What it is
AfterTick Topical Cream
A 30 g compounded prescription for local application at the bite site. It combines doxycycline 8.5%, ketoprofen 5% and lidocaine 5% in a proprietary cream base.
One 30 g prescription fill
Free delivery to your door anywhere in Ontario
- 01Clinician reviewPrescription issued only when appropriate
- 02Pharmacy fillCompounded by an Ontario pharmacy
- 03At your doorDelivered across Ontario for free
Completing the intake does not guarantee treatment or a prescription. A licensed clinician decides what is appropriate for you.
Three active ingredients Tap or hover for a quick explanation.
- The antibiotic ingredient in the prescribed formulation.
- The anti-inflammatory ingredient in the compounded cream.
- The local anesthetic ingredient in the formulation.
A compounded topical prescription, explained.
The patented formulation combines three active ingredients in a proprietary Permeabase carrier. If prescribed, an Ontario pharmacy compounds and fills it for you, labels it with your individual directions, and AfterTick coordinates free delivery to your Ontario door.
What it is not
Not proven to prevent Lyme disease.
It has not been shown to treat an active infection and does not replace prompt medical assessment or oral antibiotics when indicated.Antibiotic ingredient
Doxycycline
8.5%
One of three active ingredients in the prescribed formulation.
Anti-inflammatory · NSAID
Ketoprofen
5%
The anti-inflammatory ingredient in the compounded cream.
Local anesthetic
Lidocaine
5%
The local anesthetic ingredient in the formulation.
Compounding carrier
Permeabase
Proprietary base
The cream base that carries the active ingredients.
Transparent about the evidence. Product materials describe an in-vitro permeation study using a synthetic membrane—not human skin, a bite wound or a clinical trial. No human clinical trials have been conducted on this compounded product.
Think this prescription may fit your situation?Start with a private intake. If prescribed, pharmacy filling and free Ontario delivery are coordinated for you.
Start your consultWhat happens after you start.
AfterTick coordinates the full path—from licensed clinician review to an Ontario pharmacy fill and free delivery to your door when the medication is prescribed.
Begin your private intake- 1Start online
Complete the focused intake.
Share the exposure, relevant symptoms, medications, allergies and health history.
- 2Clinical decision
A licensed clinician reviews your information.
If this compounded medication is not appropriate, a prescription will not be issued.
- 3Pharmacy + delivery
We fill it and deliver it free.
An Ontario pharmacy compounds, labels and fills your prescription. AfterTick coordinates free delivery directly to your Ontario door.
What the $119 price covers.
The displayed price is for one 30 g prescription fill if the medication is prescribed. Free delivery to any Ontario address is included.

One prescription fill
- 01Compounded topical cream
Prepared for the prescription issued to you.
- 02Individual directions
The pharmacy label specifies how your clinician prescribed it.
- 03Free Ontario delivery
Your filled prescription is delivered directly to your door with no delivery fee.
The image shows the AfterTick brand concept. Final pharmacy packaging and labelling may differ.
Canadian medical leadership behind the care pathway.
AfterTick is supported by Canadian medical leadership through Stealth Health.
Dr. Khalid Tahir is an internal medicine and critical care physician at Georgian Bay General Hospital in Midland, Ontario, and serves as Stealth Health’s Chief Medical Officer.
- Medical leadership
- Chief Medical Officer
- Clinical practice
- Internal medicine & critical care
- Canadian training
- McMaster University · 2013
Your intake is reviewed by the licensed clinician assigned to your care. Dr. Tahir may not personally review your intake. Treatment and prescriptions are not guaranteed.
Questions before you start.
Clear answers about access, evidence and what happens if the medication is prescribed.
Does AfterTick Topical Cream prevent Lyme disease?
No. It has not been shown to prevent Lyme disease. It does not replace prompt medical assessment or prescribed oral antibiotics when those are indicated.
Can I purchase it without a consultation?
No. This is a prescription-only compounded medication. A licensed clinician must first decide whether it is medically appropriate for you.
What does the $119 price include?
$119 CAD is the displayed price for one 30 g prescription fill, with free delivery directly to your door anywhere in Ontario. Drug-plan reimbursement, if applicable, is confirmed separately.
Who fills and delivers the prescription?
If a clinician issues a prescription, an Ontario pharmacy compounds, labels and fills it. AfterTick coordinates delivery directly to your Ontario address at no charge.
Is the prescription guaranteed if I complete the intake?
No. The clinician may recommend another approach or no prescription treatment after reviewing your information.
Where do I get directions and medication precautions?
If prescribed, your clinician and dispensing pharmacy provide the directions, suitability review, precautions and medication counselling for your specific prescription. The pharmacy label and clinician’s directions are authoritative.
Has this compounded product been studied in people?
No human clinical trials have been conducted on this compounded product. The available laboratory work does not establish that it prevents Lyme disease or treats an active infection.
What if I develop a rash, fever or feel unwell?
Seek prompt medical care. For trouble breathing, facial swelling, fainting, rapidly worsening symptoms or another emergency, call 911 or go to the nearest emergency department.
See whether AfterTick fits your situation.
Complete a short, private intake. If prescribed, we coordinate the Ontario pharmacy fill and free delivery directly to your door.
Not a guarantee of treatment or a prescription. Eligibility is determined by a licensed clinician.