HealthRX.com · Printable question sheet
Epitalon FDA status questions for your prescriber or pharmacist
Use this sheet before a visit or pharmacy visit about epitalon. It helps you write down the product details, gather papers, ask about its unapproved status and record the answers you get.
Product you were offered
Write what is on the label or in the order, exactly as shown.
Product name on labelCopy the name word for word
Form on labelFor example vial, capsule, spray or injection
Where it was obtainedPharmacy, clinic, website or other
Prescriber or pharmacist name
Date of this visit
Bring to the visit
- Bring the original package or vial with its label.
- Write down the exact name and form printed on the label.
- Bring a list of all other medicines and supplements you take.
- Note where and when the product was obtained.
- Check whether the label says research use only.
- Note whether any sport drug testing rules apply to you.
- Bring this sheet and any notes from earlier visits.
Questions to ask
- Is epitalon approved by the FDA for the use you are considering?
- Does your pharmacy compound epitalon, and under which rules?
- Is the product you plan to supply on any FDA compounding list?
- What evidence do you have that this product is safe for my situation?
- Does the product come from an FDA-registered manufacturer with a certificate of analysis?
- Would this prescription fall under the draft HHS enforcement-discretion notice?
- How would you check the product for identity, purity and strength?
- What would you do if a side effect or quality problem appeared?
Answers you received
Record each answer and who gave it, so you can compare later.
| Question asked | Answer given | Who answered |
|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.