Welcome to DermaHealth and thank you for entrusting your care to us. The following instructions will help you achieve the best results from your treatment. Please take a moment to review this information and go over any questions and/or concerns you may have with your provider.

Pre Treatment Instructions
Avoid Ibuprofen, aspirin, naproxen, fish oil or anything that can thin the blood for 5 days before procedure.
If have open sores in the area to be treated, the treatment should be postponed until the sores are healed. Shaving area can help the ease of treatment but not necessary.
If you have herpes, please let us know as we may need to pretreat you.

Post Treatment Instructions
Hematoma (bruise) is possible along with tenderness. It should resolve on its own in 2 weeks. Skin redness
at treatment site is expected.
Nutrition: healthful diet, added supplements CoQ10: 300 mg daily, Vitamin E 1,200 IU daily, Vitamin C 3,000 mg daily, B-complex daily.
Neo40 (nitric oxide) 1-2 daily; helps heal and grow endothelial cells. Very important to use!! Do NOT use mouth wash as it deactivates it.
No smoking (destroys endothelial cells we are trying to heal.)
Avoid drugs that can cause ED if possible: pseudoephedrine and nasal decongestants, antihypertensives, antidepressants, antipsychotics, antiandrogens, statins, alcohol, recreational drugs. Do not stop without ok from your PCP.
May have sexual activity as soon as desired and encouraged. Desire as many erections as possible.
PDE5i low dose daily during treatment time.
Penis Pump is recommended to be used 1-2 times per day for 5-10 minutes at a pressure of -10 Hg or less (not higher) for 30 days or longer. For discomfort on the pelvic bone there is a universal pump sleeve available.
Suggest giving nitric oxide right before treatment and 1 month after treatment.

Suggest low dose Cialis for 30 days during treatment. If you are taking Cialis and you seek emergency medical care for chest pain it is extremely important you let them know when your last dose was so they can make the necessary changes in the treatment approach for you.

Additional Options:
Recommend Bioidentical Hormone Optimization.
Possibly peptides.
Maintenance: recommend 1-2 medicalwave treatments every 6-12 months and a P shot annually.
Peyronie’s disease will require more treatments.

For any questions please call DermaHealth, 417-447-7777 or email at confidence@mydermahealth.com.