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Human Medicine
  • Entire Family
  • Arthritis Pain
  • As we age
  • Diabetic Neuropathy
  • Compounding Haircare Medications.
  • Compounding Scream Cream for Women, Oxytocin, Hormone Replacement for Men and Women and ED for Men.  Call us today!
  • Leading Accredited Compounding Pharmacy for Natural Hormone Replacement.
  • Thyroid
  • Low Dose Naltrexone
Veterinarian Medicine
  • CFS

CareFirst Specialty Pharmacy

CareFirst Specialty Pharmacy is an independently owned and operated compounding pharmacy that has knowledge and training in the area of specialty compounding. Our professional certified pharmacists, technicians and assistants have extensive training and experience. As a PCCA member, we continually receive the most up to date training and education in the area of compounding. We dispense high quality compounded medications and extensively research and test our formulas for potency and stability. Our state-of-the-art pharmacy helps to ensure that you will receive high quality care. CareFirst Specialty Pharmacy adheres and complies with the USP Pharmacopoeia’s Chapter 795 for pharmaceutical compounding in non-sterile environments, which guide pharmacies in applying “good compounding practices in the preparation of non-sterile compounded formulations for dispensing and/or administration to humans or animals.” The safety of our patients is of most important to our practice and our computerized drug management system can detect hazardous drug interactions and dangerous side effects before they happen.

General Compounding

Compounding combines the ageless art with the latest medical knowledge allowing our pharmacy to prepare customized medications to meet each patient’s specific need. We offer countless therapeutic possibilities when medications can be customized. Our pharmacy uses the finest ingredients to formulate medications and contains equipment that is not found in most pharmacies, enabling us to compound each medication to the prescriber’s specifications.

  • Dosages forms we compound include:
  • Transdermal or Topical Formulations
  • Troches
  • Tablets and Capsules
  • Lozenges, Freezer Pops, Gummy Treats and Lollipops
  • Suppositories

Let us know how we can help you!

Hormone Therapy

We compound hormone replacement therapy for women and men. CareFirst will work with your doctor to compound a prescription that is right for you.

Pain Management

Pain is one of the most common reason people consult a physician, leading to enormous social cost in the form of lost productivity, suffering, and excessive healthcare costs. At CareFirst Specialty Pharmacy, we have advanced training in the preparation of customized dosage forms. We offer many unique options for pain management, regardless of pain origin and whether the pain is acute or chronic. By working together with healthcare providers and their patients, we can customize medications and make adjustments to optimize pain management.

Hair Loss

We recognize that hair loss is not only a complex medical condition, but one that affects every aspect of the hair loss sufferer's life. Androgenetic alopecia or common male pattern baldness (MPB) accounts for more than 95% of hair loss in men. By the age of thirty-five, two-thirds of American men will experience some degree of appreciable hair loss, and by the age of fifty approximately 85% of men have significantly thinning hair. Approximately twenty five percent of men who suffer with male pattern baldness begin the painful process before they reach the age of twenty-one. At CareFirst Specialty Pharmacy we compound a unique formula that may improve results. Many patients use topical treatment with 5% minoxidil in an alcoholic solution which many are not fond of using. The alcoholic solution drips and leaves an unpleasant alcoholic smell. As hair loss continues to progress most men seek alternative treatment options. Our formula is a combination of latanoprost and minoxidil. Each drug acts on a different prostaglandin and synergize to restore the prostaglandin balance. Our formula uses Espumil, which is a creamy, drip free foam formulation with a light skin feel that work very well on the scalp. It is very easy to apply and skin friendly maximizing patient comfort and for optimal treatment results. Latanoprost for the treatment of hair loss has shown positive results.

Wound Care

Wound care involves removal of dead tissue, cleansing, maintenance of a moist environment, prevention of infection and further injury, and the treatment to improve healing. At CareFirst Specialty Pharmacy we can compound a unique preparation or utilize a number of proprietary bases to optimize the treatment of:

  • Scars (old, new or surgical)
  • Keloids
  • Burns
  • Stretch Marks (secondary to weight loss or gain)
  • Athletic Injuries
  • Ulcerated Leg Wounds
  • Acne Scars
  • Any skin condition needing barrier protection

The use of topical formulations for treatment of wounds can result in significantly improved healing and decrease the risk of drug-related side effects associated with systemic medications.

Dermatology

Dermatologists, physicians, healthcare professionals and patients encounter numerous problems that can be helped with custom medications that treat a wide range of conditions including:

  • Acne
  • Psoriasis
  • Eczema
  • Rosacea
  • Sunburn
  • Plantar Warts
  • Burns
  • Stretch Marks
  • Warts and Molluscum
  • Fungal and Viral Infections
  • Wrinkles
  • Pigmentation Abnormalities
  • Traumatized or Diseased Nails
  • Scarring and Keloids
  • Slow Healing Wounds

When you have a problem that is difficult to treat, we can work with your physican to customize formulations that contain the needed medications in the most appropriate vehicle to effectively deliver the drug to the affected area.

Dental Compounding

CareFirst work with dentists and patients to help solve specific problems in the area of dentistry in a variety of dosage forms. Many patients are uncomfortable and fearful with the prospect of traditional dental services due to painful past experiences. With our dental compounding medications that are administered in office prior to procedures, patients may benefit by being more at ease during procedures. Areas we compound for dentistry:

  • Topical Anesthetics and Analgesics
  • Therapy for TMJ Disorder
  • Suppressing Gag Reflex
  • Treatments for Dry Mouth and Mucositis
  • Periodontal Therapy
  • Transdermal Anti-Emetics
  • Miracle Mouthwashes

Podiatry

CareFirst Specialty Pharmacy works with podiatrists to solve their patients’ needs with compounded medications for many conditions including:

  • Arthritis
  • Athlete’s Foot
  • Blisters
  • Diabetic Neuropathy
  • Dry Skin
  • Edema/Swelling
  • Inflammation
  • Muscle Spasms
  • Nail Removal
  • Neuralgias/Neuropathic Pain
  • Onychomycosis
  • Tendonitis
  • Warts

CareFirst Compounding Services

Many patients have unique health needs that off-the-shelf, manufactured medications cannot meet. For these patients, personalized componded medications prescribed by licensed practitioners and prepared by trained, licensed pharmacists can be a way to better health.

Compounding is fundamental to the profession of pharmacy and was a standard means of providing prescription medications before drugs began to be produced in mass quantities by pharmaceutical manufacturers. The demand for professional compounding has increased as healthcare professionals and patients realize that the limited number of strengths and dosage forms that are commercially available do not meet the needs of many patients, and that these patients often have a better response to a customized dosage form that is “just what the doctor ordered”.

Working with a physician, a compounding pharmacist can meet individual needs of children, adults and animals. Whether it’s an allergy to a dye or ingredient, a need for a different strength, or a preference for a different dosage form, compounding pharmacists provide patients with solutions to meet their medication needs.

Our Compounding Professionals Can Prepare

  • Unique dosage forms containing the best dose of medication for each individual.
  • Medications that have been discontinued or are backordered due to a drug shortage.
  • Medications free of problem-causing excipients such as dyes, sugar, lactose, or alcohol.
  • Combinations of various compatible medications into a single dosage form.
  • Special formulations or medications that are not commercially available.

Quality Compounding Maximizes Therapeutic Outcomes

The efficacy of any formulation is directly related to its preparation, which is why the selection of your compounding pharmacy is critical. Ongoing training for compounding pharmacists and technicians, state-of-the-art equipment, and high quality chemicals are essential. Experience and ingenuity are important factors as well. When tweaking a formula or developing a unique preparation, the compounding pharmacist must consider physical and chemical properties of both the active ingredient and excipients, solubility, tonicity, viscosity, and the most appropriate dosage form or device for administering the needed medication. Standard Operating Procedures should be in place, stability studies should be considered when compounding, and appropriate potency and sterility testing should be performed.

 

Our Featured Compounds

 

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  • Starting at
    $89.95

    Amphotericin B is an antifungal medication used for certain types of infexctions.

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  • Starting at
    $49.95

    Product Information – Is a popular nipple healing and infection fighting compound made up of three ingredients: an antibiotic (Mupirocin 2%), an anti-inflammatory (Betamethasone Valerate Ointment), and an anti-fungal(Miconazole 2%).

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  • Starting at
    $69.95

    Apomorphine Hydrochloride is the hydrochloride salt form of apomorphine, a derivative of morphine and non-ergoline dopamine agonist with high selectivity for dopamine D2, D3, D4 and D5 receptors. Apomorphine hydrochloride acts by stimulating dopamine receptors in the nigrostriatal system, hypothalamus, limbic system, pituitary gland, and blood vessels. This enhances motor function, suppresses prolactin release, and causes vasodilation and behavioral effects. Apomorphine hydrochloride may be used in the treatment of Parkinson's disease and erectile dysfunction. In addition, apomorphine hydrochloride acts on the chemoreceptor trigger zone and is used as a central emetic in the treatment of drug overdose.

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  • Starting at
    $54.95

    Baclofen- is a muscle relaxer and an antispastic agent.
    Diazepam - Diazepam is a type of drug called a benzodiazepine. Benzodiazepines are mild tranquilizers, producing a calming effect on those who take them. But did you know that diazepam can do much more than just that?

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  • Starting at
    $59.95

    We compound Belladonna/Morphine a suppository. All preparations are dispensed with an easy to use applicator. Please note that free shipping applies to items not requiring refrigeration (ice packs). Troches and suppositories require refrigeration (ice packs) and will incur a shipping charge of $9.95 per order.

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  • Starting at
    $44.95

    Betahistine dihydrochloride is a type of medicine called a histamine analogue. It is used as a treatment for Ménière’s syndrome, a condition caused by the pressure of excess fluid in the inner ear. Betahistine dihydrochloride is thought to work by improving blood flow in the inner ear, which reduces the build up of pressure. It is this pressure in the ear which is thought to cause the vertigo (dizziness), tinnitus (ringing in the ears) and hearing loss suffered by people with Ménière’s disease

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  • Starting at
    $59.95

    We compound high strength Biotin Capsules USP in our nationally accredited state of the art compounding facility.

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  • Starting at
    $28.95

    We compound boric acid in vaginal capsules and suppositories. All preparations are dispensed with an easy to use applicator. Our boric acid compounds are compounded in our state-of-the-art pharmacy and only using USP/NF grade ingredients. Please note that free shipping applies to items not requiring refrigeration (ice packs). Troches and suppositories require refrigeration (ice packs) and will incur a shipping charge of $9.95 per order.

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  • Starting at
    $75.00

    Calcipotriene is a form of vitamin D. It works by decreasing the growth of skin cells. When us individually, this medication is used to treat psoriasis.
    Flourouracil is an antimetabolite antineoplastic agent.

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  • Starting at
    $48.95

    DHEA (Dehydroepiandrosterone) also known as androstenolone, is an endogenous steroid hormone. DHEA vaginally may be used for improving vaginal dryness in postmenopausal women.
    Hyaluronic Acid - is a colorless, odorless, transparent, aqueous, hydrating gel. It acts as a strong moisturizer may help with vaginal dryness due to its hydration properties.

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  • Starting at
    $64.95

    DHEA (Dehydroepiandrosterone) also known as androstenolone, is an endogenous steroid hormone. Pregnenolone - Pregnenolone is an endogenous steroid hormone synthesized from cholesterol. Pregnenolone may improve energy, vision, memory and sexual enjoyment or libido.

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  • Starting at
    $54.95

    DHEA (Dehydroepiandrosterone) also known as androstenolone, is an endogenous steroid hormone.

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  • Starting at
    $42.95

    We compound diazepam in a suppository. All preparations are dispensed with an easy to use applicator. Please note that free shipping applies to items not requiring refrigeration (ice packs). Troches and suppositories require refrigeration (ice packs) and will incur a shipping charge of $9.95 per order.

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  • Starting at
    $49.95

    Diltiazem hydrochloride, a calcium channel blocker, can be used for treating anal fissures by lowering anal sphincter pressure(smooth muscle around the rectum), and also promotes wound healing and treat external thrombosed hemorrhoids. The use of topical 2% diltiazem hydrochloride for treating anal fissures is supported by multiple clinical trials. There no commercially manufactured formulation of topical 2% diltiazem has been approved yet by the Food and Drug Administration for the treatment of anal fissure, prescriptions for the medication need to be compounded with a prescription from a doctor.

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  • Starting at
    $109.95

    Dimercaptosuccinic acid (DMSA), also called succimer is used as a chelating agent for treatment of heavy metal toxicity and is a water-soluble and non-toxic substance

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  • Starting at
    $54.95

    Dyclonine is compounded into an oral rinse that is used by dentists before procedures. It can be used as an anesthetic for patients who do not like needles in their mouths.

    Swishing the oral rinse for 30 seconds before a procedure can also reduce the pain of mouth ulcers and sores. We compound a 0.5% and a 1% oral rinse. A combination of dyclonine and lidocaine can be compounded into one oral rinse. Please contact us for more details

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  • Starting at
    $39.95

    We compound estradiol into an easy to use topical cream. All preparations are dispensed with an easy to use Topi-Clik applicator.

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  • Starting at
    $42.95

    Our expert compounding pharmacists compound Estriol/Estradiol (Bi-Est) 80/20, 70/30, 50/50 into topical creams, troches and capsules. Can be combined with progesterone or testosterone. All topical preparations are dispensed with an easy to use Topi-Clik applicator. Contact us for more information.

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  • Starting at
    $109.95

    Fexofenadine is an antihistamine that prevents allergic reactions by blocking histamine. At CareFirst Specialty Pharmacy, we can compound fexofenadine with inert ingredient(s) that patients do not react to.

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  • Starting at
    $49.95

    This medication is used to treat male pattern baldness (androgenetic alopecia) at the crown and in the middle of the scalp. It should be used by adult men only. FDA-Approved generic for Propecia 1mg tablets

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  • Starting at
    $39.95

    We compound human chorionic gonadotropin (HCG) in oral troches/lozenges, sublingual and suspensions. Please note that free shipping applies to items not requiring refrigeration (ice packs). Troches and suppositories require refrigeration (ice packs) and will incur a shipping charge of $9.95 per order.

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  • Starting at
    $89.95

    Ivermectin is an anti-parasitic agent that may have anit-inflamatory properties.

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  • Starting at
    $73.95

    Ketotifen is an antihistamine that is a mast cell stabilizer that prevents allergic reactions by blocking histamine.

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  • Starting at
    $49.95

    We compound lansoprazole into a suspension.

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  • Starting at
    $89.95

    Liothyronine (L-triiodothyronine or L-T3) is indicated for use in the treatment of hypothyroidism. Liothyronine is the synthetic form of triiodothyronine. T3 is one of the two circulating Thyroid Hormones and is the more metabolically active one, relative to T4 also called levothyroxine. It affects almost every physiological process in the body, including growth and development, metabolism, body temperature, and heart rate. We compound liothyronine(T3) capsules or a combination of levothyroxine (T4)/liothyronine (T3) in an immediate release and slow/modified release capsule based on your doctor’s prescription. The dosage of thyroid hormones is determined by the indication and must in every case be individualized according to patient response and laboratory findings. Please contact us for additional strengths. This product and its statements have not been evaluated by the FDA. This product is not designed to treat, cure or prevent any disease.

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  • Starting at
    $74.95

    Liothyronine (L-triiodothyronine or L-T3) is indicated for use in the treatment of hypothyroidism. Liothyronine is the synthetic form of triiodothyronine. T3 is one of the two circulating Thyroid Hormones and is the more metabolically active one, relative to T4 also called levothyroxine. It affects almost every physiological process in the body, including growth and development, metabolism, body temperature, and heart rate. We compound liothyronine(T3) capsules or a combination of levothyroxine (T4)/liothyronine (T3) in an immediate release and slow/modified release capsule based on your doctor’s prescription. The dosage of thyroid hormones is determined by the indication and must in every case be individualized according to patient response and laboratory findings. Please contact us for additional strengths. This product and its statements have not been evaluated by the FDA. This product is not designed to treat, cure or prevent any disease.

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  • Starting at
    $49.95

    Metformin is a diabetes medication that helps control blood sugar levels. We compound metformin into a scientifically advanced transdermal cream that is applied topically. Metformin must be used exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results.

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  • Starting at
    $44.95

    We compound high strength Minoxidil and Minoxidil and Finasteride in a scientifically advanced and exclusive foaming easy to apply formula. We also custom compound topical formulations with latanoprost, tretinoin and other actives as prescribed by your doctor. Please call us or submit a request for more information.

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  • Starting at
    $89.95

    Monobenzone is used to lighten normal skin to match patches of skin that have become pale due to vitiligo. Monobenzone (monobenzyl ether of hydroquinone) works by causing free-radical formation in the skin and this causes destruction of remaining melanocytes. Monobenzone may also acts by inhibiting the tyrosine enzyme that is involved in the production of melanin, the pigment that gives color to the skin.

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  • Starting at
    $24.95

    Our expert compounding pharmacists compound immediate release low dose naltrexone in an oral capsule and tablet form. We compound this medication in strengths starting at 0.5mg. We also compound low dose naltrexone in liquid, cream and sublingual forms. We prepare LDN with no fillers or binders that interfere with the medications absorption. No calcium carbonate, gluten, lactose or dyes used in our LDN compounds. Please contact us for additional information

     

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  • Starting at
    $39.95

    We compound omeprazole suspension. Please call us or submit a request for more information.

    Please note that free shipping applies to items not requiring refrigeration (ice packs). Troches and suppositories require refrigeration (ice packs) and will incur a shipping charge of $9.95 per order.

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  • Starting at
    $49.95

    Oxytocin is a peptide hormone and neuropeptide. Oxytocin is produced in the hypothalamus and released during sex, childbirth, and lactation to aid reproductive functions. It has physical and psychological effects and may play a role in social bonding, sexual reproduction in both sexes, including the ability to enhance orgasm experiences.

    Oxytocin for men assists emotional bonding as well as desire. Oxytocin can help enhance orgasm in female patients.

    Some studies show that it may benefit people with an autistic spectrum disorder (ASD), anxiety, and irritable bowel syndrome (IBS).

    This product and its statements have not been evaluated by the FDA. This product is not designed to treat, cure or prevent any disease.

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  • Starting at
    $34.95

    We compound progesterone in oral capsules, topical creams, oral troches/lozenges, sublingual suspensions and vaginal suppositories. Our topical creams are made in a scientifically advance base and dispensed in an easy to use applicator. Please note that free shipping applies to items not requiring refrigeration (ice packs). Troches and suppositories require refrigeration (ice packs) and will incur a shipping charge of $9.95 per order.

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  • Starting at
    $64.95

    The main uses of mepacrine are as an antiprotozoal, antirheumatic and an intrapleural sclerosing agent. Antiprotozoal use include targeting giardiasis, where mepacrine is indicated as a primary agent for patients with metronidazole-resistant giardiasis and patients who should not receive or can not tolerate metronidazole.

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  • Starting at
    $59.95

    Scream Cream is a topical cream that we compound to enhances female sexual satisfaction by improving ease of stimulation, sensitivity and intensity of orgasms. The formulation contains a combination of prescription and non-prescription components described as blood flow enhancers and vasodilators. Our scream cream is formulated in a hypoallergenic transdermal vehicle. Scream Cream should be applied directly to the clitoris at least 30 minutes prior to anticipated sexual relations and gently massaged in.

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  • Starting at
    $60.95

    Sermorelin, is a 29-amino acid polypeptide that can promote the release of growth hormone (GH), improving the serum concentrations of GH and subsequently insulin-like growth factor 1 (IGF-1) in animals and humans. 1, 2

    Elevated production of the body’s own Human Growth Hormone may improve sleep quality, physical performance, immune function, muscle mass and decrease in body fat.

    This product and its statements have not been evaluated by the FDA. This product is not designed to treat, cure or prevent any disease.

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  • Starting at
    $49.95

    We compound Sildenafil and Tadalafil in a troche/lozenge and in a Quick Dissolve Sublingual Tablet. Both formulations are for sublingual/buccal administration. We offer our troche and Quick Dissolve Sublingual Tablets in many flavoring options. Please call us for available flavors. Our Quick Dissolve Sublingual Tablets comes in a cool mint flavor. Please note that free shipping applies to items not requiring refrigeration (ice packs). Troches and suppositories require refrigeration (ice packs) and will incur a shipping charge of $9.95 per order.

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  • Starting at
    $42.95

    We compound testosterone in topical creams, oral troches/lozenges, and other formulations as prescribed by your doctor. Our topical creams are made in a scientifically advance base and dispensed in an easy to use applicator. Please note that free shipping applies to items not requiring refrigeration (ice packs). Troches and suppositories require refrigeration (ice packs) and will incur a shipping charge of $9.95 per order.

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  • Starting at
    $34.95

    Desiccated thyroid is derived from porcine thyroid glands. Thyroid hormone is used to treat hypothyroidism.

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  • Starting at
    $59.95

    Vardenafil is an oral medication used for the treatment of erectile dysfunction. It is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). We compound vardenafil in a Quick Dissolve Sublingual Tablet. Store at room temperature.

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