Important
safety information.
Online treatment starts only when a licensed provider determines it is medically appropriate.
Surfbound is not for emergencies. If you are experiencing a medical emergency, call 911 or seek emergency care immediately.
For purposes of this page, "Surfbound," "Surfbound Health," "we," "us," and "our" refer to Open Water Rx LLC, doing business under the Surfbound and Surfbound Health trade names.
Safety
overview.
Provider review is required
Before any prescription decision, you complete a secure online health intake. A licensed provider reviews your health information, medical history, and current medications to determine whether treatment is appropriate for you.
This review is required for every treatment type offered through Surfbound. No prescription is written without a provider evaluation.
Prescriptions are not guaranteed
Completing an online health intake does not guarantee you will receive a prescription. A licensed provider independently determines whether treatment is medically appropriate based on your specific health profile.
If treatment is not prescribed, a provider may guide you toward other options. Nothing is charged unless your medication is approved.
Compounded medications
Compounded medications are not FDA-approved. They are prescribed only when a licensed provider determines they are medically appropriate for your specific health profile and treatment needs.
Compounded medications are prepared by pharmacies to meet individual patient needs when commercially available options may not be suitable. Your provider will explain the benefits and risks during your review.
Emergency warning
Surfbound is not for emergencies. If you are experiencing a medical emergency, call 911 or seek emergency care immediately.
Surfbound provides non-emergency, provider-reviewed treatment options. It is not a substitute for emergency medical care, urgent care, or in-person evaluation when needed.
Weight loss treatment safety overview
GLP-1 medications such as semaglutide and tirzepatide may cause side effects including nausea, vomiting, diarrhea, constipation, and abdominal pain. These effects are often temporary but should be discussed with your provider.
More serious risks, while uncommon, may include pancreatitis, gallbladder problems, and changes in heart rate. Your provider will review your medical history to assess whether these treatments are appropriate for you. Always review all risks and benefits with your provider before starting treatment.
Read our detailed guide: GLP-1 Side Effects — What to Expect and How to Manage Them →
Men's health treatment safety overview
ED medications including sildenafil and tadalafil may not be appropriate for everyone. These medications can interact with nitrates and may pose risks for individuals with certain heart conditions, uncontrolled blood pressure, or liver and kidney issues.
Your provider will review your full health history to determine whether these treatments are safe for you. Common side effects may include headache, flushing, and nasal congestion. Discuss all risks with your provider.
Hair loss treatment safety overview
Finasteride and minoxidil are not appropriate for everyone. Finasteride may cause side effects and is not recommended for individuals who are pregnant or may become pregnant. Minoxidil may cause scalp irritation in some users. Hair loss treatment is coming soon.
When available, a licensed provider will review your health information to determine whether hair loss treatment is appropriate. Discuss all potential side effects and risks with your provider before starting.
Longevity treatment safety overview
Longevity treatments including NAD+ and Sermorelin are prescribed only when a provider determines they may be appropriate. These treatments are not intended to diagnose, treat, cure, or prevent any disease. Results are not guaranteed.
Individual results vary. Your provider will discuss the potential benefits, risks, and limitations of these treatments based on your health profile. Always review all information with your provider before proceeding.
Safety
questions.
No. Every treatment option on this site requires review by a licensed provider. A prescription is written only when the provider determines it is medically appropriate for you based on the health information you provide and applicable standards of care.
No. Compounded medications are not reviewed or approved by the FDA. They are prepared by licensed pharmacies based on a provider’s determination that a compounded option is appropriate for your specific situation. You should discuss any questions about compounded medications with your provider.
Stop taking the medication and contact your provider right away. If you are experiencing a serious or life-threatening reaction, such as difficulty breathing, severe pain, or anaphylaxis, call 911 or go to the nearest emergency room immediately.
Surfbound is not an emergency service. Do not use this platform for urgent or emergency medical needs. Call 911 or go to the nearest emergency room if you are in a crisis, experiencing severe symptoms, or believe your situation is life-threatening.
You should fully disclose all medical conditions, current medications, allergies, and health history during your online intake. A licensed provider will review your complete health profile and determine whether any treatment is appropriate. Certain conditions or medication combinations may make online treatment unsuitable. The provider makes that call.
Questions before starting?
Visit the support center for answers about treatment, shipping, billing, and safety.
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