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INTRODUCING CARE MEDISCA’S COMPOUNDING

DANDRUFF SENSITIVE SKIN MULTI-PURPOSE NUTRACEUTICAL TABLE OF CONTENTS

OVERVIEW 03

COMPOUNDING PRODUCTS 04 ADA™ 05 SCIENTIFIC REFERENCES 06 CASE STUDIES 07

SENSITIVE SKIN 08 U-MILD™ SHAMPOO 09

MULTI-PURPOSE 10 VERSAPRO™ SHAMPOO 11 VERSAPRO™ 12 SALICYLIC 50% 13

HAIR LOSS 14 FOAMIL™ 15 SCIENTIFIC REFERENCES 16

NUTRACEUTICAL 17

FORMULAS 18

REFERENCES 19

2 MEDISCA OVERVIEW

HAIR CARE – A NEW MARKET FOR YOUR PRACTICE Extend your practice into the second largest segment in worldwide with MEDISCA’s new Hair Care Line — the first of its kind for compounding solutions. This line brings together the latest innovations in hair care science with a variety of luxurious textures to provide a unique experience for your clients, transforming the everyday routine into a truly personalized experience.

Through this hair care line, MEDISCA introduces four remarkable advancements to the compounding industry: 1. Sulfate-free concentrated shampoo bases are stable and high quality. 2.   Solution 50%, a hydrosoluble form of salicylic acid which eliminates the strain of solubilizing salicylic acid . 3. Ready-to-use foam, a -based product, specifically designed for use in compounding ingredients such as Minoxidil. 4. Collasil®OSA, a highly bioavailable source of soluble silicium used as a nutraceutical.

The hair care market is vast and versatile, but very few companies can compare to MEDISCA’s compounding quality and reputation. With MEDISCA’s new Hair Care Line you can: • Expand your business and your patient base. • Satisfy demand for high quality sulfate-free hair care products with proven cosmetic ingredients. • Deliver popular organic and natural ingredients.

Every individual has specific needs for which physicians often prescribe customized solutions to help address baldness, dandruff, hair loss, itchy , and sensitivity. • 40% of the adult population suffer from dandruff. • Young children and are prone to sensitive skin that may require specialized care. • 35% of men and 24% of women in the U.S. claim to suffer from thinning hair and hair loss.

To help address these concerns, MEDISCA has developed a comprehensive hair care line comprised of and concentrated : • ADA™ Shampoo • U-Mild™ Shampoo • VersaPro™ Shampoo and Foam • Foamil™

MEDISCA HAIR CARE 3 COMPOUNDING DANDRUFF PRODUCTS

Scratching your head for more than just ideas?

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Dandruff can induce redness, itchiness, dryness and sensitivity. ADA Shampoo is a concentrated shampoo base, developed for compounding anti-dandruff solutions with various active agents. When dispensed, it provides an elegant and rich foam which helps the scalp remain moisturized and well-balanced at the same time that the prescribed active ingredient goes to work on the problem.

• Contains mild and effectivesulfate-free . • Helps minimize the loss of essential natural oils present in the scalp and hair. • Contains , a multifunctional ingredient, known to provide in-depth hydration to hair.

FORMULATED WITH COSMETIC ACTIVE INGREDIENTS:

Beracare™ ADA System is sourced from the rain forest, 100% natural, developed to improve the health of hair and scalp prone to flaking.

Contains a natural antimicrobial ingredient. Available in two convenient sizes: 500 g and 1 Kg (50 g sample size)

DISPENSING SOLUTION NEW! Airless dispensing options, now available for hair care. New to the UV-resistant MD™ Dispensers ACTUATOR S line is Actuator S, which when paired with the MD pump bottle of your choice, provides a sleek and innovative way to dispense and protect shampoo formulations. Suggested: MD Pumps with Actuator S (Product No. 6688)

Note: it is recommended to always place the over-cap when not in use to protect product from heat and moisture.

Beracare™ ADA System, a registered trademark of Beraca.

MEDISCA HAIR CARE 5 SCIENTIFIC REFERENCES ON COSMETIC INGREDIENT

Dandruff is a natural process caused by the turnover and renewal of skin on the scalp. It becomes a problem when dry white flakes become visible on the scalp.

BERACARE™ ADA System9 is 100% natural, developed to improve the health of hair prone to dandruff and sebum. Sourced from the rain forest, its pure elements have anti-seborrheic, anti-inflammatory and natural germicidal properties.

After 8 applications of product containing 1.5% BERACARE ADA System we can see a decrease in flakeson the scalp.

PLACEBO ACTIVE GROUP BASELINE AFTER 8 APPLICATIONS 54% 93% reduction of the intensity of volunteers saw the effectiveness of the of dandruff compared to treatment of the product and reduction of initial state. the symptoms related to dandruff.

BERACARE ADA System helps treat scalp and hair prone to sebum production, by removing dead skin cells. There are no apparent signs of or redness on the scalp.

Beracare™ ADA System, a registered trademark of Beraca.

DISCLAIMER: The following scientific references are provided for informational purposes only.MEDISCA makes no representations or warranties as to the accuracy or applicablility of the results reported except that these are reproductions of the study reports from the sources indicated. These reports are not intended to make claims for any products or ingredients contained in this brochure. All compounded products and the uses thereof are entirely at the judgment and discretion of the practitioner. 9 Study Report – Anti-Dandruff Active System (ADA): Sensory analysis and assessment of clinical effectiveness in reducing the intensity of dandruff. Beraca Technical Brochure, 2015

6 MEDISCA HAIR CARE CASE STUDIES

In order to determine the efficacy of ADA™ Shampoo, case studies were conducted on volunteers suffering from dandruff. For this study, participants were asked to avoid the use of any other hair care treatments fordandruff (including but not limited to capsules, tablets, , shampoos, and foams) for 48 hours before the first application, and throughout the entire study period.

RESULTS | VOLUNTEER 1 Caucasian female after one month of using ADA Shampoo once every two days. Flakiness is less apparent and scalp is less irritated.

BEFORE AFTER ONE MONTH

I’ve suffered from dandruff and a dry/itchy scalp for a long time and have tried many products to treat it. They take a long time to show effects, and the dandruff often gets worse before it gets better. With ADA Shampoo, I saw results right away – my scalp was no longer dry and I had less dandruff! There was no transition period and the shampoo didn’t sting my eyes like other commercial brands. I would happily recommend it to my friends and family.

MEDISCA HAIR CARE 7 SENSITIVE SKIN

For the little ones and furry friends who are prone to cases of easily irritated skin.

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Young children and pets can often share the same concern of having easily irritated skin. U-Mild Shampoo is an excellent solution to address their specific needs. Derived from natural sources such as oil and sugars, U-Mild is a concentrated shampoo that creates a mild, creamy conditioning foam, making it suitable for sensitive skin.

• Comprised of a sulfate-free system. • Neutral pH levels for delicate skin. • Contains petrolatum-free propanediol which improves overall hair conditioning. • Composed of cosmetic active ingredients derived from oats and .

Watch the stability of U-Mild concentrated shampoo base after adding Solution. Visit: www.medisca.com/haircare

FORMULATED WITH COSMETIC ACTIVE INGREDIENTS:

Made from oat grain, Avenacare™ improves tensile hair strength as well as the overall health of the scalp. It forms a natural moisture barrier, providing nourishment to the skin.

Dubbed chisaya mama by the ancient Incas, Quinoa is the Mother of all Grains and enhances shine for healthy looking hair.

Available in two convenient sizes: 500 g and 1 Kg (50 g sample size)

DISPENSING SOLUTION NEW! Airless dispensing options, now available for hair care. New to the UV-resistant MD™ Dispensers ACTUATOR S line is Actuator S, which when paired with the MD pump bottle of your choice, provides a sleek and innovative way to dispense and protect shampoo formulations. Suggested: MD Pumps with Actuator S (Product No. 6688)

Note: it is recommended to always place the over-cap when not in use to protect product from heat and moisture.

Avenacare™, a registered trademark of Tate & Lyle Oat Ingredients.

MEDISCA HAIR CARE 9 MULTI-PURPOSE

Two versatile products ideal for hair and skin care.

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With all the versatility and innovation you have come to expect from the VersaPro bases, introducing VersaPro Shampoo. This refined shampoo is a concentrated sulfate-free base suitable for various hair care applications. When massaged into the scalp and hair, it creates an elegant and rich white foam. VersaPro Shampoo contains panthenol, a multifunctional ingredient known to help repair and strengthen damaged hair, reduce split ends and create more volume.

• Composed of Alkyl Polyglucosides (APG) and anionic surfactants. • Creates a perfect synergy for mild foaming performance and effective cleansing. • Contains cosmetic active ingredients derived from , coconut and sunflower oil. • Complements hair care treatment with Foamil™. FORMULATED WITH COSMETIC ACTIVE INGREDIENTS:

An ingredient naturally derived from coconut and sunflower oil softens and moisturizes hair and skin and also helps to improve the mildness of a formulation.

Fision KeraVeg 18™ is made from wheat and soy amino , it is a vegetable-based alternative to animal keratin. It increases hair strength and elasticity. The hair looks shinier and healthier. Available in two convenient sizes: 500 g and 1 Kg (50 g sample size)

DISPENSING SOLUTION

Airless dispensing options, now available for hair NEW! care. New to the UV-resistant MD™ Dispensers ACTUATOR S line is Actuator S, which when paired with the MD pump bottle of your choice, provides a sleek and innovative way to dispense and protect shampoo formulations. Suggested: MD Pumps with Actuator S (Product No. 6688)

Note: it is recommended to always place the over-cap when not in use to protect product from heat and moisture.

Fision KeraVeg18™, a registered trademark of TRI-K Industries Inc.

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In an effort to continuously raise the bar of our VersaPro family, VersaPro Foam is a unique leave-on solution for hair and skin care applications. This cutting-edge foam contains natural cosmetic ingredients proven to fight scalp discomfort and helps maintain the integrity of the skin barrier. With the use of our foam dispenser, it creates a dense and luxurious white foam.

• Contains green tea and extracts which promote scalp moisturization. • Composed of sulfate-free surfactants and an effective anti-oxidant system. • Suitable for skin and hair cleansing. • Comprised of petrolatum-free propanediol; versatile and natural solvent.

FORMULATED WITH COSMETIC ACTIVE INGREDIENTS:

Aloe vera has soothing, refreshing and moisturizing properties. Hairspa™ provides immediate and long-lasting hydration, support for the desquamation process and reinforces the skin barrier.

Fruitbio™ is a complex of α-hydroxyacids in association with green tea extract that Available in two convenient sizes: smoothes the hair cuticles. 500 mL and 1 L (50 mL sample size)

DISPENSING SOLUTION NEW! MD™ Foamers are a new addition to the MD line with a UV-resistant view window and a convenient screw- MD FOAMERS on actuator. Available in two sizes: 50 mL (Product No. 6701) and 110 mL (Product No. 6700).

Did you know? The properties of the foam produced are dependent on both the quality of the foam base and the dispenser used. The MD foamer is essential to create a dense and creamy foam.

Hairspa™ and Fruitbio™ are used under authorization of Sederma Inc.

12 MEDISCA HAIR CARE SALICYLIC ACID SOLUTION (50%) PRODUCT No.: 3040

Compounding with salicylic acid has always been a challenge due to the process needed to solubilize the powder in a water-based product. Now, with this advancement from MEDISCA, these difficulties will be a thing of the past.Salicylic Acid Solution 50% is a unique water-soluble form of salicylic acid developed to ensure an elegant pharmaceutical compounded formulation.

As the most important beta hydroxy acid (BHA) used for skin and hair care, salicylic acid is commonly prescribed by physicians to treat acne, rosacea, , dandruff and seborrheic dermatitis. This impressive ready-to-use solution eliminates the need for alcohol to compound a preparation, and will solubilize in less than 15 seconds which will free up your time and improve efficiency. When following formulas calling for pure salicylic acid powder, simply use twice the amount of solution to achieve the same final concentration.

• Available as a transparent form with a 50% dilution factor. • Freely soluble in water and . • Provides improved formula stability without particle precipitation or grittiness. • Appropriate for use with multiple topical dosage forms such as creams, , shampoos and foams. • pH compatible with the skin’s surface. • Alcohol-free ingredient.

To view the instructional video on how to compound with Salicylic Acid Solution (50%), please visit: www.medisca.com/haircare

SALICYLIC ACID POWDER 50% SALICYLIC ACID SOLUTION IN VERSAPRO FOAM IN VERSAPRO FOAM

Turbid and non-homogeneous liquid containing Homogeneous and transparent solution. white precipitated particles.

SALICYLIC ACID POWDER 50% SALICYLIC ACID SOLUTION IN VERSAPRO SHAMPOO IN VERSAPRO SHAMPOO

Turbid solution. Homogeneous and solution.

MEDISCA HAIR CARE 13 HAIR LOSS

For those of us who want a little more on top.

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Foamil is the first ready-to-use foam dedicated to the preparation of Minoxidil* while eliminating the need for heating and filtration steps. Its composition makes it suitable for compounding other active ingredients that are appropriate for use in hair loss applications. As a result of a pH value above 3.5 and an alcohol concentration below 10%, Foamil is very mild and non-irritating to the scalp, thus making it ideal for compounding leave-on treatments to prolong the life cycle of hair.

• Gentle to the scalp due to the low irritation profile of its ingredients. • Developed with an effectiveanti-oxidant system, Foamil does not discolor over time. • Cosmetic active ingredients help reinforce the capillary structure and help preserve thickness. • Complements hair care treatment with VersaPro™ Shampoo. Have a look at how easy it is to compound a 5.5% of Minoxidil foam formula with Foamil. Please visit: www.medisca.com/haircare *pH adjustment step required for concentrations > 5.5%.

FORMULATED WITH COSMETIC ACTIVE INGREDIENTS:

AnaGain™ is developed from organic pea sprout extract to nourish the hair life cycle and help preserve thickness.

An alternative to animal keratin made from a biotechnological complex of botanical . It is designed to support capillary structure for fuller hair. Available in two convenient sizes: 500 mL and 1 L (50 mL sample size)

DISPENSING SOLUTION MD™ Foamers are a new addition to the MD line with NEW! a UV-resistant view window and a convenient screw- MD FOAMERS on actuator. Available in two sizes: 50 mL (Product No. 6701) and 110 mL (Product No. 6700).

Did you know? The properties of the foam produced are dependent on both the quality of the foam base and the dispenser used. The MD foamer is essential to create a dense and creamy foam.

AnaGain™, a registered trademark of Mibelle AG Biochemistry.

MEDISCA HAIR CARE 15 SCIENTIFIC REFERENCES ON COSMETIC INGREDIENT

Hair loss affects both women and men. It is caused by an imbalance of the hair growth cycle leading to a reduced number of growing hair (anagen phase) combined with an increased number of degenerating ones (telogen phase).

AnaGain™ 19 is developed from organic pea sprout extract to nourish the hair life cycle and help preserve thickness. After three months’ treatment with 4 % AnaGain, the anagen phase / telogen phase ratio improved from 4 to 7.2 which indicated a higher proportion of active hair follicles.

Anagen Hair Telogen Hair

BEFORE AFTER 3 MONTHS 85% 75% 85% of volunteers were observed to of volunteers were observed to of volunteers were observed to have a decrease in the density of have an increase in the density have an increase of the growth hair in the telogen phase. of hair in the anagen phase. coefficient.

After treatment with AnaGain, hair regeneration is restored to a normal level.

AnaGain™, a registered trademark of Mibelle AG Biochemistry.

DISCLAIMER: The following scientific references are provided for informational purposes only.MEDISCA makes no representations or warranties as to the accuracy or applicablility of the results reported except that these are reproductions of the study reports from the sources indicated. These reports are not intended to make claims for any products or ingredients contained in this brochure. All compounded products and the uses thereof are entirely at the judgment and discretion of the practitioner. 19 Study Report – Anagain: Anti-Hair Loss Effect and Hair Growth Reactivation. Mibelle Technical Brochure, 2013.

16 MEDISCA HAIR CARE NUTRACEUTICAL

COLLASIL®OSA DISCOVER OUR HIGH QUALITY ANSWER TO A HEALTHIER LIFESTYLE

Dietary supplements play an important role in MEDISCA’s product line for compounding hair care, nutritional and cosmetic solutions, as we propose treating topically and internally for the best results for your patients. Collasil OSA Nutraceutical is a patented, highly bioavailable source of soluble nutritional silicium that is taken along with personalized hair treatments.

Hair benefits of Collasil OSA:

• Nourishing, fortifying, thickening, and supporting the health of hair.

Skin benefits of Collasil OSA:

• Moisturization, elasticity, improved hydration.

It has been reported that 68% of US consumers were taking nutraceuticals in 2014, and 83% of volunteers in the clinical study felt an overall improvement in hair quality with a daily intake of Collasil OSA.

A major concern for the Nutraceuticals industry is the lack of product quality control and testing, where heavy metal testing is not compulsory. At MEDISCA, our line offers over 100 Nutraceutical ingredients, with every single lot undergoing ID and heavy metal testing.

COMING SOON!

COLLASIL, a registered trademark of the European Union, USA, Colombia, Mexico and Japan.

MEDISCA HAIR CARE 17 FORMULAS

ADA™ SHAMPOO

FORMULA # FORMULA DESCRIPTION

F 006 818 Fluconazole 2% Topical Shampoo (, 100 mL)

F 006 819 2%, Salicylic Acid 2% Topical Shampoo (Solution, 100 mL)*

U-MILD™ SHAMP0O

FORMULA # FORMULA DESCRIPTION

F 006 821 Aloe Vera 0.2%, Tacrolimus 0.03% Topical Shampoo (Solution, 100 mL)

F 006 824 digluconate 0.5%, 2% Topical Shampoo (Suspension, 100 mL)

F 006 825 Fluocinolone acetonide 0.01%, Salicylic Acid 1%Topical Shampoo (Solution, 100 mL)*

VERSAPRO™ SHAMPOO

FORMULA # FORMULA DESCRIPTION

F 006 814 Coal Tar Solution 5%, Salicylic Acid 2% Topical Shampoo (Suspension, 100 mL)*

F 006 827 Capsaicin 0.001% Topical Shampoo (Solution, 100 mL)

VERSAPRO™ FOAM

FORMULA # FORMULA DESCRIPTION

F 006 816 Salicylic Acid 2% Topical Foam (Solution, 50 mL)*

F 006 817 Sodium 10% Topical Foam (Solution, 50 mL)

FOAMIL™

FORMULA # FORMULA DESCRIPTION

F 006 823 Minoxidil 3%, Tretinoin 0.025% Topical Foam (Solution, 50 mL)

F 006 843 Progesterone 0.025%, Spironolactone 0.05% Topical Foam (Suspension, 50 mL)

F 006 844 Minoxidil 5.5% Topical Foam (Solution, 50 mL)

F 006 887 Finasteride 0.1%, Minoxidil 3% Topical Foam (Solution, 50 mL)

*Water-soluble 50% Salicylic Acid solution used (NDC 3040) Note: Compatible with fragrances if desired.

DISCLAIMER: The following are typical formulas for products using our bases in formulations. These are presented for informational purposes only, and are not intended to represent or suggest any uses or any specific formula for any particular case. All such formulations are at the exclusive judgment and responsibility of the physician and the pharmacist.

18 MEDISCA HAIR CARE REFERENCES

1. Wilhelm KP, Surber C, Maibach H. Quantification of Sodium Lauryl Sulfate irritant dermatitis in man: Comparison of four techniques: skin color reflectance, transepidermal water loss, laser Doppler flow measurement and visual scores. Archives of Dermatological Research 1989; 281:293-295.

2. Cua AB, Wilhelm, KP, Maibach HI. Cutaneous Sodium Lauryl Sulphate irritation potential: age and regional variability. British of Dermatology 1990; 123: 607-613.

3. Brazilian Pharmacopeia - National Formulary 2 edition, 2012

4. Proksch E, Lachapelle JM. The management of dry skin with topical emollients - recent perspectives. Journal der Deutshen Dermatologischen Gesellshalf 2005; 3(2005): 768-774.

5. Fritz Ebner, Andreas Heller, Frank Rippke and Irene Tausch. Topical Use of Dexpanthenol in Skin Disorders. Am J Clin Dermatol 2002; 3 (6): 427-433

6. Michael J. Fevola, PhD. Ingredient profile: Decyl Glucoside.Cosmetic & Toiletries 2013; 127(8) 552-558.

7. Belcher LA, Muska CF, DeSalvo JW. Evaluating 1,3-Propanediol for Potential Skin Effects. C o s m e t i c s & T o i l e t r i e s 2 0 1 0 ; 5 ( 1 2 5 ) : 8 1 - 8 6 .

8. Durham RF, Miller R, DeSalvo JW. Natural Glycol Replacement for Hair and Skin Care. Personal Care 2010; 2010: 73-76,

9. Study Report - Anti-Dandruff Active System (ADA): Sensory analysis and assessment of clinical effectiveness in reducing the intensity of dandruff. Beraca Technical Brochure, 2015

10. Kannamkumarath SS, Wrobel K, Wuilloud RG. Studying the distribution pattern of selenium in nut proteins with information obtained from SEC-UV-ICP-MS and CE-ICP-MS. Talanta 2005; 66(2005): 153-159

11. Study Report - Fision KeraVet18®: Strenght & Elasticity, Wet & Dry, Sensory and Antioxidant Hair Studies. Tri-K Technical Brochure, 2015.

12. Oshimura E, Abe H, Oota R. Hair and Amino Acids: The Interactions and the Effects. J o u r n a l o f C o s m e t i c S c i e n c e 2 0 0 7 ; 5 8 ( 2 0 0 7 ) : 3 4 7 - 3 5 7

13. Oshimura E. Hair and Amino Acids. Cosmetic & Toiletries 2013; August 5.

14. Biovelop Technical Brochure. Avenacare: Active oat beta glucan ingredient for skin, hair and body vitaly. 2015.

15. Surjushe A, Vasani , Saple DG. Aloe Vera: A Short Review. Indian Journal of Dermatology 2008; 53(4): 163–166

16. Qadir MI. Medicinal and Cosmetological Importance of Aloe vera. International Journal of Natural Therapy 2009; 2: 21-26.

17. Study Report - FruitBio: Evaluation of the smoothing effect. Sederma Technical Brochure, 2014.

18. Study Report - Hairspa: Measurements of scalp moisture and skin barrier integrity. Sederma Brochure, 2014.

19. Study Report - Anagain: Anti-Hair Loss Effect and Hair Growth Reactivation. Mibelle Technical Brochure, 2013.

20. Mura S, Manconi M, Sinico C, Valenti D, Fadda, AM. Penetration enhancer-containing vesicles (PEVs) as carriers for cutaneous delivery of Minoxil. Int. J. Pharm. 2009; 380 (1-2): 72-79.

21. R. R. Wickett · E. Kossmann · A. Barel · N. Demeester ·P. Clarys · D. Vanden Berghe · M. Calomme Effect of oral intake of choline- stabilized orthosilicic acid on hair tensile strength and morphology in women with fine hair. Arch Dermatol Res 2007; 299:499–505

MEDISCA HAIR CARE 19 HAIR CARE MEDISCA’S COMPOUNDING SOLUTIONS

1.800.932.1039 1.800.665.6334 1300 786 392 www.medisca.com www.medisca.ca www.medisca.com.au

20 MEDISCA HAIR CARE