This article covers the operational side of Oxytocin Calming Cream — prescription fulfillment, dispenser use, refills, and what to do if you encounter issues. For information on how the cream works, what to expect on treatment, side effects, and combinations, see Oxytocin Calming Cream: Patient Guide.
How prescriptions are fulfilled
Once your clinician determines that Oxytocin Calming Cream is appropriate:
Your prescription is sent to a licensed partner pharmacy
The pharmacy prepares and packages your order
The product is shipped directly to your verified address
Tracking information becomes available in your Maximus portal
Processing times may vary depending on pharmacy volume and carrier activity.
Shipping and tracking
After shipment, you'll receive a shipping confirmation, tracking information, and carrier details (which vary by pharmacy). Most orders arrive within standard delivery timeframes.
If tracking stalls or your package appears delayed, contact Maximus support to investigate. If your order arrives damaged, leaking, or tampered with, do not use it — contact support for assistance.
Storage
Follow the instructions provided with your product. In general:
Store at room temperature
Avoid excessive heat or direct sunlight
Keep the container securely closed
Keep out of reach of children
Do not use the product if it separates, changes appearance, or develops an unusual smell.
Understanding your dispenser and dosing
Your prescription is calculated based on your prescribed schedule:
The cream concentration is typically 7.27 mg per mL
Each click of the dispenser delivers approximately 1.82 mg, equal to about 0.25 mL of cream
A standard 22.5 mL container is designed to last 90 days when used as directed (one click per day)
Use the blue line on the tube as an indicator for the remaining amount. This helps you monitor your supply and plan for refills.
The dispenser's dose counter is the most reliable way to track usage. For example, on a 90-day regimen at one click per day, you should have about 60 clicks left after 35 days.
Always follow your prescribed dose. Using more than directed (for example, two clicks per day instead of one) will cause your supply to run out faster.
Troubleshooting your dispenser
If your dispenser is not working as expected, try these steps:
Prime the dispenser:
Shake the dispenser gently
Rotate or click the pump several times to prime it
Keep the dispenser upright and press more firmly
If the dispenser appears empty too soon, or stops dispensing despite proper use: It may be malfunctioning. Document the issue with photos and contact support to request a replacement so your treatment isn't interrupted.
The container looks empty but I haven't used it all: It may look empty even when it contains the prescribed amount. This is normal and does not affect functionality. If you suspect it's truly empty, take photos of the container and packaging and contact support.
Renewals and refills
Renewals require clinician review and may depend on your response to the product, any side effects or sensitivities, and your goals and overall treatment plan. Support can assist with logistics; clinical decisions are made by your clinician.
State availability and travel
If your location changes, update your address in your portal and complete any required verification steps. Prescribing depends on your physical location. Support can help coordinate shipments if needed.
Support vs. clinician responsibilities
Support can help with:
Shipping or tracking issues
Damaged or replacement orders
Dispenser malfunctions
Billing or account questions
Address updates
Your clinician is responsible for:
Determining eligibility
Evaluating your symptoms and goals
Monitoring your response
Ensuring safety and appropriateness
Messaging your clinician
Message your clinician through your patient portal for questions about symptoms, side effects, response to treatment, or how the cream fits into your routine. For account or scheduling issues, contact Maximus support. For urgent or severe symptoms, seek emergency medical care and refer to the When to seek immediate medical care section in the Patient Guide.