
Cream
This therapy is used for ongoing vulvar itching, burning, or sensitivity that keeps recurring when infection is not the main concern.
Ketotifen is used in some local regimens for noninfectious irritation and sensitivity. It does not numb tissue and is not intended to treat infection. If you have new discharge, odor, sores, fever, bleeding, or worsening pain, you may need further evaluation.
What It Helps With:
Ketotifen 0.25% Cream may be recommended for:
Subscribe for refills and save
Shipped every 30 days or more$106.00
$118.00
One-Time Purchase
A $20 consultation fee will be added at checkout. Your fee includes a virtual visit with a certified OB-GYN, intake review, and secure messaging for 12 months.
Your requested treatment may be adjusted if a different option is more appropriate. Learn More
Compounded
HSA/FSA eligible
Free delivery
Microbiome support protocols are recommended following your treatment to help maintain long-term vaginal microbiome health.

$101.00
pH-supportive microbiome recovery therapy to help support a low-pH, lactobacillus-friendly vaginal environment.

$62.00
Hormone-free moisture and tissue support for internal and external vaginal dryness, irritation, and comfort.

$62.00
Hormone-free internal moisture and tissue support for vaginal dryness, comfort, and tissue resilience.
Outer vaginal area (vulva), especially the tissue around the vaginal opening (vestibule)
Ketotifen 0.25% Cream
Tube size: 30 g
Active ingredient: Ketotifen 0.25%
Inactive ingredients: BiomeNourish™ Cream Base — a proprietary pH-balanced, iso-osmolar cream base designed specifically for vulvar and vaginal tissue compatibility.
Why this base matters: Designed for use on sensitive vulvar skin; formulated for local application and even spreadability; selected for vulvar and vaginal tissue use in compounded preparations.
Prescription is not guaranteed. Licensed clinicians will review your health history and submitted information to determine whether this treatment is appropriate.
Ketotifen is used in some local regimens for noninfectious irritation and sensitivity.
It may help support symptom management over time in selected patients.
It does not numb tissue.
Response may vary by patient, and improvement, when it occurs, is often gradual.
Response may build gradually with consistent use.
Some patients may notice mild initial irritation.
Apply 2 measured pumps to the outer vaginal area (vulva), focusing on the tissue around the vaginal opening (vestibule).
Use once to twice daily as needed for itching.
This medication:
Cream

Subscribe for refills and save
Shipped every 30 days or more$106.00
$118.00
One-Time Purchase
A $20 consultation fee will be added at checkout. Your fee includes a virtual visit with a certified OB-GYN, intake review, and secure messaging for 12 months.
Your requested treatment may be adjusted if a different option is more appropriate. Learn More
This therapy is used for ongoing vulvar itching, burning, or sensitivity that keeps recurring when infection is not the main concern.
Ketotifen is used in some local regimens for noninfectious irritation and sensitivity. It does not numb tissue and is not intended to treat infection. If you have new discharge, odor, sores, fever, bleeding, or worsening pain, you may need further evaluation.
What It Helps With:
Ketotifen 0.25% Cream may be recommended for:
Compounded
HSA/FSA eligible
Free delivery
Microbiome support protocols are recommended following your treatment to help maintain long-term vaginal microbiome health.

$101.00
pH-supportive microbiome recovery therapy to help support a low-pH, lactobacillus-friendly vaginal environment.

$62.00
Hormone-free moisture and tissue support for internal and external vaginal dryness, irritation, and comfort.

$62.00
Hormone-free internal moisture and tissue support for vaginal dryness, comfort, and tissue resilience.
Outer vaginal area (vulva), especially the tissue around the vaginal opening (vestibule)
Ketotifen 0.25% Cream
Tube size: 30 g
Active ingredient: Ketotifen 0.25%
Inactive ingredients: BiomeNourish™ Cream Base — a proprietary pH-balanced, iso-osmolar cream base designed specifically for vulvar and vaginal tissue compatibility.
Why this base matters: Designed for use on sensitive vulvar skin; formulated for local application and even spreadability; selected for vulvar and vaginal tissue use in compounded preparations.
Prescription is not guaranteed. Licensed clinicians will review your health history and submitted information to determine whether this treatment is appropriate.
Ketotifen is used in some local regimens for noninfectious irritation and sensitivity.
It may help support symptom management over time in selected patients.
It does not numb tissue.
Response may vary by patient, and improvement, when it occurs, is often gradual.
Response may build gradually with consistent use.
Some patients may notice mild initial irritation.
Apply 2 measured pumps to the outer vaginal area (vulva), focusing on the tissue around the vaginal opening (vestibule).
Use once to twice daily as needed for itching.
This medication:
BiomeNourish™ is a microbiome-supportive prescription base, available as a cream and suppository, designed specifically for vulvar and vaginal tissue. Using patented Bio-Match® Technology, it aligns with the natural vaginal environment to support comfort, healing, and long-term balance before, after, or alongside treatment.
Petroleum-derived ingredients like propylene glycol
Formulated for use on vulvar and vaginal tissue
Hyperosmolar
Iso-osmolar
Not pH matched
pH + osmolality matched
Step 1
Filter by your symptoms to choose and purchase your appropriate treatment
Step 2
A licensed OB-GYN will review your health info and approve your selected treatment or recommend a more appropriate option
Step 3
Your prescription is sent discreetly to your home with free two-day shipping so you can get care without the extra trip
After checkout, you’ll complete a brief medical intake about your symptoms and health history. A licensed provider will review your information, typically within 24 hours, to determine whether the requested treatment is appropriate for you. Throughout the process, you’ll have access to secure messaging through your patient dashboard, allowing you to communicate directly with your provider if additional information or follow-up is needed.
If approved, your prescription will be sent to a licensed compounding pharmacy and shipped directly to your door. If your provider determines that a different treatment may be more appropriate, they may recommend an alternative treatment plan based on your symptoms, health history, and clinical judgment.
Compounded medications are customized treatments prepared by a licensed compounding pharmacy under the direction of a healthcare provider. Unlike mass-produced medications, compounded therapies can be tailored to specific patient needs, including the ingredients used, strength, delivery method, or formulation base.
At Good Clean Clinical Care™, many prescriptions are formulated using our proprietary BiomeNourish™ base, which is designed to support vaginal and vulvar tissue comfort while helping maintain a healthy vaginal environment.
Our treatments use a specialized base, BiomeNourish™, developed with patented Bio-Match® technology to better align with the vaginal environment. This helps support beneficial bacteria while delivering treatment, improving comfort and promoting a healthier microbiome over time. Unlike many standard prescription treatments that use generic petroleum-based creams which can disrupt the natural pH and may irritate sensitive tissue, leading to discomfort or reduced tolerability, our formulations are designed specifically for vaginal and vulvar tissue.
Some medications are eligible for refills, while others may require a new provider review before additional treatment can be prescribed.
For eligible prescriptions, you may choose Auto-Refill for convenient ongoing treatment or request one-time refills directly from your patient dashboard when they become available. Refill eligibility and availability will be displayed on your Prescriptions page.
Prescription orders are typically reviewed by a provider within 24 hours. Once approved, prescriptions are prepared by our pharmacy partner and generally arrive within 3-5 business days.
Can irritate tissue
Designed for vaginal tissue and microbiome compatibility
Step 4
Each prescription gives you doctor access for 12 months, with our care team here to support and answer questions along the way