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MEDICATIONS & DIET VIDEO (DOCUMENT)

GENERAL COMMENTS

PLEASE READ THE PAPERWORK TITLED PATIENT DAILY TO-DO LIST AS WELL FOR REFERENCE

  • IF YOU ARE CURRENTLY ON PAIN MEDICATIONS/NARCOTICS/SEDATIVES OTHER THAN WHAT DR. LORIA PRESCRIBED TO YOU, DO NOT TAKE THE PRESCRIBED PAIN MEDICATIONS (TYLENOL #4, ALSO CALLED ACETAMINOPHEN & CODEINE), OR ANY PAIN KILLER NARCOTIC, UNLESS INSTRUCTED TO DO SO BY DR. LORIA.
  • IT IS RECOMMENDED TO TAKE 1 (OR 2 IF NEEDED) PRESCRIBED PAIN MEDICATION AT BEDTIME, SUCH AS THE PRESCRIBED PAIN MEDICATION NARCOTIC. THIS WILL HELP MINIMIZE THE DISCOMFORT AT NIGHT DUE TO FREQUENT INVOLUNTARY ERECTIONS. ALWAYS TAKE AT LEAST ONE STOOL SOFTENER PILL WITH EACH PAIN PILL TO PREVENT CONSTIPATION. YOU CAN ALSO TAKE ALEVE (NAPROXEN) IF YOU DO NOT WANT TO TAKE THE PRESCRIBED NARCOTIC.
  • PLEASE USE THE Q-TIP APPLICATOR TO APPLY ALL CREAMS AND OINTMENTS (ESPECIALLY NITRO-BID). THE Q-TIP IS VERY HELPFUL TO APPLY MEDICATIONS UNDER THE WRAP (SUCH AS TRIAMCINOLONE AND LIDOCAINE CREAM IF NEEDED) LOCATED ON THE PENILE SHAFT BASE OR THE TIGHT HALF-FOLD WITH HIGH TENSION.
  • DO NOT REFILL YOUR ANTIBIOTICS (CEPHALEXIN & METRONIDAZOLE) UNLESS INSTRUCTED TO DO SO.
  • DIABETIC PATIENTS – PLEASE NOTE THAT THE STEROID PILLS, SUCH AS PREDNISONE, OR THE TOPICAL STEROID OINTMENTS, WILL INCREASE YOUR BLOOD SUGAR. NOTIFY YOUR ENDOCRINOLOGIST THAT YOU WILL BE ON PREDNISONE 40 MG PER DAY FOR 3 DAYS, WITH A RE-FILL TO START ON DAY 8.
    • THE DOSE WILL BE REDUCED TO 20 MG, OR 2 TABLETS PER DAY (INSTEAD OF 40 MG PER DAY).
      • YOU WILL TAKE ONE TABLET 2 X A DAY FOR 3 DAYS.
    • YOUR SUGAR LEVELS WILL RISE, PLEASE MONITOR MORE FREQUENTLY AND ADJUST INSULIN DOSAGE ACCORDINGLY.
  • TAKE ALL MEDICATIONS AS PRESCRIBED.

MEDICATIONS TO PREVENT INFECTION

  • KEFLEX (CEPHALEXIN) IS A PRESCRIPTION ANTIBIOTIC. A 10 DAY SUPPLY PRESCRIPTION IS PROVIDED.
  • DIRECTIONS: CEPHALEXIN 500 MG: TAKE 2 CAPSULES BY MOUTH 2 TIMES A DAY FOR 10 DAYS (REFILL ONLY IF INSTRUCTED).
  • IF ALLERGIC TO KEFLEX: YOU WILL BE GIVEN AN ALTERNATE ANTIBIOTIC CALLED BACTRIM.
  • DIRECTIONS: BACTRIM: TAKE 2 TABLET BY MOUTH 2 X TIMES A DAY FOR 10 DAYS (REFILL ONLY IF INSTRUCTED).
  • LEVOFLOXACIN (ONLY IF THIS MEDICATION IS PRESCRIBED) – TAKE 2 TABLETS (500 MG) BY MOUTH TWICE A DAY FOR 5 DAYS.
  • METRONIDAZOLE (FLAGYL) IS A PRESCRIPTION ANTIBIOTIC. A 5 DAY SUPPLY PRESCRIPTION IS PROVIDED.
  • DIRECTIONS: METRONIDAZOLE 500 MG: TAKE 2 TABLETS BY MOUTH 2 TIMES A DAY FOR 5 DAYS (REFILL ONLY IF INSTRUCTED).
  • NOTE: MAY CAUSE STOOL OR URINE DISCOLORATION.
  • IF ALLERGIC TO METRONIDAZOLE: YOU WILL BE GIVEN AN ALTERNATE ANTIBIOTIC, WHICH IS CLINDAMYCIN.
  • DIRECTIONS: CLINDAMYCIN 300 MG: TAKE 2 TABLETS BY MOUTH 2 TIMES DAILY FOR 5 DAYS (REFILL ONLY IF INSTRUCTED).
  • ACYCLOVIR – THIS MEDICATION WILL BE PRESCRIBED IF YOU HAVE AN ACTIVE HERPES INFECTION.
  • MUPIROCIN 2 % EXTERNAL OINTMENT – PRESCRIPTION WILL BE PROVIDED TO IF YOU DEVELOP A SEVERE SKIN ULCER
    • IT IS USED ON OPEN CUTS OR SKIN ULCERS TO ASSIST IN HEALING.
  • IF A SEVERE SKIN SORE/ULCER DEVELOPS
  • DURING YOUR REWRAP, AND WHILE THE WRAP IS OFF, OBSERVE FOR ANY SKIN SORES OR SKIN CUTS. IF YOU SEE A SEVERE SKIN SORE OR SEVERE SKIN CUT TAKE ADDITIONAL PHOTOS OF THIS. THEN, DURING YOUR SHOWER AND WRAP CHANGE, WASH ALL WITH SOAP AND WARM WATER, THEN PAT DRY WITH A CLEAN TOWEL, AND THEN PLACE MUPIROCIN OINTMENT, IF PRESCRIBED, ON THE SKIN SORE. THEN PLACE A SMALL BAND-AID ON. THEN CONTINUE PLACING YOUR COMPLETE WRAP ON WITH THE RING & STRAPS, AND THEN SEND PHOTOS OF THE COMPLETED WRAP WITH RING & STRAPS ON.
  • THE CLEANING OF THE SKIN SORE OR SKIN CUT WILL NEED TO BE DONE EVERY 1-2 DAYS. THIS MEANS THAT THE ENTIRE WRAP WILL NEED TO BE CHANGED AS WELL.
  • IT IS IMPERATIVE FOR ANY SEVERE SKIN CUT OR SEVERE ULCER TO REMAIN MOIST WITH MUPIROCIN OINTMENT AT ALL TIMES FOR OPTIMAL HEALING.

MEDICATIONS TO PREVENT FUNGAL INFECTION – (ONLY WHEN PRESCRIBED)

  • CLOTRIMAZOLE-BETAMETHASONE 1 – 0.05 % EXTERNAL CREAM (45 GRAMS TUBE) IS A CORTICOSTEROID AND ANTIFUNGAL CREAM.
    • DIRECTIONS: 1 APPLICATION TOPICALLY TO AFFECTED AREA 2 TIMES PER DAY FOR 14-28 DAYS.
  • ECONAZOLE NITRATE 1 % EXTERNAL CREAM (30 GRAMS TUBE) IS AN ANTIFUNGAL CREAM.
    • DIRECTIONS: 1 APPLICATION TOPICALLY TO AFFECTED AREA 2 TIMES PER DAY FOR 14-28 DAYS.

MEDICATIONS FOR SWELLING & INFLAMMATION

  • PREDNISONE IS A PRESCRIPTION MEDICATION FOR SWELLING. A 3-DAY SUPPLY IS PROVIDED.
    • DIRECTIONS: PREDNISONE 10 MG: TAKE 2 TABLETS BY MOUTH 2 TIMES A DAY FOR 3 DAYS (WILL REFILL ONCE TO START ON DAY 8).
    • DIABETIC PATIENTSPLEASE SEE NOTE ABOVE IN GENERAL COMMENT.
  • TRIAMCINOLONE OINTMENT
  • A TOPICAL STEROID OINTMENT THAT PREVENTS SKIN SORES, SKIN ULCERS, SKIN IRRITATION AND ITCHINESS.
  • PRESCRIPTION AND REFILLS PROVIDED
  • THIS IS ALSO USED WITH THE NITRO-BID ON THE GLANS ONCE AT BEDTIME.
  • DURING YOUR RE-WRAP TIME…AFTER YOUR HOT SHOWER, AND AFTER THE TOE PAD AND LONG BAND AIDS HAVE BEEN PLACED ON CORRECTLY, YOU WILL PLACE A SMALL AMOUNT OF THIS MEDICATION ON THE ENTIRE PENILE SHAFT, GLANS, PUBIC AND SCROTAL SKIN AREAS, THEN YOU WILL PROCEED WITH YOUR RE-WRAP INSTRUCTIONS.

MEDICATIONS FOR PAIN & DISCOMFORT

  • ALEVE (NAPROXEN) OR ADVIL (IBUPROFEN)
  • ALEVE (NAPROXEN) OR ADVIL (IBUPROFEN) CAN BE USED FOR MILD TO MODERATE PAIN OR DISCOMFORT.
  • FOLLOW USAGE DIRECTIONS ON BOTTLE. THIS CAN BE PURCHASED AT YOUR LOCAL PHARMACY.
  • TYLENOL #4
  • TYLENOL #4 (ACETAMINOPHEN & CODEINE) IS A NARCOTIC PRESCRIPTION MEDICATION FOR SEVERE PAIN.  
  • PRESCRIPTION PROVIDED. TAKE AS NEEDED, FOLLOW INSTRUCTIONS ON BOTTLE.
  • THIS MEDICATION MAY CAUSE CONSTIPATION. TAKE STOOL SOFTENER WITH THIS MEDICATION. THE STOOL SOFTENER IS PROVIDED IN YOUR TAKE HOME BAG.
  • STOOL SOFTENER
  • THIS IS TO RELIEVE CONSTIPATION: TAKE ONE CAPSULE WITH ANY PRESCRIBED PAIN NARCOTIC TABLET TAKEN FOR PAIN.
  • PERCOCET, PERCODAN OR VICODIN
  • MAY BE PRESCRIBED FOR PAIN AND IS A SUBSTITUTE FOR TYLENOL #4. TAKE AS NEEDED, INSTRUCTIONS ON BOTTLE.
  • TRIAMCINOLONE OINTMENT
  • USE AS DIRECTED.
  • EMLA OR LIDOCAINE CREAM
    • LIDOCAINE CREAM IS A TOPICAL ANESTHETIC CREAM USED ON AREAS THAT ARE CAUSING MINOR PAIN AND DISCOMFORT.
    • PRESCRIPTION AND REFILL PROVIDED.
    • PLACE ON GLANS OR HEAD OF PENIS, PENILE SHAFT, PENILE BASE AND SCROTAL AREA IF THERE IS PAIN.

MEDICATION FOR SKIN SORES & SKIN ULCERS

  • ANY SKIN SORE OR ULCER THAT DEVELOPS
  • IF A SKIN SORE OR ULCER DEVELOPS ON THE PENILE SHAFT, SCROTAL SKIN OR GLANS, THE AREA NEEDS TO BE WASHED AT LEAST ONCE DAILY WITH SOAP & WATER, THEN PAT DRY WITH A CLEAN TOWEL, TAKE PHOTOS, THEN BACITRACIN OINTMENT IS PLACED ON LIBERALLY, THEN A BAND-AID IS PLACED.
  • IF THE SKIN SORES ARE SEVERE, DR. LORIA MAY HAVE YOU TAKE HOT EPSOM SALT BATHS FOR 45-60 MINUTES EVERY OTHER DAY IN ADDITION TO THE ABOVE.
  • BACITRACIN OR TRIPLE ANTIBIOTIC OINTMENT THIS IS A TOPICAL ANTIBIOTIC OINTMENT.
  • BACITRACIN OINTMENT PACKETS HAVE BEEN PROVIDED IN YOUR BLUE TO-GO BAG
  • IT IS USED ON OPEN CUTS OR SKIN ULCERS TO ASSIST IN HEALING.
  • IF A SKIN SORE/ULCER DEVELOPS –
    • DURING YOUR REWRAP, AND WHILE THE WRAP IS OFF, OBSERVE FOR ANY SKIN SORES OR SKIN CUTS. IF YOU SEE A SKIN SORE OR SKIN CUT TAKE ADDITIONAL PHOTOS OF THIS. THEN, DURING YOUR SHOWER AND WRAP CHANGE, WASH ALL WITH SOAP AND WATER, THEN PAT DRY WITH A CLEAN TOWEL, AND THEN PLACE BACITRACIN OINTMENT ON THE SKIN SORE. THEN PLACE A SMALL BAND-AID ON. THEN CONTINUE PLACING YOUR COMPLETE WRAP ON WITH THE RING & STRAPS, AND THEN SEND PHOTOS OF THE COMPLETED WRAP WITH RING & STRAPS ON.
  • THE CLEANING OF THE SKIN SORE OR SKIN CUT WILL NEED TO BE DONE EVERY 1-2 DAYS. THIS MEANS THAT THE ENTIRE WRAP WILL NEED TO BE CHANGED AS WELL.
    • IT IS IMPERATIVE FOR ANY SKIN CUT OR ULCER TO REMAIN MOIST WITH BACITRACIN OINTMENT AT ALL TIMES FOR OPTIMAL HEALING. 
  • MUPIROCIN (BACTROBAN)
    • USE AS DIRECTED ABOVE
  • HOT EPSOM SALT BATHS OR HOT TOWEL SOAKS
  • DO NOT TAKE HOT EPSOM SALT BATHS UNLESS INSTRUCTED TO DO SO BY DR. LORIA.
  • THIS SALT HELPS TREAT SKIN SORES OR SKIN ULCERS.
  • IF YOU DEVELOPED A SKIN ULCER, YOU MAY BE INSTRUCTED TO TAKE A HOT EPSOM SALT BATH/TOWEL SOAK EVERY OTHER DAY FOR 45-60 MINUTES.
  • HALF-FOLD AND LOOPED RUBBER BAND, OR PLASTIC RING AND STRAPS, OR SCROTAL RINGS ARE ONLY REMOVED FOR 10-15 MINUTES DURING THE BATH, THEN PLACED BACK ON, AND THE BATH WILL CONTINUE FOR ANOTHER 30 MINUTES.
  • YOU PLACE ONE QUART (OR ONE LITER) OF EPSOM SALT IN THE HOT TUB OF WATER AND ENTER HOT TUB FOR 45-60 MINUTES (OR ONE CUP OF SALT IN A SINK FULL OF HOT WATER AND PLACE TOWEL ON AREA).
  • IT HAS HEALING QUALITIES AND CAN ASSIST IN OPTIMAL HEALING OF SKIN SORES AND ULCERS.
  • IF A CUT DEVELOPS DURING THE FIRST 7 DAYS AFTER YOUR FILLER TREATMENT, YOU WILL NEED TO CHANGE YOUR WRAP DAILY, AND LIMIT YOUR SOAP AND WATER WASHING, AND BACITRACIN OINTMENT PLACEMENT ON THE SKIN CUT AREAS TO ONCE PER DAY.
  • IF THE SKIN CUT OR ULCER DEVELOPS AFTER THE FIRST 7 DAYS, YOU WILL WASH WITH SOAP AND WATER 2 X A DAY, AND FOLLOW INSTRUCTIONS MENTIONED ABOVE.

MEDICATION FOR TENDER OR ITCHY SKIN

  • TRIAMCINOLONE OINTMENT USE AS DIRECTED ABOVE
  • EMLA OR LIDOCAINE CREAMUSE AS DIRECTED ABOVE

MEDICATION TO INCREASE CIRCULATION & HEALING

  • NITRO-BID OINTMENT
  • THIS IS A VASODILATOR WHICH HELPS INCREASE BLOOD FLOW. PRESCRIPTION PROVIDED.
  • WHEN APPLYING THIS MEDICATION, FIRST APPLY THE TRIAMCINOLONE AND BACITRACIN OINTMENTS ON THE GLANS AND SPREAD EVENLY, THEN APPLY A TINY AMOUNT (LIKE A GRAIN OF RICE) OF THE NITRO-BID ONTO THE GLANS AND SPREAD OUT EVENLY. APPLY ONCE A DAY AT BEDTIME FOR 14 DAYS ONLY.
  • MAY CAUSE HEADACHES, LIGHTHEADEDNESS, DIZZINESS, NAUSEA AND VOMITING.
  • IF YOU HAVE A REACTION WITH THIS MEDICATION, LET DR. LORIA KNOW AND DISCONTINUE THE USE IMMEDIATELY UNTIL FURTHER INSTRUCTIONS.
  • WARNING:
    • NITRO-BID, CANNOT BE TAKEN WITH ERECTILE DYSFUNCTION MEDICATIONS SUCH AS VIAGRA, CIALIS, LEVITRA, OR SIMILAR MEDICATIONS. THE COMBINATION MAY RESULT IN EXTREME BLOOD PRESSURE DROPS CAUSING LIGHTHEADEDNESS, DIZZINESS, AND FAINTING.

DIET

  • TO ASSIST IN MAXIMAL COLLAGEN PRODUCTION, FOLLOW PROTOCOL AND ADD TO YOUR DIET CRANBERRY JUICE AND SUNFLOWER SEEDS.
    • SUNFLOWER SEEDS
  • INGEST TWO CUPS OF SHELLED UNSALTED SUN FLOWER SEEDS DAILY FOR 21 DAYS. THIS DIETARY ITEM WILL PROVIDE NUTRIENTS ESSENTIAL TO COLLAGEN PRODUCTION.
  • CRANBERRY JUICE
  • INGEST FOUR 8-OUNCE GLASSES OR CRANBERRY JUICE DAILY.
  • THIS DIETARY ITEM WILL PROVIDE NUTRIENTS ESSENTIAL TO COLLAGEN PRODUCTION.
  • IF YOU CANNOT TOLERATE CRANBERRY JUICE, SUBSTITUTE CRAN-APPLE, OR CRAN-PLUS ANOTHER FRUIT JUICE.
  • IF YOU CANNOT EAT SUNFLOWER SEEDS AND OR CRANBERRY JUICE, THEN CONSIDER THE FOLLOWING ALTERNATIVES:
  • VITAMIN C:  ESTER-C TABLETS 1000 MG/DAILY, OR ORANGES.
  • VITAMIN B3 OR NIACIN: NIACIN TABLETS 100MG/DAILY, RED MEAT, PEANUTS, TUNA.
  • COPPER: COPPER TABLETS 6 MG/DAILY, SESAME SEEDS, CASHEWS, PUMPKIN SEEDS, UNSWEETENED CHOCOLATE, ENRICHED CEREALS, AND BEEF LIVER.
  • AMINO ACIDS: BRANCHED CHAIN AMINO ACID SUPPLEMENT, ANY MEAT, FISH, CHICKEN, ETC.
  • MULTI-MINERAL SUPPLEMENT, & OTHER SEEDS.
  • B-COMPLEX SUPPLEMENT, ANY MEAT, FISH, CHICKEN.
  • DO NOT EAT FAST FOODS DURING THE FIRST 21 DAYS AFTER THE TREATMENT.
  • TRY NOT TO SMOKE AT ALL DURING THE FIRST 21 DAYS AFTER THE TREATMENT.
  • DO NOT TAKE ANY ILLEGAL OR ILLICIT DRUGS.
  • THESE MAY ACTUALLY CAUSE REMOVAL OF THE NEW COLLAGEN PRODUCTION. THIS INCLUDED COCAINE, AMPHETAMINES, OR INJECTABLE.
  • DO NOT DRINK ALCOHOL UNTIL 21 DAYS AFTER YOUR TREATMENT DUE TO POTENTIAL MEDICATION REACTIONS.