Health and Antioxidant Benefits from Vitamin C and Rose Hip Combination

Important Safety Information

Active Ingredient: Tadalafil (generic Cialis)

Common Side Effects

Some people may experience mild side effects, including:

• Headache
• Flushing
• Indigestion or heartburn
• Nausea
• Diarrhea
• Cough
• Pain in the stomach, back, muscles, arms, or legs

If these symptoms are severe or persistent, contact your doctor.

Rare but Serious Side Effects

Stop taking the medication and seek immediate medical help if you experience:

• Allergic reactions: Swelling of the face, lips, tongue, or throat; severe rash or itching; rapid heartbeat; trouble breathing or swallowing; dizziness or fainting.
• Vision problems: Blurred vision or changes in color perception (such as a blue tint).
• Hearing problems: Sudden hearing loss or ringing in the ears.
• Other severe effects: Erection lasting longer than 4 hours, swelling of the hands, feet, or ankles, chest pain, or blistering/peeling of the skin.

Reporting Side Effects

This is not a complete list of possible side effects.

If you experience any other symptoms, contact your doctor or pharmacist.1-800-FDA-1088 or visit www.fda.gov/medwatch.

Before Taking Tadalafil

Inform your healthcare provider about your full medical history, especially if you have or have had:

• Heart problems (heart attack, irregular heartbeat, angina, chest pain, narrowed aortic valve, heart failure)
• Heart surgery in the past 6 months
• Pulmonary hypertension
• Stroke
• Low or uncontrolled high blood pressure
• Deformed penis shape
• Erection lasting longer than 4 hours
• Blood cell disorders (sickle cell anemia, multiple myeloma, leukemia)
• Eye diseases (retinitis pigmentosa or severe vision loss, including NAION)
• Bleeding problems or stomach ulcers
• Liver or kidney problems (including dialysis)
• Allergic reactions to any medication

Drug Interactions

Tell your doctor about all the medicines, vitamins, or herbal supplements you use.

Avoid combining tadalafil with:

• Nitrates or nitric oxide donors
• Guanylate cyclase stimulators
• Alpha-blockers such as Hytrin, Flomax, Cardura, Minipress, Uroxatral, Jalyn, or Rapaflo
• HIV protease inhibitors such as ritonavir, indinavir, saquinavir, or atazanavir
• Oral antifungal medications
• Certain antibiotics
• Other erectile dysfunction medications

Do not use tadalafil with REVATIO or other PDE5 inhibitors used to treat pulmonary arterial hypertension (PAH).

Use Restrictions

Tadalafil is not intended for use by women or children.

Important Safety Information

Active Ingredient: Sildenafil (generic Viagra)

Common Side Effects

Some users may experience:

• Headache
• Flushing
• Indigestion or heartburn
• Nausea or diarrhea
• Vision changes (such as a blue color tint or blurred vision)
• Sensitivity to light
• Stuffy or runny nose, or nosebleeds
• Cough
• Pain in the stomach, back, muscles, arms, or legs

If these symptoms are severe or persistent, contact your doctor.

Rare but Serious Side Effects

Stop using Sildenafil and seek medical help immediately if you experience:

• Allergic reaction: swelling of the face, lips, tongue, or throat; severe rash or itching; rapid heartbeat; difficulty breathing or swallowing; fainting or dizziness
• Vision problems: sudden changes in color vision or blurred vision
• Hearing problems: sudden loss or decrease in hearing, ringing in ears
• Other severe effects: erection lasting more than 4 hours, swelling of hands, feet, ankles, or legs; chest pain; blistering or peeling skin

This is not a complete list of possible side effects. If you notice other unusual effects, contact your doctor or pharmacist. You can also report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Before Taking Sildenafil

Inform your healthcare provider about your full medical history, especially if you have or have had:

• Heart problems (heart attack, irregular heartbeat, angina, chest pain, heart failure, or narrowed aortic valve)
• Heart surgery within the past 6 months
• Pulmonary hypertension
• Stroke
• Low or uncontrolled high blood pressure
• Deformed penis shape or a past erection lasting more than 4 hours
• Blood disorders (sickle cell anemia, multiple myeloma, leukemia)
• Retinitis pigmentosa (a rare inherited eye disease)
• Severe vision loss or NAION
• Bleeding problems or stomach ulcers
• Liver or kidney problems (including dialysis)
• Allergic reactions to any medications

Drug Interactions

Tell your healthcare provider about all medications you take, including prescription, over-the-counter, vitamins, and herbal supplements. Avoid using Sildenafil with:

• Nitrates or nitric oxide donors (used for chest pain)
• Guanylate cyclase stimulators
• Alpha-blockers: such as Hytrin, Flomax, Cardura, Minipress, Uroxatral, Jalyn, or Rapaflo
• HIV protease inhibitors: such as Norvir, Crixivan, Fortovase, Invirase, or Reyataz
• Oral antifungal medicines
• Certain antibiotics
• Other erectile dysfunction medications

Important Note

Sildenafil is also the active ingredient in REVATIO, a medication used to treat pulmonary arterial hypertension (PAH). Do not use Sildenafil with REVATIO or any other PAH treatments containing Sildenafil or other PDE5 inhibitors (e.g., Adcirca [tadalafil]).

Usage Warning

Sildenafil is not intended for use by women or children.

Important Safety Information

Active Ingredient: Semaglutide (base)

Common Side Effects

Some patients may experience mild side effects, including:

• Nausea
• Vomiting
• Diarrhea
• Abdominal pain
• Constipation
• Heartburn
• Burping

If these symptoms become severe or do not subside, contact your healthcare provider.

Serious Side Effects (Rare but Important)

Seek medical help immediately if you experience any of the following:

• Allergic reactions: swelling of the face, lips, tongue, or throat; severe rash or itching; rapid heartbeat; trouble breathing or swallowing; fainting; or dizziness.
• Low blood sugar: symptoms such as sweating, mood changes, blurred vision, dizziness, or a fast heartbeat.
• Dehydration: reduced urination, or swelling in the legs, ankles, or feet.
• Severe stomach pain: especially in the upper abdomen that may spread to the back, with or without vomiting, yellowing of the skin or eyes, or pale-colored stools.
• Thyroid tumors: semaglutide may increase the risk of thyroid gland tumors, including medullary thyroid carcinoma (MTC). Symptoms may include a lump or swelling in the neck, hoarseness, trouble swallowing, or shortness of breath.
• Mental health changes: sudden mood shifts, depression, suicidal thoughts, or unusual behavior.

If you notice any of these symptoms, stop taking the medication and contact your doctor right away.

Additional Information

This is not a full list of side effects. If you experience any unlisted effects, contact your healthcare provider or pharmacist.

You can also report side effects to the FDA at 1-800-FDA-1088 or online at www.fda.gov/medwatch.

Before Using Semaglutide

Inform your doctor of your full medical history, especially if you have or have had:

• Medullary Thyroid Carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
• Type 1 or Type 2 diabetes
• Thyroid cancer
• Pancreatitis
• Kidney disease
• Diabetic retinopathy
• Depression or suicidal thoughts
• Pregnancy or if you are breastfeeding

Drug Interactions

Tell your healthcare provider about all the medicines, vitamins, and herbal supplements you are taking. Pay special attention to:

• Diabetes medications: such as insulin or sulfonylureas (e.g., Amaryl, Glucotrol XL)
• Other GLP-1 medications: such as Ozempic, Wegovy, Saxenda, Victoza, Byetta, or Bydureon
• Weight-loss products or supplements

Always take semaglutide exactly as prescribed and follow your provider’s instructions carefully to ensure safety and effectiveness.

Important Safety Information

Active Ingredient: Tirzepatide (base)

Common Side Effects: In less than 5% of patients, the following side effects may occur:

• Nausea
• Diarrhea
• Decreased appetite
• Vomiting
• Constipation
• Indigestion (dyspepsia)
• Abdominal pain

If any of these symptoms are severe or persist, contact your healthcare provider.

Serious Side Effects (Rare)

Although rare, serious side effects may include:

• Low blood sugar (hypoglycemia)
• Allergic or hypersensitivity reactions

Seek medical attention immediately if you experience any severe or persistent symptoms.

This is not a complete list of possible side effects. If you experience any other reactions, contact your doctor or pharmacist.

You can also report side effects to the FDA at 1-800-FDA-1088 or online at www.fda.gov/medwatch.

Before Using Tirzepatide

Inform your healthcare provider about your full medical history, especially if you have or have ever had:

• Medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
• Type 1 or Type 2 diabetes
• Thyroid cancer
• Pancreatitis
• Kidney disease
• Diabetic retinopathy
• Depression or suicidal thoughts
• Are pregnant, planning to become pregnant, or breastfeeding

Drug Interactions

Tell your healthcare provider about all medications, supplements, and vitamins you are taking, including prescription and over-the-counter products.

Be sure to mention if you use:

• Oral contraceptives (birth control pills)
• Diabetes medications such as insulin or sulfonylureas (e.g., Amaryl, Glucotrol XL)
• Other GLP-1 receptor agonists (e.g., Ozempic, Wegovy, Saxenda, Victoza, Byetta, Bydureon)
• Weight loss products, including herbal or dietary supplements

Always follow your healthcare provider’s instructions carefully and report any unusual symptoms or side effects promptly.