MEDICATION REFERENCE SCHEDULE
ORAL MEDICATIONS
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Cephalexin 500 mg (antibiotic) – take one capsule in the morning and one in the evening for 10 days.
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Clindamycin 300 mg (antibiotic) – take one capsule in the morning and one in the evening for 5 days. STOP medication for 10 days. Resume taking one capsule in the morning and one in the evening for an additional 5 days starting on day 15 post procedure.
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Dexamethasone 4 mg (steroid) – take 1 tablet in the morning and 1 at bedtime for 4 days. Days 5 through 8, take 1 tablet in the morning for 4 days.
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Dexamethasone 0.75 mg (steroid) – starting on day 9 post procedure, take 2 tablets in the morning for 3 days. Then take 1 tablet in the morning for 3 days.
CREAMS/OINTMENTS
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Applied with each wrap change
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Nitro-bid ointment
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Triple Antibiotic ointment
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Econazole (clotrimazole) cream
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Betamethasone cream
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Applied nightly to glans (head of penis)
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Nitro-bid ointment
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Betamethasone cream
QUICK REFERENCE SCHEDULE
Day 0 (day of the procedure):
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Pick up medications from pharmacy (sometimes medications must be ordered, confirm with your pharmacy, our staff does not have inventory of the pharmacy)
Day 1:
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Start medications
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If a medication is not available, start the medication as soon as it becomes available
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Start rubber band breaks 3 times a day for 30-45 minutes until day 21
Day 3:
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Complete first wrap change
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Wrap changes should be completed every 3 days from this point forward until day 21
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Send photos without the current wrap and after the re-wrap or any other day when some concerns may arise to the secure chat.
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Start applying finger pressure below the glans 3 times a day for 30-60 seconds
Day 4:
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Start fingertip massaging of the penile shaft 3 times a day
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Massages should be completed with the barrier on followed by a rubber band break for 30-45 minutes
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Day 22:
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Switch to the simple wrap for 12 hours a day until day 90
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Stop all ointments/creams
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Stop usage of the rubber band
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Send photos bi-weekly with measurements using the paper measuring tape provided until day 90
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Day 30+:
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You may resume sexual intercourse, unless instructed otherwise
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A prophylactic barrier (condom) and an oil-based lubricant is recommended-micro cuts in the skin could be an entry point for bacteria if you are not completely healed until day 90!
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