Looking for a provider to prescribe your compounded MCAS prescriptions?

MCAS Program

Previously available only to LDN Direct patients, this service is now open to anyone wishing to utilize H1 and H2 antagonists such as Ketotifen, Hydroxyzine, and Cromolyn to help mitigate their MCAS symptoms. This service also includes Low Dose Naltrexone and compounded antihistamines as additional therapies.

What the Program Offers

  • You’ll schedule 2-3 appointments to discuss your situation and determine which medications may be beneficial for you. These appointments include an explanation of how the medication may help your symptoms, a specific titration schedule to determine your best dose, determining any contraindications, and follow up via email with any questions between appointments.

  • A prescription for Cromolyn, Ketotifen, Hdroxyzine, LDN, and compounded OTC antihistamines sent to the pharmacy of your choice- we recommend Belmar and CareFirst. All prescriptions must be sent to the same compounding pharmacy.

  • Once on a stable dose of your chosen medication(s), you simply renew online every 6 months.

Program Fees

  • MCAS Initial $189

    Includes the cost of all initial appointments (minimum 2 appointments, up to 3 total). The cost of consultation is the same regardless of whether a prescription is generated or the number of prescriptions deemed appropriate. For questions, email jade@rootcausesclinic.com.

  • MCAS Refill $89

    Refill processing is required every 6 months once on a stable dose. The refill does not change based on the number of medications being requested for refill. If you wish to add a new medication, email jade@rootcausesclinic.com.