All of the doctors and nurse practitioners on the Dapper platform are U.S.-licensed healthcare professionals. Each doctor or nurse practitioner undergoes an extensive background check and license verification process. 

When you message or talk with a doctor or nurse practitioner on the Dapper platform, you can see their resume, medical license, and credentials any time you want. Just click on their name in the messaging thread in your account and take a look.

Dapper also has a here.

In order to receive treatment through Dapper, you need to have seen a healthcare provider within the last three years. If you haven't seen a healthcare provider in the past three years, you're not a good fit for Dapper's service.

Dapper is a complement to-not a replacement of-your primary care provider (PCP). It's important to keep your PCP and any other healthcare providers involved in your care up to date with your care through Dapper. You can head to your account and message the medical support team any time you want to share your medical information with your PCP or other healthcare providers.

Yes. Dapper has built telemedicine technologies to enable doctors and nurse practitioners to practice medicine and take care of patients remotely. Every doctor or nurse practitioner you interact with is licensed to prescribe medicine and treat patients in your state. If you have feedback about the platform or a complaint regarding a doctor or nurse practitioner on the Dapper platform, please email care@getdapper.co.

Yes. Telemedicine is safe and effective-as long as patients answer questions truthfully, accurately, and completely. It's also important that you only upload pictures of yourself and your ID (not someone else's) and that you take those pictures during the online visit. Healthcare professionals can only be effective when they have accurate, current information about your case-both in telemedicine and in-person visits.

Doctors and nurse practitioners on the Dapper platform depend solely on the information you provide during your visit and via secure chat, phone, or video. They have no way of externally verifying the information you provide. In addition, if prescribed medicine, it's necessary to read the personalized treatment plan your doctor or nurse practitioner sends you before taking any medication. Only by reading this information in its entirety and fully understanding the content can you adequately weigh the risks and benefits of the treatment.

After your online visit, a doctor or nurse practitioner will complete their initial review of your medical history within 24 hours.

If you've been waiting longer than this, please email care@getdapper.co and we'll take care of it.

After you've finished your initial online visit and a doctor or nurse practitioner has decided you're a good candidate for telemedicine, you can speak with a doctor or nurse practitioner via messaging, phone call, or a video conference any time you like.

It depends. Telemedicine laws vary by state. A small number of states require a provider and patient to chat via video. If you live in one of those states, after your initial online visit, a doctor or nurse practitioner will reach out to set up a convenient time to chat.

You do not need to already have a prescription or a referral to use Dapper. The doctors and nurse practitioners on the Dapper platform will write a prescription if they deem it safe and appropriate for you after your online visit.

If you choose our pharmacy network, we'll ship your treatment to you in our discreet packaging. We offer free shipping on every order, as well as customer support 365 days a year.

You can always choose your own pharmacy, although Dapper cannot guarantee the pricing of the medications processed outside of our pharmacy network. It's also important that your pharmacy is able to receive e-prescriptions and that it's part of the Surescripts Network (the Surescripts Network includes 95% of pharmacies across the country).

Your doctor or nurse practitioner will need to confirm your identity before treating you via telemedicine. In order to confirm your identity, we need two photos:

1. A photo of your government-issued ID
Must include:
- First & last name
- Photo
- Date of birth
- ID expiration date (cannot be expired)

2. A clear photo of your face
Cannot include:
- Sunglasses, hats, or other facial obstructions
- Family photos
- Filters
- Pictures of a picture
We'll use these photos only to confirm that the pictures match each other. If you have any questions about how to upload your photos, please email care@getdapper.co.

In an emergency, please call 9-1-1 immediately.

In most cases, your online visit is free.

For the Testosterone Health Program, you will be charged $25 upon completing the online visit. If your doctor or nurse practitioner determines that blood testing is not the appropriate next step for you, you will be reimbursed the full $25 fee.

The cost of your treatment depends on the type and amount of product or medication you receive. Please visit the Pricing page to get more information.

You're only charged for the medication after a doctor or nurse practitioner has approved a personalized treatment plan.

Services, products, and medications offered through Dapper are not covered by insurance.

Our shipments come either monthly or quarterly (every three months) depending on what you choose during your online visit. If regular shipments are not right for you, you can also switch to on-demand shipments after you receive your first order. Additionally, you can pause or delay individual shipments.

We send email reminders 24 hours prior to processing a refill to allow for any adjustments. To make updates to your plan, pause, or cancel any orders, please visit the Plan Details section of your My Dapper account.

Unfortunately, we cannot accept returns of prescription products for reuse or resale, and all sales are final. However, if you feel we have made an error in the filling of your prescription, please contact us at care@getdapper.co.

Signatures are not required upon delivery, for the convenience of our members.

Once your order is shipped, you will receive an email link to track your shipment. All orders are shipped 2nd Day Air to ensure medication is received as soon as possible.

Orders are only able to be shipped on weekdays; orders placed after 5:00 PM will ship the next day.

Dapper is a telemedicine company that provides a discreet, convenient, and affordable way for you to receive erectile dysfunction (ED) treatment from a doctor or nurse practitioner-all without leaving the couch. If you're interested in treatment, it starts with an online visit. The online visit will ask you about your symptoms, your medical history, and other basic information. You'll also be asked to upload a photo of your ID to verify your identity. Once you have done all of this, a doctor or nurse practitioner will review everything, determine if you're a candidate for ED treatment through telemedicine, and craft a personalized treatment plan for you.

To treat erectile dysfunction (ED), Dapper offers oral medications known as phosphodiesterase 5 (PDE5) inhibitors. PDE5 inhibitors are considered one of the mainstays of ED treatment by the American Urological Association. There are many different types of PDE5 inhibitors that differ by how quickly they start working, how long they last, their side effects, and more. Each prescription is tailored to the individual patient. The specific PDE5 inhibitors offered by Dapper are:

• Viagra (see important safety information)
• Generic Viagra (see important safety information)
• Sildenafil (see important safety information)
• Cialis (see important safety information)
• Generic Cialis (see important safety information)

According to Viagra's (see prescribing information, between 63% and 82% of patients reported an improvement in their erections after taking Viagra. Other PDE5 inhibitors work in a similar way in the body and are also effective. In fact, PDE5 inhibitors are considered one of the mainstays of erectile dysfunction (ED) treatment by the American Urological Association.

It's important to note that ED medication doesn't work for everyone, and everyone's reaction to medication is unique. If you don't see results right away, your doctor or nurse practitioner may recommend trying the medication multiple times under different circumstances. They may also change your dosage depending on your reaction to the medication and any side effects.

Yes, in most cases. Erectile dysfunction (ED) can be diagnosed by a healthcare professional based on a patient self-reporting their symptoms and medical history.

Healthcare professionals on the Dapper platform use telemedicine technologies to diagnose ED in the same way they diagnose patients in person. Doctors or nurse practitioners ask you questions to evaluate your symptoms and make sure it's safe and appropriate to prescribe ED medication. The doctors and nurse practitioners on the Dapper platform use your answers to diagnose your condition and create a treatment plan. That's why it's vital you answer each question to the best of your knowledge and ensure that every communication with your doctor or nurse practitioner is truthful, accurate, and thorough.

In addition, it's strongly recommended that you let your doctor or nurse practitioner order laboratory tests to assist in trying to understand the cause of your ED. These tests are optional and not a requirement for receiving treatment, but more information is always useful for diagnosis and treatment.

Your blood pressure is an important part of determining whether it's safe for you to take erectile dysfunction (ED) medication. It can be dangerous to take ED medication if your blood pressure is above or below a certain value.

To complete a comprehensive medical history during your online visit, you need to enter your most recent blood pressure reading within the last six months. If you haven't had your blood pressure taken within the last six months, you can get a free blood pressure reading at thousands of locations across the country. Enter your location into Pursuant Health to find a place near you that offers free, clinically verified blood pressure readings.

If you're measuring your blood pressure at home, make sure the device has been “clinically validated.” You can purchase a device online or at your local pharmacy. We recommend an upper arm cuff over a wrist or finger blood pressure monitor.

Before taking your blood pressure, it's important to avoid the following factors that may cause your blood pressure to temporarily rise:

• Cold temperatures
• Exercise
• Caffeine
• Stress
• Smoking
• Certain medications (check the label on your device)

When you're ready, find a quiet place and sit for 5-10 minutes. Make sure you're relaxed and have recently urinated (a full bladder can affect your reading). Roll up your sleeve so that your arm is bare. Apply the cuff on your upper arm and follow the directions on the device.

Please make sure to take at least two readings. Enter the higher of the two readings during your online visit.

Oral erectile dysfunction (ED) medications are extremely effective, but they don't work for everyone. Other treatment options for ED include lifestyle modifications (e.g., exercise, dietary changes, quitting smoking, limiting alcohol use), surgery, penile vacuum pumps, and other ED medications. Every treatment comes with risks and benefits that you should fully understand before moving forward with any treatment plan.

Currently, the only ED treatments Dapper offers are oral PDE5 inhibitors in the form of sildenafil citrate (see important safety information). If you'd like to pursue alternative ED treatment, we recommend speaking with a healthcare professional in person.

Orders ship in discreet boxes with all medication in single-use packs. These single-use packs are not childproof. Childproof packaging is available upon request by emailing care@getdapper.co.

Orders are shipped via 2nd Day Air to ensure medication is received as soon as possible. Post office boxes and mail forwarding addresses will receive standard postal shipping and not 2nd Day Air at this time.

Enter your location into Pursuant Health to find the nearest location to get a free, clinically verified blood pressure reading. Higi stations are available free of charge at Rite Aid nationwide, and Pursuant Health stations are available free of charge at Walmart nationwide.

Dapper is a telemedicine company that provides a discreet, convenient, and affordable way for you to receive hair loss treatment from a doctor or nurse practitioner-all without leaving the couch. Minoxidil (generic Rogaine) is available for purchase directly from the website as an over-the-counter (OTC) product. If you are interested in prescription treatment, it starts with an online visit. The online visit will ask you about your symptoms, your medical history, and other basic information. You'll also be asked to upload a photo of your ID to verify your identity. Once you have done all of this, a doctor or nurse practitioner will review everything, determine if you're a candidate for hair loss treatment through telemedicine, and craft a personalized treatment plan for you.

There is one prescription-strength medication for hair loss available on the Dapper platform: finasteride (generic Propecia) (see important safety information). This medication helps patients maintain the hair they have or possibly even regrow some hair they have lost. Finasteride can be used for a receding hairline as well as hair loss at the crown.

In addition to finasteride, minoxidil (generic Rogaine) is an over-the-counter treatment for hair loss that you can purchase directly from the website without going through an online visit. Minoxidil can be used for hair loss at the crown. The specific form of minoxidil offered by Dapper is minoxidil topical solution at the 5% strength.

In some cases, your doctor or nurse practitioner may recommend using finasteride and minoxidil together.

Hair loss treatment can work to preserve hair and possibly even regrow hair. In one study, men treated with finasteride over a five-year period experienced “a 93% decrease relative to placebo in the 5-year likelihood of developing further hair loss.”

Finasteride regrows hair less well, but it does provide a benefit for some men. In one study, the authors found that the chances of mild to moderate visible regrowth were 61% on the vertex after 2 years. The chances of mild to moderate visible regrowth on the frontal area were 37% after 1 year.

Finasteride (see important safety information) and minoxidil typically take three to four months of daily use to start seeing visible changes. It can take up to a year to see the maximum results. As long as you don't experience side effects, it's best to continue the medication for one full year before deciding on whether the medication is doing all it can for you. Like all medications, finasteride and minoxidil will work differently for different people. To sustain benefits, you have to continue using hair loss medication. If you stop, your hair loss may return.

Just as no drug works on everyone, no drug is 100% safe, and finasteride (see important safety information) is no exception. In clinical trials, some men experienced sexual dysfunction due to finasteride. This included a decrease in sexual desire (libido), a decrease in semen volume, or erectile dysfunction (ED). These side effects were noted in 3.8% of men taking finasteride and in 2.1% of men taking a placebo.

In addition, finasteride can lower serum prostate-specific antigen (PSA) levels and may increase the risk of high-grade prostate cancers. If you are being screened for prostate cancer, you should let your healthcare provider know that you are taking finasteride. Also, as finasteride enters the system, it may cause shedding of fine hairs before it stops or reverses hair loss. Do not be concerned-this part is expected.

The most common side effects associated with minoxidil are local skin irritation. Systemic side effects are rare as only a very small percentage of the medication gets absorbed.

Yes. During your online visit, we'll ask you to take and upload a few photos. This helps your doctor or nurse practitioner determine the appropriate treatment option.

Your online visit is free.

Services, products, and medications offered through Dapper are not covered by insurance.

If prescribed, the important safety information) plans are $0.67 per day, minoxidil plans are $0.53 per day, and, when ordered together, the combination is $1.17 per day (when you select a quarterly plan). Prices at your local pharmacy may vary.

You're only charged for the medication after a doctor or nurse practitioner has approved a personalized treatment plan.

Dapper is a telemedicine company that provides a discreet, convenient, and affordable way for you to receive premature ejaculation (PE) treatment from a doctor or nurse practitioner-all without leaving the couch. Dapper Swipes are available for purchase directly from the website as an over-the-counter (OTC) product that does not require a prescription. If you are interested in prescription treatment, it starts with an online visit. The online visit will ask you about your symptoms, your medical history, and other basic information. You'll also be asked to upload a photo of your ID to verify your identity. Once you have done all of this, a doctor or nurse practitioner will review everything, determine if you're a candidate for PE treatment through telemedicine, and craft a personalized treatment plan for you.

According to the World Health Organization (WHO), premature ejaculation (PE) is defined as “recurrent ejaculation that occurs with minimal stimulation and earlier than desired, before or soon after penetration, which causes bother or distress, and upon which the sufferer has little or no control.”

One of the problems with the diagnosis and treatment of PE is that, until recently, there has not been agreement on its definition. Many men believe they ejaculate more quickly than they should, only to discover that their time to ejaculation is well within the average range. Other men might ejaculate in two minutes but find it is neither a cause for concern for them or their partner. If you feel that you ejaculate too quickly during sex, treatment may be appropriate for you.

Although no single treatment works for everyone, most men can be treated successfully. There are multiple oral medications, topical therapies, and other techniques that can be used alone or in combination with one another. Some people see immediate results, but for many men it takes some time before results are apparent. Some may find they need to try a few different methods before finding the right solution. If things don't go as planned or if you experience an adverse side effect, don't give up. You have options and we are here to help you find the best solution.

There are three prescription-strength medications for premature ejaculation (PE) available on the Dapper platform: sildenafil citrate (the active ingredient in Viagra) (see important safety information). Your doctor or nurse practitioner will decide which treatment option is most appropriate for you after reviewing the information you provide in your online visit. While one medication may be better for one person, a different medication may be better for another person. It all depends on your specific medical history, symptoms, and preferences. Of note, there is no medication that is specifically FDA-approved for the treatment of PE. However, sildenafil citrate, tadalafil, and sertraline can be prescribed off-label for this purpose, if appropriate.

In addition to these three prescription medications, Dapper Swipes is an over-the-counter treatment for PE that you can purchase directly from the website without going through an online visit.

Off-label usage of a medication refers to using the medication for purposes that have not specifically been approved by the FDA. Healthcare professionals have the discretion to prescribe medications off label if they believe it is an appropriate course of treatment for a particular patient.

There are many possible causes of premature ejaculation (PE), ranging from physical causes to psychological causes. Although it may seem odd to get prescribed erectile dysfunction (ED) medication for PE, numerous studies have shown that it can be effective. There are a few reasons ED medication might help:

• ED medication can help relax the smooth muscles of organs involved in ejaculation
• ED medication can affect the nervous system in ways that may delay ejaculation
• ED medication may decrease the sensitivity of the penis
• ED medication can prolong the duration of an erection, increasing confidence, the perception of ejaculatory control, and overall sexual satisfaction
• ED medication can make it easier to get a second erection after ejaculation

Some patients may also have coexisting ED and PE. For these patients, it is recommended ED get treated first, to see if it has beneficial effects on PE.

The medications available for treating PE work for the vast majority of patients and they usually do so without causing side effects. However, just as no drug works on everyone, no drug is 100% safe-and these treatments are no exception. The potential side effects depend on which medication you use, so be sure to check out each medication's important safety information for specifics. To reduce the risk of side effects, your doctor or nurse practitioner will work with you to find the lowest effective dose of the medication. This is the dose at which the medication still works but is least likely to have any adverse effects.

If you're allergic to benzocaine (the active ingredient in Dapper Swipes), you might experience an allergic reaction on the skin, including redness and swelling. Contact your primary healthcare provider if you notice any reactions.

Your doctor or nurse practitioner may recommend a combination of medication and behavioral therapy tips to deal with premature ejaculation (PE). No two people are alike, and it may take time and experimentation to find the methods that work best for you. Some recommended non-prescription techniques include:

• Topical anesthetics: Topical anesthetics can be applied to the penis just before sexual activity. They come as creams, lotions, or sprays and are available over-the-counter. The advantage of topical applications is that the side effect rate is low.
• Condoms: Condoms can help with PE by decreasing penile sensitivity. They also have the added benefit of reducing the risk of sexually transmitted infections and unwanted pregnancy.
• Behavioral modification: The squeeze and stop-start techniques are two different strategies that can be practiced during masturbation or sexual activity, and-over time-they can improve control over the timing of ejaculation.
• Psychotherapy: Counseling, whether in person, by telephone, or by text messaging, may increase the likelihood of success for some patients.

Your online visit is free.

Services, products, and medications offered through Dapper are not covered by insurance.

If prescribed, the cost of treatment depends on the type of medication and the number of doses you receive. Check out the current Dapper Pharmacy Network prices. Prices at your local pharmacy may vary.

You're only charged for the medication after a doctor or nurse practitioner has approved a personalized treatment plan.

We use telemedicine technology and U.S. licensed healthcare professionals to provide cold sore treatments discreetly, conveniently, and inexpensively.

It starts with your online visit. Your doctor or nurse practitioner needs to know about your health (e.g., your medications, lifestyle issues, prior surgeries) and how cold sores affect you.

They also need personal ID so they know who they will be helping in the coming year. They review everything, determine if you're a candidate for telemedicine and, if so (most people are), they will craft a personalized treatment plan.

Their treatment plan will include a great deal of information about oral herpes. It is important you take the time to read it all. You will be better prepared to manage your condition as a partner-and not just a patient.

If you qualify, our doctors or nurse practitioners will provide prescribe the right course of treatment to help you take control of cold sore outbreaks.

Our Physicians prescribe Valacyclovir (generic Valtrex) to treat cold sores (oral herpes). When used properly, this medication can abort an outbreak at the first sign that one is coming on or lessen its severity.

IMPORTANT SAFETY INFORMATION

Cold sore (oral herpes) medication is available, and it works extremely well. But it requires you to dedicate the time to learn about your condition and work with your physician to craft the ideal, personalized treatment plan.

When you do, you'll be able to identify your specific symptoms (prodrome) and use your medication to shorten or stop the outbreak from occurring.

IMPORTANT SAFETY INFORMATION

What follows is a summary and does not include every side effect possible.

Common side effects include headache, feeling sick, dizziness, vomiting, diarrhea, skin reaction after exposure to sunlight (photosensitivity), rash, or itching (pruritus).

Uncommon side effects include feeling confused, seeing or hearing things that aren't there (hallucinations), feeling very drowsy, tremors, or feeling agitated, shortness of breath (dyspnea), stomach discomfort, rash, sometimes itchy, hive-like rash (urticaria), low back pain (kidney pain), blood in the urine (hematuria), reduction in the number of blood platelets which are cells that help blood to clot (thrombocytopenia), reduction in the number of white blood cells (leucopenia), increase in substances produced by the liver

Rare side effects include unsteadiness when walking and lack of coordination (ataxia), slow, slurred speech (dysarthria), fits (convulsions), altered brain function (encephalopathy), unconsciousness (coma), confused or disturbed thoughts (delirium), kidney problems where you pass little or no urine. Lastly, watch out for a severe allergic reaction (anaphylaxis). These are rare in people taking Valtrex. Anaphylaxis is marked by the rapid development of flushing, itchy skin rash, swelling of the lips, face, neck, and throat-causing difficulty in breathing (angioedema), fall in blood pressure leading to collapse. If any of these occur, get emergency treatment immediately

IMPORTANT SAFETY INFORMATION

Yes. Our doctors and nurse practitioners can prescribe medication and help you dial in the most effective treatment plan for your unique needs.

Healthcare professionals on the Dapper platform use telemedicine technologies to treat cold sores in the same way they treat patients in-person. Doctors or nurse practitioners ask you questions to evaluate your symptoms and make sure it's safe and appropriate to prescribe cold sore medication. The healthcare professionals on the Dapper platform use your answers to assess your condition and create a treatment plan. That's why it's vital you answer each question to the best of your knowledge and ensure that every communication with your physician is truthful, accurate, and thorough.

No

Though they infect different parts of the body, cold sores (oral herpes) and genital herpes are caused by the same virus. There are two strains of the herpes virus; cold sores are more frequently caused by HSV-1, while genital herpes is more commonly associated with HSV-2. Both strains of the virus can be effectively treated using the same medication.

Your online visit costs $15. This doesn't include the cost of your medication (if prescribed). If a physician determines you're not a good candidate for telemedicine, you'll get a full refund for your online visit.

Our services are not covered by insurance, but the $15 online visit is less than most co-pays.

If prescribed, the cost of treatment depends on the type of medication and the number of doses you receive. Check out the current Dapper Pharmacy Network prices. Prices at your local pharmacy may vary and are often twice the cost of the Dapper Pharmacy Network.

You're only charged for the medication after a physician has approved a personalized treatment plan. If you're unsuitable for telemedicine, you'll be refunded for your online visit ($15).

We use telemedicine technology and U.S. licensed healthcare professionals to provide genital herpes treatments discreetly, conveniently, and inexpensively.

It starts with your online visit. Your doctor or nurse practitioner needs to know about your health (e.g., your medications, lifestyle issues, prior surgeries) and how genital herpes affects you.

They also need personal ID so they know who they will be helping in the coming year. They review everything, determine if you're a candidate for telemedicine and, if so (most people are), they will craft a personalized treatment plan.

Their treatment plan will include a great deal of information about genital herpes. It is important you take the time to read it all. You will be better prepared to manage your condition as a partner-and not just a patient.

If you qualify, your doctor or nurse practitioner will provide a diagnosis and prescribe the right course of treatment to help you take control of herpes outbreaks.

Our Physicians prescribe Valacyclovir (generic Valtrex) to treat genital herpes. When used properly, this medication can help prevent and clear up herpes outbreaks.

IMPORTANT SAFETY INFORMATION

Genital herpes medication is available, and it works extremely well. But it requires you to dedicate the time to learn about your condition and work with your physician to craft the ideal, personalized treatment plan.

When you do, you'll be able to identify the first indication of your specific symptoms (prodrome) and use your medication to shorten or stop the outbreak from occurring.

IMPORTANT SAFETY INFORMATION

What follows is a partial summary and does not include every side effect possible.

Common side effects include headache, feeling sick, dizziness, vomiting, diarrhea, skin reaction after exposure to sunlight (photosensitivity), rash, or itching (pruritus).

Uncommon side effects include feeling confused, seeing or hearing things that aren't there (hallucinations), feeling very drowsy, tremors, or feeling agitated, shortness of breath (dyspnea), stomach discomfort, rash, sometimes itchy, hive-like rash (urticaria), low back pain (kidney pain), blood in the urine (hematuria), reduction in the number of blood platelets which are cells that help blood to clot (thrombocytopenia), reduction in the number of white blood cells (leucopenia), increase in substances produced by the liver

Rare side effects include unsteadiness when walking and lack of coordination (ataxia), slow, slurred speech (dysarthria), fits (convulsions), altered brain function (encephalopathy), unconsciousness (coma), confused or disturbed thoughts (delirium), kidney problems where you pass little or no urine. Lastly, watch out for a severe allergic reaction (anaphylaxis). These are rare in people taking Valtrex. Anaphylaxis is marked by the rapid development of flushing, itchy skin rash, swelling of the lips, face, neck, and throat-causing difficulty in breathing (angioedema), fall in blood pressure leading to collapse. If any of these occur, get emergency treatment immediately

IMPORTANT SAFETY INFORMATION

Yes. If your genital herpes has been diagnosed by a physician, our doctors and nurse practitioners can prescribe medication and help you dial in the most effective treatment plan for your unique needs.

Physicians on the Dapper platform use telemedicine technologies to treat you in the same way they treat patients in-person. Doctors or nurse practitioners ask you questions to evaluate your symptoms and make sure it's safe and appropriate to prescribe medication. The physicians on the Dapper platform use your answers to assess your condition and create a treatment plan. That's why it's vital you answer each question to the best of your knowledge and ensure that every communication with your physician is truthful, accurate, and thorough.

No. But you do need to have your genital herpes previously diagnosed by a physician.

Though they infect different parts of the body, cold sores (oral herpes) and genital herpes are caused by the same virus. There are two strains of the herpes virus-cold sores are more frequently caused by HSV-1, while genital herpes is more commonly associated with HSV-2. Both strains of the virus can be effectively treated using the same medication.

Your online visit costs $15. This doesn't include the cost of your medication (if prescribed). If a physician determines you're not a good candidate for telemedicine, you'll get a full refund for your online visit.

Our services are not covered by insurance, but the $15 online visit is less than most co-pays.

If prescribed, the cost of treatment depends on the type of medication and the number of doses you receive. Check out the current Dapper Pharmacy Network prices. Prices at your local pharmacy may vary and are often twice the cost of the Dapper Pharmacy Network.

You're only charged for the medication after a physician has approved a personalized treatment plan. If you're unsuitable for telemedicine, you'll be refunded for your online visit ($15).

Testosterone is a steroid hormone that is present in the bodies of both men and women, although men have higher concentrations of it. Testosterone is made in the testes, ovaries, and adrenal glands and is derived from cholesterol. It is primarily responsible for the development of the male reproductive system and also plays a role in body hair growth, muscle mass, fat distribution, voice depth, and libido. In the body, some testosterone is converted into dihydrotestosterone, which plays a role in prostate enlargement and baldness, and estradiol, which is a type of estrogen.

It is normal for testosterone levels to decrease with age. This can be a result of lifestyle factors, like how much you are exercising. However, some men have low testosterone independent of this age-related decline. And while there are many possible causes for low testosterone (alcohol abuse, diabetes, genetic disorders, metabolic disorders, medications, trauma, etc.), some men may never discover what is causing it in them. Low testosterone is a medical condition that should be treated with the guidance of a healthcare professional. 

There are a variety of symptoms you may be experiencing that could indicate you have low testosterone. Having little interest in sex or having difficulty getting or maintaining an erection are two of the sexual symptoms related to low testosterone. However, there are also more nonspecific symptoms such as low energy, depression, decreased muscle mass, increased fat mass, and decreased body hair. If you have any of these symptoms, you should talk to your healthcare provider about whether you may be suffering from low testosterone

If you think you may have low testosterone, you should talk to a healthcare provider. Your healthcare provider will likely ask many questions to find out more about your medical history, your risk factors, and your symptoms. A blood test can then diagnose whether or not you have low testosterone. Your testosterone levels change throughout the day and are generally highest in the morning, so it is likely that your healthcare provider will ask you to do the blood test between 8:00am and 10:00am, and that they will do this twice to confirm the diagnosis. Once you have the results, your healthcare provider will be able to counsel you on the next best steps for you. If you do have low testosterone, your healthcare provider may try to figure out the cause or may suggest treating you with testosterone replacement therapy or other therapies to increase testosterone levels.

Dapper's Testosterone Support supplement is a mix of six main ingredients, including vitamin D3, zinc, magnesium, copper, ashwagandha, and maca. Dapper chose these ingredients because five of them have individually been shown to have beneficial effects in some studies (the sixth, copper, does not have these effects but is recommended to be taken in combination with high doses of zinc supplementation). These beneficial effects include improving sexual functioning, increasing libido, improving semen quality, and raising testosterone levels. In some cases, the evidence is limited because studies have only been done in vitro, in animals, or in small human clinical trials. And in other cases, these effects were only noted in men who had specific vitamin deficiencies. All six ingredients are generally well tolerated and some are important for overall health as well. And in some cases, like with vitamin D, evidence suggests that a significant portion of the society is deficient and could benefit from supplementation. One older study also found that hospitalized patients have a high rate of magnesium deficiency. Dapper's Testosterone Support supplement isn't intended to treat low testosterone and isn't a substitute for treatments prescribed by your healthcare provider.

One study in older, overweight males demonstrated that 8 weeks of supplementation with ashwagandha extract increased levels of DHEA-S (a steroid hormone that helps make testosterone) and testosterone. Other limited studies have shown that supplementation is associated with improved muscle strength, increased muscle size, decreased body fat percentage, and improved semen quality. However, ashwagandha has not been evaluated by the FDA and further studies need to be done to better understand its effects and optimal dosing.

Maca has not been found to play a role in testosterone levels. However, limited studies have found that maca is associated with improved sexual performance scores, libido, and semen quality. However, maca has not been evaluated by the FDA and further studies need to be done to better understand the effects and optimal dosing of maca.

Magnesium is necessary for the normal functioning of several bodily processes. One study that looked at the effects of magnesium supplementation in both sedentary and athletic individuals found that testosterone levels increased after 4 weeks. Another study found that magnesium levels in men ages 65 and older are closely associated with testosterone levels. However, magnesium has not been evaluated by the FDA as a treatment for low testosterone and further studies need to be done to better understand the effects and optimal dosing of magnesium.

Vitamin D is necessary for the normal functioning of several bodily processes. One study on overweight men who had a vitamin D deficiency found that after a year of supplementation with vitamin D, testosterone levels increased. Another small study found that supplementation with vitamin D was associated with increased testosterone levels and improved erectile function. However, vitamin D has not been evaluated by the FDA as a treatment for low testosterone and further studies need to be done to better understand the effects and optimal dosing of vitamin D.

Zinc is necessary for the normal functioning of several bodily processes. One study found that restriction of zinc led to a decline in testosterone levels, while supplementation in those who were zinc-deficient led to increased testosterone levels. Another very limited study has shown that zinc supplementation is associated with improved semen quality and a study in rats indicated that zinc supplementation may be associated with improved sexual competence. However, zinc has not been evaluated by the FDA as a treatment for low testosterone and further studies need to be done to better understand the effects and optimal dosing of zinc.

There are many different supplements on the market that advertise that they support healthy testosterone levels in men. While some individual ingredients may overlap between Dapper's Testosterone Support supplement and other brands, not all formulations are exactly the same. All six ingredients and their dosages in Dapper's supplement were individually selected and specifically chosen.

Dapper's Testosterone Support supplement was not tested against or compared to any other products. Dapper makes no claims about how this pack will affect your body compared to other testosterone support supplements.

Dapper's Testosterone Support supplement is not intended to diagnose, treat, cure, or prevent any disease. The supplement has not been tested in any clinical trials and there is no guarantee that taking the supplement will lead to an increase of testosterone in your body. Moreover, the supplement itself is not testosterone nor is it a precursor to testosterone. Rather, the supplement is made of plants, vitamins, and minerals that have been shown to naturally raise testosterone levels or otherwise impact the sexual health of men in some studies at certain dosages when tested individually.

If you do suffer from low testosterone, this supplement is not a treatment for your condition. You should talk to your healthcare provider about the best next steps in treatment. You may require treatment with testosterone replacement therapy or a different intervention.

Dapper's Testosterone Support supplement is not intended to diagnose, treat, cure, or prevent any disease. The supplement has not been tested in any clinical trials and there is no guarantee that taking the supplement will lead to an improvement in your sexual stamina or functioning. While some of the ingredients in Dapper's Testosterone Support supplement have individually been shown to improve libido and sexual functioning in men in some studies, this specific supplement has not been tested. That being said, some men may find that their stamina and performance during sex do improve after taking this supplement.

You should take four tablets of Dapper's Testosterone Support supplement daily. The tablets can be taken all at once or you can take them in divided doses throughout the day. To facilitate the absorption of vitamin D, it is recommended that you take the supplement with food.

To assess tolerability, you may want to begin by taking one to two tablets per day. Depending on the side effects you may be experiencing (if any), you can then gradually work your way up to the full dose.

It is not recommended that you take more than four tablets of Dapper's Testosterone Support supplement per day. Doing so may increase your chance of experiencing side effects and may even be dangerous for your health. The Institute of Medicine publishes the Tolerable Upper Intake Levels (UL) for many nutrients. The UL indicates the “maximum daily intake unlikely to cause adverse health effects” for these nutrients. Four of the ingredients in Dapper's Testosterone Support supplement (vitamin D, zinc, magnesium, and copper) have published ULs. Taking more than the recommended four tablets per day may, therefore, increase your chances of experiencing side effects. Additionally, this supplement should not be taken in combination with other supplements that contain vitamin D, zinc, magnesium, or copper.

If you accidentally miss a dose, you can either take it when you remember or you can wait until the next day to resume the supplement. It does not matter what time of day you take the supplement. However, to avoid going over the Tolerable Upper Intake Levels for vitamin D, zinc, magnesium, and copper, you should not take more than four tablets in a 24-hour period.

Dapper's Testosterone Support supplement has not been tested to establish a side effect profile. However, based on the individual ingredients in the supplement, possible side effects include altered menstrual cycles, altered mood, cramping, difficulty sleeping, drowsiness, fatigue, gastrointestinal discomfort, and loose stools. Rarer, but more serious side effects may also occur. If you are experiencing worrisome symptoms, stop taking the supplement immediately and speak to your healthcare provider.

It is safe for women to take Dapper's Testosterone Support supplement. However, the supplement is potentially dangerous during pregnancy, so women of child-bearing age should avoid taking the supplement unless they know they are not pregnant. Additionally, many of the benefits this supplement is designed for (improved sexual function, increased libido, improved semen quality, and higher testosterone levels) have only ever been tested in men, so it is unclear what the effects of this supplement may be in women.

One concern with taking testosterone replacement therapy is that the artificially introduced testosterone can suppress the body's drive to create its own natural testosterone. As a result, when testosterone replacement therapy is abruptly stopped, there may be a period of time that the body is producing less testosterone than it is capable of.

Dapper's Testosterone Support supplement works differently in the body than testosterone replacement therapy. Dapper's Testosterone Support supplement contains specific nutrients that are thought to naturally support testosterone production. The support pack does not contain testosterone and will not suppress the body's production of testosterone the way that taking testosterone replacement therapy will. However, if you have an underlying vitamin D, zinc, or magnesium deficiency, you may recognize that symptoms of those deficiencies return after stopping this supplement.

The best way to support testosterone levels in the body is to stay as healthy as possible overall. Eating a healthy diet, getting regular exercise, maintaining a healthy body weight, and sleeping enough each day are all ways to make sure your body is functioning at its peak. If you have low testosterone because of a medical condition, working with your healthcare provider to treat the underlying condition may be the best way to improve your levels. If you have low testosterone as a side effect of a medication you are taking, talk to your healthcare provider about your concerns to see if switching to an alternative medication could be right for you.

Testosterone replacement therapy is a treatment for those with low testosterone and must be prescribed by a healthcare provider. Never attempt to obtain testosterone on your own and always talk to your healthcare provider about everything you are taking. While testosterone replacement therapy may be indicated in some patients, it can be dangerous in others or when used improperly.

Dapper's Testosterone Support supplement is not a treatment for low testosterone. If your healthcare provider has determined that testosterone replacement therapy would be right for you, this supplement is not an appropriate substitute.

Allergic rhinitis is sometimes called “hay fever” or “seasonal allergies,” although it can be caused by nonseasonal substances as well. Allergic rhinitis refers to inflammation in the nose (rhinitis) that occurs when you are exposed to a substance you are allergic to. The term “allergic rhinitis” does not refer to all kinds of allergies you may have. For example, food allergies and allergies to medications do not typically cause allergic rhinitis.

“Allergies” is a general term that refers to a reaction the body has to allergens. Allergens are substances that are generally not harmful to the body. However, if you have allergies, the immune system thinks allergens are dangerous and tries to fight them off like it would any other intruder, such as bacteria, viruses, and parasites. Having allergies, therefore, means the immune system is overactive. In other words, the immune system is doing something it is normally supposed to do but the reaction is exaggerated, unnecessary, and even harmful to the body. In medical terminology, this overreaction is called a type 1 hypersensitivity reaction.

There are many different kinds of allergies that differ based on the part of the body affected and the severity of symptoms. In some cases, allergies may cause a small rash or runny nose. In other cases, allergies can be life-threatening. Types of allergies include allergic rhinitis (inflammation in the nose), contact dermatitis (an allergic reaction on the skin), allergic asthma (a specific type of asthma), and anaphylaxis (a life-threatening condition that involves swelling of the airways).

There are many different allergens that affect the body. These include foods, plants, animals, metals, chemicals, medications, and more. Some allergens are known as airborne allergens because they are present in the air. The most common airborne allergens include tree pollens, grass pollens, weed pollens, pet dander, and molds. Dust mites and cockroach allergens are also common and may be airborne, however they settle more quickly than the other airborne allergens.

Dapper only offers treatment for allergic rhinitis, which is caused by airborne allergens. However, there are many other common allergens you may have. The most common food allergens are fish, shellfish, peanuts, tree nuts, eggs, wheat, soy, and milk. These allergens always need to be labeled on food if they are present. Other allergens you may have heard of include:

1. Insect venom (e.g. getting stung by a bee)
2. Nickel (e.g. getting a rash after wearing certain jewelry)
3. Latex (e.g. getting a rash when coming into contact with latex)
4. Medications (e.g. getting hives after taking penicillin)

Allergic rhinitis is typically caused by allergens that are airborne. These are roughly divided into outdoor airborne allergens and indoor airborne allergens. Common airborne allergens found outdoors include tree pollens, grass pollens, and weed pollens. Common airborne allergens found indoors include animal dander, dust mites, and mold.

Outdoor allergens are usually seasonal because plants release pollen at certain times of the year. Spring allergies are commonly due to tree pollens. Late spring and summer allergies are commonly due to grass pollens. Late summer and autumn allergies are commonly due to weed pollens, such as ragweed pollen. In fact, ragweed pollen is one of the primary causes of allergic rhinitis and 75% of people with pollen allergies are allergic to ragweed.

Indoor allergens may be present throughout the year. However, certain situations can make indoor allergies worse. For example, animal dander allergies may be worse in the winter because pets may spend more time indoors and there is less circulating fresh air. And mold allergies may be worse if there is a very rainy spring season.

Researchers aren't sure why some people develop allergies and others do not. What we do know is that the tendency to develop allergies is genetic. This means if your family members have allergies, you are more likely to have them as well. Additionally, certain allergic conditions commonly occur together. Known as the “atopic triad,” these conditions are allergic rhinitis, eczema (also called atopic dermatitis), and allergic asthma.

Immunoglobulin E (IgE) is a type of antibody. Antibodies are proteins that the body forms to help fight invaders, known as pathogens. There are several kinds of antibodies that the body can make. IgA antibodies are typically found in mucous membranes, such as the mouth and the intestinal linings. IgA is also found in breastmilk and can transfer from mother to baby. IgD antibodies are less understood and signal certain immune cells to activate. IgM antibodies are the first antibodies the body makes when exposed to a pathogen. And IgG antibodies take longer to make but are the antibodies we typically think of that are associated with immunity to diseases.

IgE antibodies are normally beneficial because they help protect against parasites. However, IgE antibodies are also responsible for allergic reactions. When the body encounters an allergen for the first time, it develops IgE antibodies that are targeted against that allergen. The IgE antibodies then attach to the surface of immune cells called mast cells and basophils. The next time the body is exposed to the same allergen, the allergen links up with the IgE antibodies, beginning a series of events that result in allergy symptoms.

Histamine is an inflammatory chemical that is released by immune cells during an allergic reaction. The release of histamine is normally helpful because it can help fight pathogens that are affecting the body. However, during an allergic reaction, histamine is released when it shouldn't be. Histamine is responsible for symptoms like watery eyes, runny nose, sneezing, and itchy skin.

Leukotrienes are inflammatory chemicals that are released by immune cells during an allergic reaction. The release of leukotrienes is normally helpful because they can help fight pathogens that are affecting the body. However, during an allergic reaction, leukotrienes are released when they shouldn't be. Leukotrienes are responsible for inflammation and the production of a large amount of mucus.

1. The first time the body is exposed to an allergen, it responds by creating antibodies known as immunoglobulin E (IgE).
2. IgE antibodies attach to the surface of immune cells called mast cells and basophils.
3. The next time the body is exposed to the same allergen, the allergen links up with the IgE antibodies. This prompts the mast cells and basophils to release inflammatory chemicals, including histamine and leukotrienes.
4. The release of histamine and leukotrienes causes the symptoms that are typically associated with allergies. Histamine is responsible for watery eyes, runny nose, sneezing, and itchy skin. Leukotrienes are responsible for inflammation and the production of a large amount of mucus.

Azelastine works by blocking the H1 receptors on cells, which are receptors that are normally activated by the chemical histamine. When the body is exposed to an allergen, immune cells (called mast cells and basophils) release histamine. Since azelastine blocks histamine from activating the H1 receptors, the symptoms that are typically caused by histamine are lessened. Azelastine also has anti-inflammatory effects and reduces congestion.

Researchers are not entirely sure how fluticasone propionate works but it is known to have a wide range of effects on different immune cells and chemicals that cause inflammation, including mast cells, histamine, and leukotrienes.

Levocetirizine works by blocking the H1 receptors on cells, which are receptors that are normally activated by the chemical histamine. When the body is exposed to an allergen, immune cells (called mast cells and basophils) release histamine. Since levocetirizine blocks histamine from activating the H1 receptors, the symptoms that are typically caused by histamine are lessened.

Montelukast works by blocking cysteinyl leukotriene receptors, which can be activated by the chemical leukotriene D4. When the body is exposed to an allergen, immune cells (including mast cells and basophils) release leukotriene D4. Since montelukast blocks leukotriene D4 from activating the cysteinyl leukotriene receptors, the symptoms that are typically caused by leukotriene D4 are lessened.

Yes, azelastine may make you drowsy. Azelastine is a type of medication known as an antihistamine. One of the common side effects of antihistamines is drowsiness. As such, azelastine may make users drowsy after use. Users should exercise caution when taking azelastine and should be aware that mental alertness may be decreased. This can impact the ability to drive or operate machinery.

No, fluticasone propionate should not make you drowsy. Antihistamines are a group of medications that are commonly used to treat allergies and one of the side effects of antihistamines is drowsiness. However, fluticasone propionate is not an antihistamine. It is a type of medication known as a glucocorticoid. Therefore, fluticasone propionate does not typically cause drowsiness as other allergy medications do. That being said, the Prescriber's Digital Reference (PDR) for fluticasone propionate does list fatigue as one of the many possible side effects of taking the medication.

It is possible levocetirizine will make users drowsy but the exact answer is unclear. Levocetirizine is a type of medication that is sometimes referred to as a third-generation antihistamine. It is derived from cetirizine (brand name Zyrtec), which is a second-generation antihistamine. The third-generation antihistamines are a new type of drug class that is believed to cause less drowsiness than the second-generation antihistamines. However, the exact extent of this difference is unclear. As such, while it is possible that levocetirizine is less sedating than cetirizine, it still may cause drowsiness. Users should exercise caution when taking levocetirizine and should be aware that mental alertness may be decreased. This can impact the ability to drive or operate machinery.

No, montelukast should not make you drowsy. Antihistamines are a group of medications that are commonly used to treat allergies and one of the side effects of antihistamines is drowsiness. However, montelukast is not an antihistamine. It is a type of medication known as a leukotriene receptor antagonist. Therefore, montelukast does not typically cause drowsiness as other allergy medications do. That being said, the Prescriber's Digital Reference (PDR) for montelukast does list fatigue as one of the many possible side effects of taking the medication.

A severe allergic reaction is known as anaphylaxis. Dapper does not offer treatment for anaphylaxis. If you are experiencing a severe allergic reaction (or even if you just think you might be in trouble), call 9-1-1 immediately and seek medical help. The symptoms of a severe allergic reaction include itching of the mouth and lips, swelling of the airway, tongue, and lips, flushing, hives, decreased blood pressure, difficulty breathing, confusion, and loss of consciousness. These symptoms may occur rapidly and are life-threatening, requiring emergent treatment. 

If you have a history of anaphylaxis or are at risk of developing anaphylaxis, your healthcare provider may have prescribed you a medication called epinephrine. You should carry this medication with you at all times and should give it to yourself (or have somebody else give it to you) in the event of a severe allergic reaction without delay.

Yes, you need a prescription from a healthcare provider to obtain azelastine nasal spray. The medication comes in several doses and is normally available as the generic or as the brand name, Astelin. Dapper only offers the generic form, which will be prescribed to you if your Dapper-affiliated physician believes it is appropriate for the treatment of your allergic rhinitis.

No, you do not need a prescription from a healthcare provider to obtain fluticasone propionate nasal spray. This means you can get the medication either with a prescription or over-the-counter. The medication is normally available as the generic or as the brand name, Flonase. Dapper only offers the generic form, which will be prescribed to you if your Dapper-affiliated physician believes it is appropriate for the treatment of your allergic rhinitis.

No, you do not need a prescription from a healthcare provider to obtain levocetirizine. This means you can get the medication either with a prescription or over-the-counter. The medication is normally available as the generic or as the brand name, Xyzal. Dapper only offers the generic form, which will be prescribed to you if your Dapper-affiliated physician believes it is appropriate for the treatment of your allergic rhinitis.

Yes, you need a prescription from a healthcare provider to obtain montelukast. The medication comes in several doses and is normally available as the generic or as the brand name, Singulair. Dapper only offers the generic form, which will be prescribed to you if your Dapper-affiliated physician believes it is appropriate for the treatment of your allergic rhinitis.

Yes, you can take azelastine as-needed for symptom relief. Azelastine is rapid-acting and typically starts working within 15 minutes. Taking azelastine as-needed will lead to a temporary improvement in sneezing and itchy and runny nose. However, the effects of the medication will wear off after 12 hours, so if you need continuous symptom relief it is recommended you take the medication twice daily. Using azelastine twice daily may also lead to an improvement in overall congestion.

Yes, you can take fluticasone propionate as-needed. However, if you do so, you may not experience the medication's maximal effectiveness. Fluticasone propionate normally starts working after 12 hours but it may take 10 to 14 days of continuous, daily usage to see the most improvement in nasal congestion.

Yes, you can take levocetirizine as-needed for symptom relief. Levocetirizine is fast-acting and typically starts working after 1 hour. Taking levocetirizine as-needed will lead to a temporary improvement in sneezing, runny nose, and itchy eyes. However, the effects of the medication will wear off after 24 hours, so if you need continuous symptom relief it is recommended you take the medication daily.

No, it is not recommended that you take montelukast as-needed. Montelukast may start working after the first dose in some users. However, to experience maximal improvement in nasal congestion, it should be continued for several days.

Fluticasone propionate is a type of medication known as a glucocorticoid. Glucocorticoids are corticosteroid hormones that are effective at reducing inflammation. Corticosteroid hormones are not the same thing as anabolic steroids, which are the steroids commonly associated with athletic enhancement.

Using fluticasone propionate as prescribed for the treatment of allergic rhinitis is generally not considered dangerous. However, chronic overuse may cause specific signs and symptoms. Using greater than what is recommended by your physician can lead to trauma and irritation of the lining of the inside of the nose, which can lead to nosebleeds. Long-term use of high levels of corticosteroid hormones can cause other symptoms such as thinning skin, changes in body fat distribution, blood sugar problems, bone loss, and increased acne or facial hair. If you are experiencing worrisome symptoms, contact a healthcare provider.

Besides medication, there are many other things you can be doing to treat your allergic rhinitis. One of the most important things is called allergen avoidance. This involves successfully staying away from the things you are allergic to. Some tips for how to avoid allergens include:

• If you have pollen allergies, you may benefit from staying indoors during certain times of the year or avoiding freshly cut grass. You can also keep your windows closed at home and in your car to avoid airborne exposure.
• If you have animal dander allergies, you may not want to own a pet or visit the homes of friends who have pets.
• If you have dust mite allergies, you may want to purchase a hypoallergenic mattress cover and pillow covers for your bed. Weekly washing of your bed linens will also help decrease the level of dust mite exposure.
• If you have mold allergies, you may benefit from staying out of places where mold commonly grows, such as basements. Molds thrive in warm, damp areas, which also includes showers and bathrooms. Keeping your bathroom well ventilated or dry (with a dehumidifier) can help keep mold levels to a minimum.

Purchasing a High Efficiency Particulate Air (HEPA) filter can also help protect against airborne allergens.

Another way to improve nasal symptoms is to perform nasal saline irrigation.

Nasal saline irrigation is a practice that involves flushing the nasal passages with a large volume of a saline solution. It is highly recommended that everybody with airborne allergies irrigates their nose at least once a day (but ideally twice) per day. If you have airborne allergies, irrigating once before going outside and once when you come home is extremely helpful to clear the nose of the allergen particles that are causing your symptoms. Numerous companies sell devices that can be used for nasal saline irrigation, such as the neti pot or the Neil Med irrigation bottle.

Nasal saline irrigation can cause an unusual sensation that might be uncomfortable at first. It should always be performed with a warmed solution that is intended for nasal irrigation and not with fresh water. If you are mixing your own solution, it is extremely important that you do NOT use tap water, as this could be contaminated with organisms. Instead, make sure you only use water that has been distilled, sterilized, or boiled. If you use boiled water, do not mix the solution or use the water until it has cooled down to room temperature.

There are many other oral and nasal medications that can be taken for allergic rhinitis. There are also eye drops that can be used to treat itchy eyes. Some of these other medications include other antihistamines, other corticosteroids, decongestants, cromolyn sodium, and ipratropium bromide.

While it is safe to combine some allergy medications, certain combinations may be dangerous or may cause excessive drowsiness. Therefore, it is always important to talk to your healthcare provider about what you are taking, including over-the-counter medications. Do not start any new medications in addition to the treatment you have been prescribed here without first talking to a healthcare provider.

It is hard to say whether your allergies will ever go away. Certain allergies tend to be more common in children and many patients may find that their allergy symptoms improve with age. However, it is also possible to develop new allergies as an adult. You may also become more aware of certain allergies if you change your surroundings, such as if you move to a new city and are exposed to new pollens.

Allergy shots, also called immunotherapy, are a type of long-term treatment for allergies. Allergy shots are given on a weekly basis for several months. It may take up to a year to see any improvement in symptoms. Allergy shots can then be given every few weeks for approximately 3 to 5 years. 

Prior to beginning allergy shots, an individual is tested to determine his or her specific allergens. The individual is then injected with small and increasing amounts of those allergens. By injecting the individual with allergens, his or her immune system is slowly retrained, becoming desensitized to those allergens. This means that when the individual is exposed to the allergens in the real world, he or she mounts less of a reaction to them. Allergy shots can potentially trigger anaphylaxis, so they must always be given in a healthcare provider's office under supervision.

Allergy drops are also known as sublingual immunotherapy. The idea behind allergy drops is the same as allergy shots and involves gradual desensitization to certain allergens. Allergy drops are placed under the tongue daily and do not require administration in a healthcare provider's office. However, there are not many allergens that are currently FDA-approved for allergy drops. Additionally, since allergy drops are newer, their long-term efficacy is unknown.

Remedies that have shown some efficacy in treating allergic rhinitis include the following:

• Acupuncture and acupressure
• Ayurvedic medicine, including a mixture of seven Indian herbs (Albizia lebbeck, Terminalia chebula, T. bellerica, Phyllanthus emblica, Piper nigrum, P. longum, and Zingiber officinale)
• Herbal therapies, including butterbur, Tinospora cordifolia, a mixture of cinnamon bark, Spanish needle, and acerola, Benifuuki green tea, Yupingfeng granules, ginseng, and Tonggyu-tang
• Topical treatments, including capsaicin, cellulose powder, and a petrolatum-based allergen-absorbing ointment

Remedies with less strong evidence include the following:

• Herbal therapies, including quercetin, stinging nettle, Perilla frutescens, steamed eucalyptus, menthol, Ginkgo biloba, milk thistle, and grape seed extract
• Laser therapy

We use telemedicine technology to connect you with a U.S. licensed healthcare professional to provide nightly defense for skincare conveniently and affordably.

It starts with your online visit. Your doctor or nurse practitioner needs to know about your general health and your skincare concerns.

They also need an unedited photo of you and your ID (that shows your picture and birthdate) so they know who they will be helping. A photo of your face is also helpful to evaluate your skin. They review everything, determine if you're a candidate for telemedicine and whether treatment is right for you, and if so, they will send you a personalized treatment plan.

Their treatment plan will include a great deal of information about skincare. It is important that you take the time to read it all to be informed and better prepared to take care of your skin.

If you qualify, your doctor or nurse practitioner will prescribe the right course of treatment to help you take control of your skincare.

If appropriate, a Dapper-affiliated physician will prescribe a nightly defense prescription cream with active ingredients hand selected to address your skin concerns. These ingredients may include tretinoin, niacinamide, ceramides, vitamin E (acetate), azelaic acid, MAP, and tranexamic acid. If prescribed, you will receive information on ingredients and use in your personalized treatment plan.

Prescription skincare treatment recommendations can be made with ingredients hand selected by Dapper's board-certified dermatologist. Examples include tretinoin, niacinamide, ceramides, vitamin E (acetate), azelaic acid, magnesium ascorbyl phosphate (MAP, a type of vitamin C), and tranexamic acid. There will not be any parabens, butylated hydroxyanisole (BHA), or formaldehyde in your prescription skincare.

The prescription skincare treatment recommended for you may be incorporated into your usual skincare regimen. If you are using other topical prescription medications, make sure to tell your doctor or nurse practitioner.

The timing of the effects of your treatment will be dependent on many factors, including your specific skincare goals (e.g. reducing the appearance of fine lines and wrinkles, helping prevent wrinkles, reducing redness, etc.), how severe your symptoms are, how well you tolerate the treatment, and others. It is also important to understand that for certain treatments, your skin may get worse before it gets better. Depending on the treatment you are prescribed, you will receive detailed information on the formulation and what to expect.

We use telemedicine technology to connect you with a  U.S. licensed healthcare professional who can provide eczema treatment conveniently and inexpensively.

It starts with your online visit. Your doctor or nurse practitioner needs to know about your general health and how eczema affects you.
They also need an unedited photo of you and of your ID (that shows your face and birthdate) so they know who they will be helping, as well as a photo of the affected area(s) to confirm the diagnosis. They review everything, determine if you're a candidate for telemedicine and whether treatment is right for you, and if so , they will send you a personalized treatment plan.

The treatment plan will include a great deal of information about eczema. It is important that you take the time to read it all to be informed and better prepared to manage your condition.

If a prescription is appropriate, Dapper-affiliated physicians may prescribe triamcinolone (0.1%) cream, a medium potency steroid cream. Steroid cream is effective for treating flare-ups and in certain cases may also be used to help prevent flare-ups, and is the recommended first-line treatment for eczema by the American Academy of Dermatology. Triamcinolone (0.1%) cream may not be appropriate for everyone. To learn more about side effects and contraindications, see “What are the side effects of eczema treatment” below and read Important Safety Information for triamcinolone cream.

At this time, we are only offering treatment for eczema if you have previously been diagnosed with eczema by a doctor or other healthcare provider.

Skin conditions may sometimes be difficult to definitively diagnose by telemedicine. At this time, we are only offering treatment for eczema if you have previously been diagnosed with eczema by a doctor or other healthcare provider.

Yes, triamcinolone cream may be used for prevention of flare-ups, if directed by your doctor. Long term steroid use may be associated with side effects, so it's important to keep your doctor or nurse practitioner in the loop about the severity of your flare-ups so they can recommend the best treatment for you.

Steroid creams, including triamcinolone, are considered effective for both treatment of active eczema as well as prevention of flare-ups, and are recommended by the American Academy of Dermatology as first-line treatment based on large volumes of high quality studies*. Triamcinolone (0.1%) cream may not be appropriate for everyone. To learn more about side effects and contraindications, see “What are the side effects of eczema treatment” below and read Eichenfield LF, Tom WL, Berger TG, et al. Guidelines of care for the management of atopic dermatitis: section 2. Management and treatment of atopic dermatitis with topical therapies. J Am Acad Dermatol. 2014;71(1):116-32.

Triamcinolone cream doesn't contain a significant amount of moisturizer, so you should use a regular moisturizer in addition to triamcinolone cream. In general, it is important to moisturize your skin, especially in areas prone to flare-ups, as dry skin can make your eczema symptoms worse.

Triamcinolone cream can cause redness, dryness, itching, and/or irritation at the sites where it's applied. These effects are usually mild, and can be helped by making sure the skin is properly moisturized. More serious side effects that can happen with prolonged use or if large amounts are used over large surface areas include thinning skin, stretch marks, or impaired wound healing. These can be avoided by only using the smallest amount of cream necessary for the shortest duration of time necessary (usually two weeks) to reduce your symptoms. If you have concerns about side effects or think you might be having side effects from your eczema treatment, you can reach out to your Dapper-affiliated doctor at any time.

Read Important Safety Information for triamcinolone cream.

Steroid creams may cause skin thinning or permanent stretch marks if used in large amounts, over large surface areas, and/or for a long time continuously. The general principle for using steroid creams is that you should only use as much as is needed to improve your symptoms and only for as long as is necessary.

Most people experience relief of symptoms within a few days, and some even sooner. If you don't feel that the eczema treatment is significantly improving your symptoms, reach out to your doctor or nurse practitioner anytime to talk about other options for treatment.

We use telemedicine technology to connect you with a U.S. licensed healthcare professional to provide dandruff treatment conveniently and affordably.

It starts with your online visit. Your doctor or nurse practitioner needs to know about your general health and how dandruff affects you.
They also need an unedited photo of you and your ID (that shows your picture and birthdate) so they know who they will be helping. A photo is also helpful to confirm the diagnosis. They review everything, determine if you're a candidate for telemedicine and if treatment is right for you, and if so, they will send you a personalized treatment plan.

Their treatment plan will include information about dandruff. It is important that you take the time to read it all to be informed and better prepared to manage your condition.
If you qualify, your doctor or nurse practitioner will prescribe the right course of treatment to help you take control of your dandruff.

If appropriate, a Dapper-affiliated physician will prescribe a blended shampoo containing ciclopirox as its main active ingredient. Ciclopirox is an antifungal agent and one of the most effective ingredients for clearing dandruff, according to high quality scientific evidence*.

* Okokon EO, Verbeek JH, Ruotsalainen JH, Ojo OA, Bakhoya VN. Topical antifungals for seborrhoeic dermatitis. Cochrane Database Syst Rev. 2015;(5):CD008138.

The prescription dandruff shampoo that may be prescribed to you can be made with ingredients hand selected by our board-certified dermatologist. These ingredients may include ciclopirox, zinc pyrithione, salicylic acid, tea tree and peppermint oil, glycerin, calcium pantothenate (vitamin B5), and a shampoo base. There will not be any parabens, sulfates, phosphates, or dyes in your shampoo.

When used as directed, many people start seeing improvement in symptoms (dandruff flakes and itching) after just a few uses (1-2 weeks) with ciclopirox shampoos, and others might see improvement within 2-4 weeks. If you don't think the treatment is working, you can reach out to your Dapper-affiliated doctor or nurse practitioner at any time to talk about your treatment plan.

Sometimes scalp flakes are caused by an underlying skin condition other than simple dandruff, so if you don't think the treatment is adequately treating your symptoms, contact your Dapper-affiliated healthcare professional at any time to discuss your treatment plan.

We use telemedicine technology to connect you with a U.S. licensed healthcare professional to provide hyperhidrosis treatment conveniently and affordably.

It starts with your online visit. Your doctor or nurse practitioner needs to know about your general health and how excessive sweating affects you.

They also need an unedited photo of you and your ID (that shows your picture and birthdate) so they know who they will be helping, as well as a photo of the affected area(s) to confirm the diagnosis. They review everything, determine if you're a candidate for telemedicine and whether treatment is right for you, and if so, they will send you a personalized treatment plan.
Their treatment plan will include a great deal of information about hyperhidrosis. It is important that you take the time to read it all to be informed and better prepared to manage your condition.

If you qualify, your doctor or nurse practitioner will prescribe the right course of treatment to help you take control of your hyperhidrosis.

Sweating is controlled by the central nervous system, which sends signals to sweat glands on the skin. Sweating is normal when it happens in response to physical exertion, or if your body senses a threat and goes into “fight or flight” mode. However, the kind of excessive sweating seen in hyperhidrosis is much more than usual, and can be very disruptive to everyday life. The sweat glands are normal in hyperhidrosis, but the signalling from the central nervous system is abnormal. There may be some influence from genetics which is not very well understood.

If a prescription is appropriate, Dapper-affiliated physicians may prescribe 20% aluminum chloride hexahydrate (Drysol), a prescription antiperspirant that works by blocking the sweat glands. Aluminum-containing antiperspirants are recommended for hyperhidrosis by the American Academy of Dermatology.

Not everyone should use Drysol. To learn more about side effects and contraindications, see “What are the side effects of hyperhidrosis treatment” below and read Important Safety Information for aluminum antiperspirant.

Many people don't realize that hyperhidrosis is a treatable condition, so it's okay if you haven't previously seen a doctor or healthcare provider for your excessive sweating before. Your Dapper-affiliated healthcare professional will collect information about your medical history and your excessive sweating symptoms via telemedicine. If hyperhidrosis is diagnosed and treatment is appropriate for you, your doctor or nurse practitioner will make a recommendation and prescribe the treatment.

Aluminum antiperspirant is considered the standard prescription treatment for hyperhidrosis for people who have tried over-the-counter antiperspirants. If you've been using prescription antiperspirant as directed and aren't satisfied with the results, you can reach out to your Dapper-affiliated healthcare professional at any time to discuss.

Not everyone should use Drysol. To learn more about side effects and contraindications, see “What are the side effects of hyperhidrosis treatment” below and read Important Safety Information for aluminum chloride hexahydrate.

Although the term “deodorant” is often used interchangeably with “antiperspirant” when talking about products applied to the armpits, antiperspirants are intended for directly stopping or reducing sweating, whereas deodorants are intended for reducing the odor associated with sweating. It's important to understand that you can use your regular deodorant with the prescription antiperspirant (use antiperspirant at night as directed, and your regular deodorant in the morning).

Most people see an improvement in sweating within a week or so of using the antiperspirant as directed. If you feel your sweating isn't getting better, or isn't improving as much as you'd expect, contact your Dapper-affiliated doctor at any time, who can advise on potential changes to your treatment plan.

Aluminum antiperspirant commonly causes itching and burning at sites where it is applied. There are a number of ways to help lessen the severity of these effects, including applying the antiperspirant less frequently, avoiding applying to recently shaved areas, and avoiding applying to areas with broken skin. You can also try applying over-the-counter hydrocortisone cream to help relieve the symptoms. And, you can always reach out to your doctor and nurse practitioner at any time to report side effects and discuss potentially changing or stopping your treatment plan.

There is no definitive link between aluminum-containing antiperspirants and cancer. An internet rumor from the late 1990s claimed a possible link between antiperspirants and breast cancer, because of a theoretical idea that toxins from antiperspirants could be absorbed and cause cancerous mutations. This has not been conclusively supported by evidence and is not considered a concern in the medical and scientific community.

1. Jones J. Can rumors cause cancer?. J Natl Cancer Inst. 2000;92(18):1469-71.
2. http://www.cancer.org/cancer/cancer-causes/antiperspirants-and-breast-cancer-risk.html
3. http://www.cancer.gov/about-cancer/causes-prevention/risk/myths/antiperspirants-fact-sheet

If you feel your sweating is not significantly improving, reach out to your Dapper-affiliated physician at any time to talk about potential changes to your treatment plan.