Before Proceeding to the AVODART Medial Consultation Form please read
CONTRAINDICATIONS and WARNINGS
and accept the Waiver of Liability
In order for Medical Wellness Center Physicians to provide you with the best care you need to reply honesty to all questions and you need to understand any and all risks and side effects associated with Avodart.
CONTRAINDICATIONS:
  • Anyone with any liver function abnormalities, liver disease, hepatitis or any other medical disorder of liver function including but not limited to cirrhosis of the liver, liver cancer, jaundice etc. should not take Avodart. If you have any questions about your medical condition, consult your primary care physician before taking Avodart.
  • Do NOT take Avodart if you are taking potent Protease Inhibitors: Agenerase (amprenavir), Crixivan (indinavir), Viracept (nelfinavir), Norvir (ritonavir) or Invirase or Fortovase (saquinavir).**
  • Do NOT take Avodart if you are taking oral ketoconazole (Nizoral) or Sporanox (Itraconazole).**
  • Do NOT take Avodart if you are allergic to Propecia, Proscar or Finasteride or have a known hypersensitivity to any ingredient of Avodart: Dutasteride, mono-di-glycerides caprylic/capric acid, butylated hydroxytoluene, BSE-free bovine gelatin, glycerin and yellow ferric oxide.
  • Absolutely no one under the age of 18 should take Avodart.
  • Absolutely no female should take Avodart under any circumstances.
  • Do NOT combine Avodart with Propecia or Proscar
**Dutasteride is metabolized by human cytochrome P45 isoenzyme CYP3A4.  There are no clincial studies to evaluate the impact of CYP3A4 enzyme inhibitors on dutasteride pharmacokinetics.  However, based on in vitro data blood concentrations of dutasteride may increase in the presense of POTENT inhibitors of CYP3A4 such as potent protease inhibitors, ketoconazole, itraconazole...  Therefore there is a potential for drug-drug interation of dutasteride and systemic chronic dosing with potent CYP3A4 inhibitors.    In otherwise healthy individuals with no liver disease, topical applications would not indicate as much caution and would not be a contraindication to dutasteride, only systemic ORAL ketoconazole or other CYP3A4 inhibitors would be a contraindication.

IMPORTANT WARNING:

Pregnant or potentially pregnant woman should not touch Avodart capsules and should definitely NOT touch broken or crushed capsules. If pregnant with a male baby and the pregnant woman is exposed to the active ingredient in Avodart, the male baby could be born with abnormalities of the male sex organs.

Men taking Avodart should NOT donate blood for at least 6 months after last dose to prevent transmission of dutasteride to a pregnant woman via blood transfusion

AVODART SIDE EFFECTS:

The majority of Men using Avodart experience no side effects. Side effects are similar to Propecia side effects and are usually mild to moderate and tend to go away during treatment course: Impotence (4.7%), decreased libido (3%), breast tenderness and breast enlargement (0.5%) and ejaculation disorders (1.4%). The incidence of most drug-related adverse events decreased with duration of treatment.

Rarely allergic reactions - seek immediate emergency medical attention

IMPORTANT INFORMATION:

AVODART can affect the blood test for the screening of Prostrate Cancer, the PSA (Prostate-Specific Antigen). It is very important that if you have a PSA test done, you need to tell your doctor that you are taking Avodart. Avodart has no effects on prostate cancer nor is it associated with cancer, it just can affect the reading of the test results. Therefore, in order to have an accurate screening test, the doctor must be aware that you are taking Avodart. After 6 months of using Avodart one's PSA levels can be decreased by as much as 50% and it important to double the value when testing PSA for prostate cancer detection or following PSA levels for monitoring.

AVODART PRESCRIBING INFORMATION:

Avodart has only been approved by the FDA for the treatment of prostatic enlargement and although it has been tested and shown to be more effective than Propecia for hair loss it has not yet been approved as a treatment for hair loss. Avodart (dutasteride) is a more potent 5-alpha reductase enzyme inhibitor than Propecia and decreases serum DHT levels responsible for Male Pattern Hairloss. Therefore Medical Wellness Center is off-label prescribing Avodart for Male Pattern Hair Loss Only. We do NOT prescribe Avodart for BPH (prostatic enlargement) as this condition needs close physician monitoring to prevent or detect the progression to Prostate cancer. Avodart prescribed for Male Pattern Hair Loss is NOT covered by insurance.

I DO NOT HAVE ANY OF THE ABOVE CONTRAINDICATIONS:
By accepting "I Agree" means that you have read the above contraindication and warnings and honestly acknowledge that you do not have any of the above contraindications to Avodart therapy and understand that insurance will not cover the cost of the medication.  Also, that I am aware that I need to inform my doctor that I am taking Avodart if I have a PSA blood test.
I agree, proceed to Waiver of LiabilityI disagree

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