are allergic to a component of the medication or medications similar to the ingredients in this product.
If you are allergic to any of the ingredients listed (Ingredients: Azelaic Acid, Oxymetazoline) please stop the compound, reach out to us and contact your doctor.
If you are experiencing any of the following symptoms: hives, difficult breathing, swelling of your face, lips, tongue, or throat, you may be having an acute allergic reaction and you need to get emergency medical help immediately.
Conditions:
We have evaluated your health history and the specific health information you provided us, however, if anything changes and you develop or discover any new condition please contact us and your doctor to make sure this medication is still appropriate for you.
Some medications can have interactions with conditions and we will help you evaluate that risk and decide on an appropriate treatment plan.
To make sure topicals containing oxymetazoline are safe for you, tell your doctor if you have:
-heart disease
-high blood pressure
-blood circulation problems
-glaucoma
-peripheral vascular disease such as Raynaud's syndrome, Buerger's disease, scleroderma, or Sjögren's syndrome
Pregnancy and Breastfeeding:
This compounded medication has not been evaluated for use with pregnancy or breastfeeding. If you are pregnant or planning to become pregnant use only at the discretion of your medical provider.
Side Effects:
You may experience side effects with these medications.
These side effects are common and may go away with time and daily use:
-burning
-stinging
-tingling of the skin
-dryness
-itching
-peeling
-redness of the skin
-increased sensitivity to the sun may occur
If these symptoms are severe contact us and your doctor.
Stop using this medicine and call your doctor at once if you have:
-worsening of your rosacea symptoms
-numbness
-tingling
-cold feeling in your hands or feet
-pale or purple appearance in your fingers or toes
-blurred vision
-tunnel vision
-eye pain
-seeing halos around lights
You should also avoid other products known to cause skin irritation on the area of treatment such as: medicated or abrasive soaps, chemical hair removers or waxes, electrolysis, products with alcohol or astringents, and cosmetics with a strong drying effect.
Medicines and Supplements:
We have evaluated your health history and the specific health information you provided us, however, if anything changes and you start or discover that you are taking any additional medicines or supplements please contact us and your doctor to make sure this medication is still appropriate for you.
Some medications can have interactions and we will help you evaluate that risk and decide on an appropriate treatment plan.
-Do not use this cream if you are using a topical medication containing isotretinoin.
-Do not take medications containing oxymetazoline with venlafaxine unless directed otherwise by your provider. Venlafaxine and oxymetazoline topical may increase blood pressure and heart rate, and combining them may increase these effects. You may need to switch to an alternative, adjust the dose, or monitor more frequently to safely use both medications.
Risks:
We have evaluated the specific health information provided by you to identify if this product is appropriate for you.
If you forgot to provide us with any information or incorrectly provided the information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment.
If you need to update or clarify any information about your health you can call us and update your profile so that we may reevaluate if this is appropriate for you.
Treatment Failure:
This treatment is not 100% effective for every patient. It may not work for every patient or may only work partially to resolve the condition that it is meant to treat.
If the treatment is not working, or if you find that you are experiencing new or worsening symptoms, contact us as well as your doctor to identify if you should continue this treatment.
If it is an emergency, call 911 or seek immediate medical help.
We are providing this treatment for you because the potential benefits outweigh the risks in our estimation based on the medical information provided.
You should evaluate this information and any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you.
Share with Your Healthcare Team:
We recommend that you update all of your physicians, pharmacists, and the rest of your healthcare team to let them know about any new medicines or supplements that you are taking or any changes in your health.
You can also ask us questions anytime regarding your therapy and we are happy to help you share any information about your health with anyone in your personal healthcare team.
Additional Resources
The following links provide further information on the potential risks and benefits of this medication:
Official Oxymetazoline PDR
Official Azelaic Acid PDR
FDA Oxymetazoline Prescribing Information
FDA Azelaic Acid Prescribing Information
Important Safety Information for Strut Rosacea Formula 2Compound Ingredients:
Custom formula may contain the following active ingredients:
Azelaic Acid, Metronidazole, Ivermectin in Prescription Dermatology Base Cream
Overview of Contained Information:
Ingredient information
Interactions
Side effects
How to take the medication
How to store the medication
Other important information you should know prior to starting the medication
Instructions:
This treatment plan may help: reduce the redness, swelling, flushing, and small pimples characteristic of rosacea when used regularly and as prescribed.
The main mechanism of action is to clear excess bacteria and Demodex mites on the skin while reducing redness, inflammation, swelling, and pimples.
It may take several weeks to months to see maximum results, some improvement normally occurs within 4 weeks.
Follow all directions on your prescription label and read all medication guides or instruction sheets.
Use the medicine exactly as directed. Using more medicine or applying it more often than prescribed will not make it work any faster, and may increase side effects.
Do not take by mouth. Topical medicine is for use only on the skin, and may be harmful if swallowed. Avoid getting this medication in your eyes or mouth, if this does occur, rinse with water. If you ingest this medication call a doctor or the poison control center immediately.
Do not use on sunburned, broken skin, or skin affected by eczema.
Wash your hands before and after applying the formula.
Before applying, clean and dry the skin area to be treated.
Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
You can use this medicine in conjunction with other topical skin products, but avoid other products that also contain Azelaic Acid, Metronidazole, Ivermectin, skin products that cause irritation, or other topical medications unless directed otherwise by your doctor.
Allergies:
This medication may cause allergic reactions if you are allergic to a component of the medication or medications similar to the ingredients in this product.
If you are allergic to any of the ingredients listed (Ingredients: Azelaic Acid, Metronidazole, Ivermectin) please stop the compound, reach out to us and contact your doctor.
If you are experiencing any of the following symptoms:
hives, difficult breathing, swelling of your face, lips, tongue, or throat, you may be having an acute allergic reaction and you need to get emergency medical help immediately.
Conditions:
We have evaluated your health history and the specific health information you provided us, however, if anything changes and you develop or discover any new condition please contact us and your doctor to make sure this medication is still appropriate for you.
Some medications can have interactions with conditions and we will help you evaluate that risk and decide on an appropriate treatment plan.
To make sure topicals containing metronidazole are safe for you, tell your doctor if you have:
-alcoholism
-liver disease
-blood dyscrasias
-neurologic toxicity
Pregnancy and Breastfeeding:
This compounded medication has not been evaluated for use with pregnancy or breastfeeding. If you are pregnant or planning to become pregnant, use only at the discretion of your medical provider.
Side Effects:
You may experience side effects with these medications.
These side effects are common and may go away with time and daily use:
-dryness
-scaling
-itching
-stinging
-burning
-local allergic reactions
If these symptoms are severe contact us and your doctor.
Stop using this medicine and call your doctor at once if you have:
-severe dryness
-severe scaling
-severe itching
-severe stinging
-severe burning
-severe or acute allergic reactions
You should also avoid other products known to cause skin irritation on the area of treatment such as: medicated or abrasive soaps, chemical hair removers or waxes, electrolysis, products with alcohol or astringents, and cosmetics with a strong drying effect.
Medicines and Supplements:
We have evaluated your health history and the specific health information you provided us, however, if anything changes and you start or discover that you are taking any additional medicines or supplements please contact us and your doctor to make sure this medication is still appropriate for you.
Some medications can have interactions and we will help you evaluate that risk and decide on an appropriate treatment plan.
Risks:
We have evaluated the specific health information provided by you to identify if this product is appropriate for you.
If you forgot to provide us with any information or incorrectly provided the information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment.
If you need to update or clarify any information about your health you can call us and update your profile so that we may reevaluate if this is appropriate for you.
Treatment Failure:
This treatment is not 100% effective for every patient. It may not work for every patient or may only work partially to resolve the condition that it is meant to treat.
If the treatment is not working, or if you find that you are experiencing new or worsening symptoms, contact us as well as your doctor to identify if you should continue this treatment.
If it is an emergency, call 911 or seek immediate medical help.
We are providing this treatment for you because the potential benefits outweigh the risks in our estimation based on the medical information provided.
You should evaluate this information and any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you.
Share with Your Healthcare Team:
We recommend that you update all of your physicians, pharmacists, and the rest of your healthcare team to let them know about any new medicines or supplements that you are taking or any changes in your health.
You can also ask us questions anytime regarding your therapy and we are happy to help you share any information about your health with anyone in your personal healthcare team.
Additional Resources
The following links provide further information on the potential risks and benefits of this medication:
Official Metronidazole Topical PDR
Official Azelaic Acid PDR
Official Ivermectin Topical PDR
FDA Metronidazole Topical Prescribing Information
FDA Azelaic Acid Prescribing Information
FDA Ivermectin Topical Prescribing Information
All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined. All compounded medications in the U.S. are considered off-label use. Our licensed doctors have the ability to prescribe compounds for off-label treatment, if they believe that it is an appropriate course of treatment.
The drug and medical information provided on this website, is not meant to cover all adverse effects, drug interactions, warnings, medical uses, directions and precautions. The information provided is a medical resource and the judgment of your physician and/or healthcare practitioner should not be substituted. Strut has made every effort to ensure the information on the website is accurate and current based on present medical literature. Strut does not make any guarantees regarding the drug and medical information, and does not assume responsibility regarding the content. The drug safety and drug information contained on the website may be time sensitive and should not be utilized as a medical reference beyond the date hereof. The deficiency of a warning for prescription medications and vitamins provided on this website in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. If you have questions or concerns about your medications, please do not hesitate to contact us and/or your medical practitioner, including your pharmacist. Compound prescription products have not been tested or approved by the FDA for their intended use. No claims are made as to the safety, efficacy or use of this compound. Active ingredients used are FDA approved and follow strict United States Pharmacopeia (USP) guidelines when pursuant to a valid prescription.
Strut Rosacea Formulas are physician and pharmacist formulated compounded medications meant to target Rosacea symptoms. Strut Rosacea Formulas may help reduce redness, swelling, flushing, and small pimples characteristic of rosacea when used regularly and as prescribed.
Strut Rosacea Formulas combine multiple prescription medications meant to target your specific rosacea symptoms. Azelaic acid is a mild naturally occurring acid that may reduce redness, swelling, and clear excess bacteria. Oxymetazoline is a vasoconstrictor that narrows vessels underneath the application site to help reduce redness and flushing. Metronidazole is a topical antibiotic that can help reduce the swelling and inflammation of irritated skin, while reducing the number of pimples. And Ivermectin is a medication with anti-inflammatory effects which aids in reducing skin mites and facial redness.
A compounded medication is a prescription that is mixed up specifically for you based on your doctor’s request for specific strengths, ingredients, and dosage forms. Compounded medications are not manufactured, but made in compounding pharmacies by U.S. licensed pharmacists and pharmacy technicians that follow a formula ‘recipe’ customized to your condition to create an individualized medication for you.
Wash your face with a mild soap and water. Apply cream in a thin layer and gently massage into the entire face once or twice daily or as directed by your doctor (forehead, nose, each cheek, and chin) avoiding the lips and eyes. You may apply make-up or other beauty products once the cream is fully dry. Wash hands before and after application. Follow your doctor's specific orders if you are unsure how to use the medication.
The most common side effects are: burning, stinging, tingling of the skin, dryness, itching, peeling, redness of the skin, increased sensitivity to the sun. These side effects are normally mild and may go away with continued use. If these symptoms are severe contact us and your doctor. This is a medication to be used topically only and may be harmful if swallowed.
Strut’s innovative medical platform allows our U.S. licensed telemedicine physicians to treat patients remotely and safely via secure chat, phone, or video. Our physicians will customize a treatment plan based on your condition. The physician will recommend a custom formulated prescription product made from a U.S. accredited pharmacy to treat your condition. You must start with an online visit, so we can collect photos and medical information about your health. Completing an online visit is quick and easy. If you qualify, our doctors will provide a diagnosis, treatment plan and prescribe a custom formula to treat your condition.
Our Pharmacist & Dermatologist formulated compound has multiple powerful prescription-only medications used to treat Rosacea. These unique formulations are customized to help with the redness and flushing associated with type 1 rosacea, as well as the tiny pimples found in type 2 rosacea. This formula combines validated rosacea fighting components that work synergistically to reduce the irritation and appearance of rosacea.
If the product has arrived warm, wait 2 hours before using. Store this medication in a cool, dry environment, protected from light, at room temperature (68F-77F). Always make sure the container is tightly closed when not using the medication. Keep all medications in a safe place out of reach of pets and children.
Strut Rosacea Formula may contain the following depending on your rosacea presentation: Azelaic Acid, Metronidazole, Ivermectin, and Oxymetazoline in Prescription Dermatology Cream.
Initial results may begin shortly after starting treatment. It may take up to several weeks to see maximum results.
See the detailed safety information under the Safety Info tab for the product.
The online doctor’s visits are typically complementary. With Strut, you will only pay for the prescription if you qualify after your medical consultation. If after checking out, the doctor identifies that you are not a good candidate for treatment, you will not be charged. If you decide to transfer your prescription at any time to a non-preferred pharmacy of Strut Health, then you will be charged a $40 physician consultation fee to your credit card on file. Customer service can provide additional details on our pharmacy network.
The cost varies, the price is listed on the product page of the website. Prices at local pharmacies or online are often higher than what we offer. We keep our prices very competitive, as well as offering free visits and shipping.
Yes, your photographs will help us to accurately diagnose the cause of your medical condition and prescribe the most effective medication regimen. It is very important that we have clear photographs. Our site is mobile-friendly and simple to upload pictures.
You will want to apply your Tretinoin cream at night. Start by washing your face with a gentle cleanser and water, then pat dry and allow your skin to fully dry. Apply a pea-sized amount of your Tretinoin cream in a very thin layer over the entire face, taking care to avoid the eye area and lips. Since it is a small amount, a patting or tapping application may be easier than rubbing it in. Wash your hands and allow the Tretinoin to soak in. Once the Tretinoin has had some time to soak in, follow with a moisturizer to help with dryness. While you are using Tretinoin cream, it is recommended to wear sunscreen daily as your skin may be more sensitive to the sun. You should also be diligent about moisturizing your skin twice daily to help prevent and improve dryness and irritation that may develop with retinoid use.
Strut is qualified to help you find the right treatment for your needs. We are driven to improve the digital healthcare experience and our team is available to help you throughout the process.
This site serves as a partnership between MyRootCauseRx.com and StrutHealth.com, providing patients with valuable resources to educate themselves about treatment options.
