CleopatraRX

Frequently Asked Questions

How do I know if I have brain fog?
If you are currently going through perimenopause or menopause, take our online survey to determine if you are experiencing the effects of brain fog. A CleopatraRX™ consulting nurse will review your survey to determine if PearlPAK® is right for you. We will notify you if you are not qualified, or schedule a consult with a physician if you are qualified. This process typically takes less than 24 hours.
Yes, in most cases. Brain fog can be diagnosed by a physician based on a patient self-reporting their symptoms and medical history. CleopatraRX™ consulting physicians use telemedicine technologies to diagnose cognitive dysfunction in the same way they diagnose patients in-person. The CleopatraRX™ consulting physician will ask a series of questions and use your answers to diagnose your condition and create a treatment plan using PearlPAK®, if appropriate. That’s why it’s vital you answer each question to the best of your knowledge and ensure that every communication with your physician is truthful, accurate, and thorough.
No. PearlPAK® was designed to help women with general brain fog caused by the effects of perimenopause and menopause. It is not intended for individuals with advanced cognitive and memory issues. If you suspect you may be suffering from a neurological condition such as dementia or Alzheimer’s, please contact your family physician.
Yes. CleopatraRX™ is the provider of PearlPAK®, and we work with a team of board certified and licensed physicians who operate under HIPAA compliance. HIPAA is a federal law that protects sensitive health information of patients. In addition, we have implemented strict security protocols and firewalls to protect your information.
How does PearlPAK® work?
Estrogen and other hormones change as menopause occurs, which can change bodily functions and brain function. When naturally circulating hormones change, or are decreased, things like normal brain function and memory can be affected. The PearlPAK® is a tailored combination of ingredients to help replenish and balance hormones, to improve body and brain functions.
PearlPAK® is the medication for which CleopatraRX™ provides access. It is customized by patient need and may include any of the following based on the determination of a CleopatraRX™ consulting physician:
  • 1mg, 2mg and 4mg Estriol
  • 0.36mg Norethindrone
  • 100mg and 200mg Progesterone
Drug compounding involves mixing, combining, or altering drug ingredients to create a medication tailored to the specific needs of an individual patient, and is based on a prescription from a doctor.
There are benefits associated with compounding, many of which focus on providing patients with pharmaceutical products that have been customized to fit their own unique needs when standard marketed drugs fail to do so. Compounding primarily occurs in pharmacies by licensed pharmacists. As each prescription is tailored to each patient, the compound has not undergone specific premarket review, therefore it is not FDA approved.
Do I need a prescription to take PearlPAK® ?
Yes. The process begins with a consultation with one of the CleopatraRX™ consulting physicians who will determine if PearlPAK® is appropriate for your needs. Based on this assessment, they may write a prescription for PearlPAK®.
PearlPAK® contains Estriol and Progesterone. Both drugs are individually classified as medical prescriptions (RX) by the FDA thus requiring a prescription.
The medication is available in all 50 states through a prescription written by one of the CleopatraRX™ consulting physicians.
Not at this time. It’s important to maintain follow-up appointments with your CleopatraRX™ consulting physician to determine if an adjustment in your PearlPAK® is needed. Because we have partnered with a specific group of medical experts and pharmacies, the PearlPAK® must be filled by our partner and mailed to you.
Based on the results of PearlPAK®, the prescribing CleopatraRX™ consulting physician may decide to modify your prescription to meet your adjusted needs.
Who isCleopatraRX™ and what is the PearlPAK® ?
CleopatraRX™ provides access to PearlPAK™, a medication tailored to address brain fog in women going through perimenopause and menopause. CleopatraRX™ is not a pharmaceutical company. PearlPAK™ is a treatment specifically tailored to you in consultation with one of the CleopatraRX™ consulting physicians and provided by a partner compounding pharmacy.
Dr. Rhonda Voskuhl, M.D. is a Professor of Neurology at the University of California, Los Angeles (UCLA) and the President of the Organization for the Study of Sex Differences. She obtained her M.D. from Vanderbilt Medical School and completed her neurology residency at University of Texas Southwestern, then went on to perform her fellowship at the National Institutes of Health (NIH). Learn more about Dr. Voskuhl and her study of neurodegenerative disease here.
If you are not yet fully menopausal, you may experience changes in menstrual bleeding after starting hormones. Please be certain to note any symptoms in the follow-up survey so your CleopatraRX™ consulting physician understands if there is a need to adjust your prescription. If you have not had periods for many years, and start having menstrual bleeding after starting PearlPAK®, consult your CleopatraRX™ consulting physician
You should not take other hormones while on the PearlPAK®
PearlPAK® is prepared at one of our licensed, contracted pharmacies, subject to annual inspection/review by the Board of Pharmacy. All bulk compounding ingredients are purchased from FDA approved facilities, and each batch is reviewed for quality by the pharmacist. Individual medications are compounded pursuant to the dosages specified on your prescription.

Is PearlPAK® Right for You?

Find out if you have menopause related brain fog.

If you are currently in perimenopause or menopause and experiencing concentration, focus or memory issues, PearlPAK may be right for you. Start your journey to clarity by taking our Menopause Brain Fog Assessment.