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THE LAB
PRICELIST
LIFTING
VOLUME
ANTI-AGING
SKIN
WELLNESS
BODY
BOOK ONLINE

THE LAB SURGERY

Patient Information

Prescription Order Date*

Full Patient Name*

Address*

Date of Birth*

Month

Day

Year

Prescription Medication Details

Toxins (Neuromodulators)

XEOMIN 100U/2.5mL

NABOTA 100U/2.5mL

REFLYDESS 150U/1.5mL

QTY (Units)

Bio-Boosters

Juvelook 200mg VOLUME

Juvelook 50mg BOOSTER

Juvelook 50mg EYE

Sculptra 150mg

Profhilo STRUCTURA

Profhilo Classic

NCTF HA

Jalupro Young Eye

Jalupro Classic

Rejuran HEALER

Rejuran S

Rejuran I

PRP Tubes

Used amount

Dermal Fillers

BELOTERO VOLUME 26mg/mL

BELOTERO INTENSE 25.5mg/mL

BELOTERO BALANCE 22.5 mg/mL

BELOTERO REVIVE 20mg/mL + 17.5mg/mL Glycerol

Used amount

PDO Threads

TESSLIFT VDERM

TESSLIFT NA

TESSLIFT NC

TESSLIFT ND

Used amount

Post Operative Medicine

Paracetamol 500mg Tablet (2T up to QID PRN) X 100T

PARACODE 500mg/8mg (1-2T up to QID PRN) X 20

Ondansetron ODT 4mg (Dissolve on tongue up to TDS PRN) x 15

CURAM DUO (500/125) (1T TDS 5/7)

Cefalexin 500mg (1C TDS 5/7)

Chloramphenicol (AAA TDS FOR 5/7)

Other

Peri-Operative Medicine

Fentanyl 100 microgram/2 mL 5-20 micrograms/kg/dose.

Penthrox Inhalation methoxyflurane 999.9 mg/g inhalation, 1.5 mL used in Procedure

Povidone-Iodein 10% Use as directed

PolyVisc Use as directed

Used amount

Medicines

Doxycycline 100mg (1T OD with food)

Duac (AAA NOCTE up to 11/52)

Azelaic acid 20% Cream (AAA BD and reduce to OD if irritation)

EpiDUO (Apply Thinly Nocte)

Retrieve (Slow intro, AAA Nocte)

Minocycline (1T BD with food)

Differin Gel (Slow Intro, AAA NOCTE)

Rozex (AAA BD for 3/12)

Hydroquinone (AAA NOCTE for 12/52)

Tranexamic acid 500mg(1/2 T BD)

Spironolactone 50mg (1T OD)

Ginet (1T OD)

Yaz (1T OD)

Waxsol (Fill affected ear 3 days in a row)

Cetrizine (2T OD for 5/7)

Ibuprofen (2T OD with food 5/7)

Hydrocortisone 1% (AAA BD FOR 7/7)

Finasteride 1mg (1T OD)

Minoxidil 1mg (1T OD)

Minoxidil 2mg (1T OD)

Aciclovir (200mg Five times daily for 5/7)

Wegovy 0.25mg (Use ONCE per week Subcut)

Wegovy 0.5mg (Use ONCE per week Subcut)

Wegovy 1mg (Use ONCE per week Subcut)

Wegovy 1.7mg (Use ONCE per week Subcut)

Wegovy 2.4mg (Use ONCE per week Subcut)

KonsylD (Use OD to TDS)

Pimafucort Cream (AAA BD)

Other

Used amount

Prescriber Details

Dr Seung Soo Park NZMC 76018

THE LAB CLINIC

3/3 Akoranga Drive Northcote

09-418 1230 EXT 1

Dr Shareen Jacob NZMC 64977

THE LAB SURGERY

3/3 Akoranga Drive Northcote

09-418 1230 EXT 1

Processed/Administered *

RN ERAE KIM

MPS SEUNG LEE

MPS JUNG LEE

3/3 Akoranga Drive, Northcote Auckland 0627

09 418 1230 I info@thelabnz.com

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