YOUR DOCTOR DISCUSSION GUIDE
Be Prepared For Your Next Doctor Visit
Use this as a tool to bring with you to your doctor’s office
Whether you have been oﬃcially diagnosed with interstitial cystitis (IC), have recently taken the PUF questionnaire, or are
experiencing symptoms associated to IC/PBS, it’s crucial you do your homework before seeing your doctor. You will have
limited time to spend with your doctor once you are there, so it’s crucial to be able to provide him/her as much information as
you can about you, your history, and current symptoms.
STEP 1: DO YOUR RESEARCH
>> Condition research: Go online and ﬁnd out all you can about interstitial cystitis (IC), also known as painful
bladder syndrome (PBS). Resources include:
- www.DefeatIC.com
- www.ichelp.org
- www.ic-network.com
>> Find an IC Specialist: It is key to ﬁnding a doctor who understands IC/PBS, who will listen to your symptoms.
Visit www.DefeatIC.com/ﬁnd-an-ic-specialist to ﬁnd an IC specialist today!
STEP 2: PREPARE FOR YOUR VISIT
After researching your condition, think of questions you want to ask your doctor and write them down so you don’t forget.
Symptoms/Diagnosis
(Include questions about your symptoms such as ie: how long will my symptoms last? What is interstitial cystitis? why
am I having back pain when it has to do with my bladder?)
1.
2.
3.
4.
IC Treatment/Management
(ie: what type of self-management treatments can I do to help my condition? What treatments will provide
immediate relief? etc.)
1.
2.
3.
4.
Defeat ICTM is a trade mark of Imprimis Pharmaceuticals, Inc. ©2015 Imprimis Pharmaceuticals, Inc. All Rights reserved.
YOUR DOCTOR DISCUSSION GUIDE
Be Prepared For Your Next Doctor Visit
Continued
IC Support
(ie; where can I obtain a coupon for my medications? Will the pharmacy automatically send my reﬁlls to me
every month?)
1.
2.
3.
4.
STEP 3: UNDERSTAND AVAILABLE TREATMENT OPTIONS
The American Urological Association has published a set of treatment guidelines which include self-management guidelines
as a ﬁrst-line treatment option. Everybody may experience results diﬀerently to each of those guidelines. Access the full
treatment guidelines at http://defeatic.com/auaguidelines.
Bladder instillations such as Hep-Lido-A (alkalinized lidocaine and heparin), a compounded formulation, are included as a
second line treatment and provides immediate treatment as the medication is delivered directly to the bladder.
If you are experiencing ﬂare-ups, ask your doctor about the Hep-Lido-A compounded formulation. Bladder instillations
can be administered according to patient need and convenience.
IN-OFFICE INSTILLATIONS
AT-HOME INSTILLATIONS
You can schedule visits to the
doctor's oﬃce for your instillation
during a ﬂare-up.
You can be trained to use bladder
instillation kits for convenient
home use.
Hep-Lido-A* compounded formulation is pre-mixed and requires no additional mixing.
Visit www.DefeatIC.com for more information on Hep-Lido-A* prior to seeing your doctor.
*Hep-Lido-A is compounded by a pharmacist pursuant to a prescription for an individually identiﬁed patient. Prescriptions may be customized. -
STEP 4: GATHER YOUR NOTES AND DIARIES
Remember to bring your PUF Questionnaire results and your voiding log, food diaries, and symptoms diaries with you to the
doctor’s oﬃce. This information will provide them answers to their questions so you can focus on the your doctor answering
your questions.
STEP 5: BE OPEN AND HONEST & TAKE NOTES
Listen very closely to your doctor, and jot down notes or additional questions as he provides you information about your
diagnosis and management options.
Defeat ICTM is a trade mark of Imprimis Pharmaceuticals, Inc. ©2015 Imprimis Pharmaceuticals, Inc. All Rights reserved.