For patients & providers

Important Safety Information

Intended use, potential risks and side effects, use in specific populations, and drug interactions for the advertised prescription treatments below. Read it alongside the guidance of your prescriber.

If this is an emergency, call 911 or go to the nearest emergency room.

Advertising

Advertisements appearing on bloomrx.health are paid for by Bloom Pharmacy to promote our own pharmacy services. Some advertisements feature paid actors or actor portrayals. Where an advertisement includes a testimonial, an endorsement, or a real patient or client, it is labeled as such. Individual results from any medication or program vary, and no particular outcome is guaranteed.

Our Services

Bloom Pharmacy is a licensed compounding pharmacy. We prepare and dispense medications, including compounded preparations, pursuant to valid prescriptions written by licensed prescribers for identified patients. We operate under active pharmacy licensure in the states where we are authorized to dispense.

Bloom Pharmacy does not diagnose, treat, or prescribe, and nothing on this site is medical advice. Whether a medication is appropriate for you is a decision that rests entirely with your licensed healthcare provider. For more detail, see our Terms of Use.

Prescription Medications

Prescription medications require a valid prescription from a licensed healthcare provider. Writing that prescription is solely that provider's determination, and access to any medication or treatment is never guaranteed. Bloom Pharmacy fills prescriptions received from licensed prescribers, subject to our licensure in your state and to medication availability.

Every prescription medication carries risk. Review the treatment-specific safety information further down this page and discuss potential risks and side effects with your prescriber before starting or changing a therapy.

Compounded Medications

As a compounding pharmacy, Bloom Pharmacy prepares medications against a valid, patient-specific prescription from a licensed healthcare provider, to meet needs that a commercially available product may not. We compound in accordance with USP <795> and <797> standards and applicable state and federal law.

Compounded drugs are not approved by the FDA for safety, effectiveness, or manufacturing quality. They may be prescribed during drug shortages or when an FDA-approved product does not meet a patient's needs. Where an FDA-approved medication is available and appropriate for you, your prescriber may recommend it instead.

Ownership of Trademarks

Ozempic® and Wegovy® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound™ are trademarks of Eli Lilly and Company. Bloom Pharmacy has no ownership over brand-name, FDA-approved medications or products.

Questions

For questions about Bloom Pharmacy's advertisements or services, email info@bloomrx.health.

Finasteride

Hair Loss

Common Side Effects

Decreased libido
Erectile dysfunction
Decreased volume of ejaculation
Breast tenderness or enlargement
Rash

These side effects may diminish over time with continued use. Not all users will experience side effects.

More Serious Side Effects (less common)

Persistent sexual dysfunction after discontinuation
Depression or mood changes
Testicular pain
Allergic reactions (e.g., rash, itching, swelling of the lips or face)

Contact your provider immediately if you experience breast lumps, nipple discharge, or signs of depression or suicidal thoughts.

Warnings (serious risks)

Finasteride may increase the risk of high-grade prostate cancer in some individuals.
May alter PSA (prostate-specific antigen) levels—inform your provider before any prostate cancer screening.
Sexual side effects may persist even after discontinuation in rare cases (Post-Finasteride Syndrome).
Finasteride is not approved for use in women or children.

Contraindications (not recommended for)

Do not use finasteride if you:

Are pregnant or may become pregnant (can cause birth defects if handled or absorbed)
Are allergic to finasteride or any of its components
Are under 18 years of age
Have liver disease unless cleared by your provider

Drug Interactions

Finasteride is not known to have major interactions with most medications. However, always inform your provider about:

Hormonal therapies
Prostate medications
Any prescription, OTC, or supplement use

Pregnancy & Breastfeeding

Finasteride should never be used or handled by individuals who are pregnant or may become pregnant. The medication can be absorbed through the skin and may harm a developing male fetus. Tablets should not be crushed or broken.

Storage

Store at room temperature, away from moisture and heat.
Keep tablets in their original packaging until use.
Do not use expired medication.
Keep out of reach of children.

Have Questions?

Patients should consult their healthcare provider if they have any questions about dosing, potential side effects, or long-term use.

Disclaimer: Finasteride is FDA-approved for the treatment of male-pattern hair loss (androgenetic alopecia) in men only. It is not approved for use in women or children. This information is intended for educational purposes and does not replace medical advice from a licensed provider.

Glutathione

Wellness

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
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.

Have Questions?

Patients should consult their healthcare provider if they have questions about side effects, injection technique, or whether glutathione is appropriate for their health goals.

Disclaimer: Glutathione injections provided through Bloom Pharmacy 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.

MIC+B12

Weight Management

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.

Disclaimer: 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.

Mounjaro®

Weight Management

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.

Mounjaro® Safety Information

Mounjaro® (mown-JAHR-OH) 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.
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.
Severe stomach problems. Stomach problems, sometimes severe, have been reported in people who use Mounjaro.
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.

Review these questions with your healthcare provider:

Do you have other medical conditions, including problems with your pancreas or kidneys, or severe problems with your stomach, such as slowed emptying of your stomach (gastroparesis) or problems digesting food?
Do you take other diabetes medicines, such as insulin or sulfonylureas?
Do you have a history of diabetic retinopathy?
Are you pregnant, plan to become pregnant, breastfeeding, or plan to breastfeed? It is not known if Mounjaro will harm your unborn baby or pass into your breast milk.
Do you take any other prescription medicines or over-the-counter drugs, vitamins, or herbal supplements?

How to Take

Read the Instructions for Use that come with Mounjaro®.
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.
You may give an injection of Mounjaro and insulin in the same body area (such as your stomach area), but not right next to each other.
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.

This summary provides basic information about Mounjaro but does not include all information known about this medicine. Read the information that comes with your prescription each time your prescription is filled. This information does not take the place of talking with your healthcare provider. Be sure to talk to your healthcare provider about Mounjaro and how to take it.

Disclaimer: Mounjaro® is a registered trademark of Eli Lilly and Company. Bloom Pharmacy has no ownership over brand-name, FDA-approved medications or products.

Female BHRT Kit

Hormone Therapy

BLACK BOX WARNING

WARNING: Cardiovascular Disorders, Breast Cancer, Endometrial Cancer, and Dementia

Estrogens increase the risk of endometrial cancer in women with a uterus when used without progestins. Adding a progestin (such as progesterone) is recommended to reduce this risk. Estrogens with or without progestins should not be used for the prevention of cardiovascular disease or dementia.

Risks Include:

Increased risk of stroke and deep vein thrombosis (DVT)
Increased risk of invasive breast cancer
Increased risk of probable dementia in postmenopausal women aged 65 or older

Use the lowest effective dose for the shortest duration consistent with treatment goals and patient risks.

Common Side Effects

Estradiol Patch

Skin irritation at the application site
Breast tenderness
Bloating
Nausea
Headache
Mood changes

Estradiol Vaginal Cream

Vaginal irritation or discharge
Local itching or discomfort
Spotting

Progesterone SR Capsules

Grogginess or drowsiness
Dizziness
Breast tenderness
Bloating
Mood swings
Spotting or breakthrough bleeding

More Serious Side Effects (less common)

Blood clots (DVT, pulmonary embolism)
Stroke or heart attack
Gallbladder disease
Breast lumps or unusual nipple discharge
Vision changes
Severe headache or chest pain

Seek immediate medical attention if you experience any of these symptoms.

Warnings (serious risks)

Estrogen therapy without adequate progestin increases the risk of endometrial hyperplasia and cancer in women with a uterus.
Both estrogen and progesterone therapy have been associated with an increased risk of stroke, blood clots, and breast cancer.
Hormone therapy may affect lipid metabolism, liver enzymes, and thyroid function.
Progesterone may cause drowsiness; avoid driving or operating heavy machinery until you know how it affects you.

Contraindications (not recommended for)

Do not use if you:

Have a known or suspected history of breast cancer, endometrial cancer, or estrogen-dependent tumors
Have active or recent blood clots or thromboembolic disorders
Have liver dysfunction or disease
Are currently pregnant or may become pregnant
Have unexplained vaginal bleeding
Are allergic to estradiol, progesterone, or any ingredients in the compounded formulation

Drug Interactions

Certain seizure medications, antibiotics, and antifungals may alter hormone metabolism
Thyroid hormone levels may be affected by estrogen therapy
St. John’s Wort may reduce hormone effectiveness

Always inform your provider of all prescription, over-the-counter, and herbal products you are taking.

Pregnancy & Breastfeeding

Hormone therapy should not be used during pregnancy or while breastfeeding. If you become pregnant while using your hormone kit, discontinue use and contact your provider immediately.

Storage

Estradiol Patch: Store at room temperature. Keep in original pouch until ready to apply.
Estradiol Vaginal Cream: Store at room temperature. Avoid extreme heat or freezing.
Progesterone SR Capsules: Store in a cool, dry place away from light and moisture.

Keep all medications out of reach of children.

Have Questions?

Patients should consult their healthcare provider if they have questions about their dosing, symptoms, risks, or treatment options. Never change or stop hormone therapy without provider supervision.

Disclaimer: Female BHRT Kit includes FDA-approved medications (estradiol vaginal cream and patch) and compounded, off-label prescriptions (sustained-release progesterone). Compounded medications are not reviewed by the FDA for safety or efficacy. This product is not intended to diagnose, treat, cure, or prevent any disease.

NAD+ Face Cream

Anti-Aging

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

NAD+ Patch

Skin irritation under or around the patch
Itching or redness at the application site

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.

Warnings (serious risks)

Do not exceed the dose prescribed by your provider
NAD+ injection should be administered subcutaneously; improper technique may lead to increased irritation or localized reaction
Use nasal spray formulations carefully to avoid irritation or overuse
Individuals with autoimmune, cardiovascular, or metabolic conditions should be monitored more closely

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.
Patch: Store sealed in original packaging until use. Keep in a dry environment.

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

Have Questions?

Patients should consult their healthcare provider if they have any questions about their dosing, formulation type, side effects, or treatment options. Never modify or exceed the dosing schedule without medical supervision.

Disclaimer: The NAD+ formulations offered through Bloom Pharmacy 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.

NAD+ Injection

Anti-Aging

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

NAD+ Patch

Skin irritation under or around the patch
Itching or redness at the application site

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.

Warnings (serious risks)

Do not exceed the dose prescribed by your provider
NAD+ injection should be administered subcutaneously; improper technique may lead to increased irritation or localized reaction
Use nasal spray formulations carefully to avoid irritation or overuse
Individuals with autoimmune, cardiovascular, or metabolic conditions should be monitored more closely

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

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.
Patch: Store sealed in original packaging until use. Keep in a dry environment.

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

Have Questions?

NAD+ Nasal Spray

Anti-Aging

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

NAD+ Patch

Skin irritation under or around the patch
Itching or redness at the application site

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.

Warnings (serious risks)

Do not exceed the dose prescribed by your provider
NAD+ injection should be administered subcutaneously; improper technique may lead to increased irritation or localized reaction
Use nasal spray formulations carefully to avoid irritation or overuse
Individuals with autoimmune, cardiovascular, or metabolic conditions should be monitored more closely

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

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.
Patch: Store sealed in original packaging until use. Keep in a dry environment.

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

Have Questions?

NAD+ Patches

Anti-Aging

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

NAD+ Patch

Skin irritation under or around the patch
Itching or redness at the application site

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.

Warnings (serious risks)

Do not exceed the dose prescribed by your provider
NAD+ injection should be administered subcutaneously; improper technique may lead to increased irritation or localized reaction
Use nasal spray formulations carefully to avoid irritation or overuse
Individuals with autoimmune, cardiovascular, or metabolic conditions should be monitored more closely

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

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.
Patch: Store sealed in original packaging until use. Keep in a dry environment.

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

Have Questions?

Ozempic®

Weight Management

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 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.
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 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
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.
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.

Disclaimer: Ozempic® is a registered trademark of Novo Nordisk A/S. Bloom Pharmacy has no ownership over brand-name, FDA-approved medications or products.

Sermorelin

Peptide Therapy

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.

Warnings (serious risks)

Sermorelin may affect hormone levels and metabolism. Regular monitoring is important to detect changes early. Use caution if you have a history of metabolic or endocrine conditions. Though rare, allergic reactions are possible.

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
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.

Have Questions?

Consult your healthcare provider if you have any questions about dosing, side effects, or treatment options.

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.

Sildenafil + Tadalafil

Sexual Health

Common Side Effects

Headache
Flushing
Nasal Congestion
Indigestion
Back Pain (more common with tadalafil)
Muscle Aches
Visual Disturbances (blurred vision, changes in color vision)

More Serious, but Less Common Side Effects

Hypotension: A significant drop in blood pressure, especially when combined with nitrates or certain other medications.
Cardiovascular Events: Risk of heart attack, stroke, or arrhythmias, particularly in individuals with pre-existing heart conditions.
Priapism: Prolonged erection lasting more than 4 hours, requiring medical attention.
Hearing Loss: Sudden decrease or loss of hearing.
Vision Loss: Rare cases of non-arteritic anterior ischemic optic neuropathy (NAION).

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.

Monitoring Plan

To ensure your safety and the effectiveness of the treatment, regular monitoring will be required, including:

Baseline Testing: Evaluation of current medications to assess for potential drug interactions.
Ongoing Monitoring: Periodic assessments for side effects or adverse reactions.
Symptom Assessment: Monitoring for any cardiovascular symptoms during exercise. Reporting any visual or hearing changes immediately.
Follow-Up Visits: Scheduled appointments to discuss your progress and address any concerns.

Contraindications

Do not use Sildenafil or Tadalafil with nitrate medications, as this can cause a dangerous drop in blood pressure. Do not use with other ED medications. Avoid use if you have serious heart conditions. Avoid use with NO boosters (separate use by at least 2 hours).

Precautions

Consult your healthcare provider if you have cardiovascular disease, liver or kidney dysfunction, or a history of stroke.

Disclaimer: 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.

Wegovy®

Weight Management

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.
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 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
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.
Increasing heart rate
Worsening depression, behavior changes, or suicidality

Never share the Wegovy® 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

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.

Disclaimer: Wegovy® is a registered trademark of Novo Nordisk A/S. Bloom Pharmacy has no ownership over brand-name, FDA-approved medications or products.

Zepbound®

Weight Management

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. 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.

Zepbound™ Safety Information

Zepbound™ (ZEHP-bownd) 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.
Kidney problems (kidney failure). Diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems.
Gallbladder problems. Gallbladder problems have happened in some people who use Zepbound. Tell your healthcare provider right away if you get symptoms including 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.
Serious allergic reactions. Stop using Zepbound and get medical help right away if you have any symptoms of a serious allergic reaction.
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.
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. Talk to your healthcare provider about low blood sugar levels and how to manage them.

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.

Review these questions with your healthcare provider:

Do you have other medical conditions, including problems with your pancreas or kidneys, or severe problems with your stomach, such as slowed emptying of your stomach (gastroparesis) or problems digesting food?
Do you take diabetes medicines, such as insulin or sulfonylureas?
Do you have a history of diabetic retinopathy?
Do you take any other prescription medicines or over-the-counter drugs, vitamins, or herbal supplements?
Are you pregnant, plan to become pregnant, breastfeeding, or plan to breastfeed? 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).

Disclaimer: Zepbound™ is a trademark of Eli Lilly and Company. Bloom Pharmacy has no ownership over brand-name, FDA-approved medications or products.

This page is provided for informational purposes only and does not constitute medical advice. Always rely on the guidance of your licensed healthcare provider for decisions about your care.

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Prescription Medications

Compounded Medications

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.
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.
Severe stomach problems. Stomach problems, sometimes severe, have been reported in people who use Mounjaro.
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.