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Formulas

DHEA 0.5% Vaginal Cream

The DHEA 0.5% Vaginal Cream is a semisolid formulation specifically compounded for the treatment of certain gynecological conditions. This cream is dispensed in a tube to facilitate convenient and precise application within the vaginal area. The active ingredient, DHEA (dehydroepiandrosterone), is utilized for its potential benefits in managing symptoms of vulvovaginal atrophy, often associated with menopause. Additionally, it may be prescribed to address sexual dysfunction and to support the overall health of vaginal tissues. The cream's composition is designed to ensure that DHEA is delivered directly to the affected area, providing targeted relief and therapeutic effects.

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Dehydroepiandrosterone
Vaginal Cream
654e764bd5fe13e643bd0ba2
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Formula Information

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DHEA, or dehydroepiandrosterone, is a naturally occurring hormone that serves as a precursor to other sex hormones such as estrogen and testosterone. As a 0.5% vaginal cream, this formulation is specifically compounded to address issues related to vaginal atrophy, which often occurs during menopause due to the decline in estrogen levels. The cream is designed to be applied directly to the vaginal area, providing localized relief from symptoms such as dryness, itching, burning, and pain during intercourse. The semisolid consistency ensures that the cream stays in place, allowing for optimal absorption of DHEA into the vaginal tissues.

The DHEA in the cream is metabolized by local tissues into estrogen and androgens, which can help replenish the levels of these hormones in the vaginal area. This can lead to an improvement in the thickness and elasticity of the vaginal walls, increased natural lubrication, and an overall reduction in discomfort. By targeting the area of concern directly, the cream minimizes systemic absorption, which can be beneficial for patients who are unable or unwilling to undergo systemic hormone replacement therapy.

For patients, it is important to understand that this treatment is intended for regular use as directed by a healthcare provider. It is also crucial to follow the application instructions carefully to ensure proper dosing and to minimize the risk of side effects. For prescribers, it is essential to consider the patient's overall hormone profile and medical history before recommending this formulation, as well as to monitor the patient's response to therapy and adjust the treatment as necessary.

Bayview Pharmacy's team of compounding pharmacists is dedicated to providing high-quality, customized medications to meet the unique needs of each patient. If you have any questions about DHEA 0.5% Vaginal Cream or its suitability for treating specific gynecological conditions, please do not hesitate to reach out to us. We are here to support both patients and healthcare providers with expert advice and comprehensive care.

Drug Interactions

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Dehydroepiandrosterone (DHEA) is an endogenous steroid hormone that serves as a precursor to androgens and estrogens. DHEA has been used in various formulations, including vaginal creams, to address issues such as vaginal atrophy, dryness, and possibly sexual dysfunction. When considering the use of DHEA 0.5% Vaginal Cream, it is important to be aware of potential drug interactions that may affect the safety and efficacy of the treatment.

Firstly, patients should be advised that DHEA is metabolized into active sex hormones, and therefore, it may interact with hormone-sensitive conditions and medications. For example, women with a history of hormone-sensitive cancers, such as breast or endometrial cancer, should use DHEA with caution, as it may theoretically influence hormone levels and tumor growth. Additionally, concurrent use of DHEA with other hormonal therapies, such as estrogen or testosterone, may alter the effects of these medications and potentially increase the risk of side effects.

Secondly, DHEA may interact with medications that are metabolized by the liver enzymes, particularly the cytochrome P450 system. Drugs that are substrates, inhibitors, or inducers of these enzymes could potentially affect the metabolism of DHEA, leading to altered blood levels of either DHEA or the concomitant medication. This could necessitate dosage adjustments or close monitoring by a healthcare provider.

Thirdly, the use of DHEA may influence insulin sensitivity and glucose metabolism. Patients with diabetes or those taking antidiabetic medications should be monitored for changes in blood glucose levels when initiating or discontinuing DHEA therapy. Adjustments to antidiabetic medication dosages may be required.

It is also important to consider the potential for DHEA to interact with over-the-counter supplements and herbal products. For instance, supplements that have hormonal activity, such as soy isoflavones or red clover, may have additive or antagonistic effects when used with DHEA.

Lastly, patients should be counseled to avoid the use of DHEA with other vaginal products unless directed by a healthcare provider, as there may be interactions that could alter the pH of the vagina or the absorption of the medication.

Given the complexity of potential drug interactions with DHEA 0.5% Vaginal Cream, it is crucial for patients and prescribers to review all current medications, including prescription drugs, over-the-counter medications, and dietary supplements, with a healthcare professional before starting treatment. If you have any questions or concerns regarding the use of DHEA 0.5% Vaginal Cream or its interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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DHEA, or dehydroepiandrosterone, is a naturally occurring hormone produced by the adrenal glands. It serves as a precursor to male and female sex hormones, including estrogen and testosterone. As women age, particularly during and after menopause, the levels of DHEA and its derivatives in the body decrease, which can lead to various symptoms and health issues, such as vaginal atrophy, dryness, and inflammation, as well as a decrease in sexual function. DHEA 0.5% Vaginal Cream is a hormone replacement therapy designed to address these issues by delivering a small, controlled dose of DHEA directly to the vaginal tissue.

The formulation of DHEA 0.5% Vaginal Cream is specifically designed to be applied intravaginally, where it is absorbed through the vaginal mucosa. Once absorbed, DHEA is converted by local enzymes into active sex hormones, such as estrogen and testosterone, which can help to replenish the levels of these hormones in the vaginal tissue. This localized hormone delivery system is beneficial because it minimizes systemic absorption and reduces the potential for systemic side effects that can occur with oral hormone replacement therapies.

The therapeutic effects of DHEA 0.5% Vaginal Cream include the restoration of the normal physiology of the vaginal tissue, which can lead to an improvement in symptoms such as dryness, itching, and pain during intercourse. Additionally, it can help to maintain the health of the vaginal mucosa, potentially reducing the risk of urinary tract infections and other vaginal infections. The cream is also thought to have a beneficial effect on sexual function by improving libido and sexual arousal, which can be adversely affected by the decrease in sex hormone levels associated with menopause.

The semisolid formulation of the cream allows for easy and precise application. It is typically dispensed in a tube, which can be used to apply the cream directly to the vaginal area. Patients are usually instructed to use a specific amount of cream, which is measured using an applicator provided with the medication. This ensures that the correct dose is delivered each time the cream is used.

It is important for both patients and prescribers to understand that while DHEA 0.5% Vaginal Cream can be an effective treatment for certain gynecological conditions, it may not be suitable for everyone. Women with a history of hormone-sensitive cancers, liver disease, or those who are pregnant or breastfeeding should not use this medication. Additionally, patients should be monitored for any side effects, and the treatment should be tailored to the individual's response and needs.

If you have any questions about DHEA 0.5% Vaginal Cream or its use in treating specific gynecological conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to make informed decisions about your health care.

Other Uses

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DHEA, or dehydroepiandrosterone, is a hormone that is naturally produced by the adrenal glands and functions as a precursor to sex hormones such as estrogen and testosterone. While the primary indication for DHEA 0.5% Vaginal Cream is often related to managing symptoms associated with conditions like vaginal atrophy, particularly in postmenopausal women, there are several other potential uses for this formulation which might be of interest to both patients and healthcare providers. DHEA has been studied in various other contexts due to its role in the hormonal pathway.

Some women may use DHEA vaginal cream for its potential systemic effects, as DHEA can be metabolized into active sex hormones. This can potentially influence libido, mood, and energy levels, although these uses are considered off-label and the evidence to support such outcomes is varied. Furthermore, DHEA vaginal cream might be explored as an adjunct therapy for conditions characterized by low levels of endogenous steroids, such as adrenal insufficiency, or in certain disorders that affect the skin, hair, and bones, which might be influenced by hormone levels. Women who have undergone treatments that affect their natural hormone levels, such as certain cancer therapies, might also consider the use of DHEA for its possible benefits in maintaining tissue health.

It is worth noting that while there is interest in the possible anti-aging effects of DHEA—given that its natural production declines with age—the scientific evidence supporting the effectiveness of DHEA in reversing or slowing age-related changes is not conclusive. Care should be taken when using hormones like DHEA, and such usage should always be done under the guidance of a healthcare provider. Furthermore, since the use of DHEA can influence the levels of other hormones in the body, women with hormone-sensitive conditions, such as certain types of breast and endometrial cancers, should approach DHEA use with caution.

When considering alternative uses for DHEA 0.5% Vaginal Cream, prescribers and patients must also take into account the individual's overall health, existing medical conditions, and concurrent medications, as there could be potential interactions or contraindications. Additionally, while some uses of DHEA are supported by clinical studies, others have not been extensively researched, so both the potential benefits and risks should be carefully evaluated. For specific advice tailored to an individual's health circumstances, or for further information regarding the potential uses of this formulation, we invite you to reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is ready to assist and provide guidance on the best use of DHEA 0.5% Vaginal Cream.

Frequently Asked Questions

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What is DHEA 0.5% Vaginal Cream used for?

DHEA 0.5% Vaginal Cream is used to deliver dehydroepiandrosterone (DHEA) locally within the vaginal area to help with specific gynecological conditions. This can include treating symptoms of vaginal atrophy, dryness, irritation, or pain during sexual activity that are often associated with menopause or hormonal changes.

How should DHEA 0.5% Vaginal Cream be applied?

To apply DHEA 0.5% Vaginal Cream, wash your hands thoroughly and follow the dosage instructions provided by your healthcare provider. Squeeze out the prescribed amount of cream onto your applicator, if one is provided, and gently insert it into the vagina as directed. Otherwise, use your finger to apply the cream to the affected area.

How often should I use the DHEA 0.5% Vaginal Cream?

The frequency of application will depend on your condition and the instructions given by your healthcare provider. Do not use more than what has been prescribed.

Can I experience any side effects from using DHEA 0.5% Vaginal Cream?

Side effects from DHEA 0.5% Vaginal Cream can occur, although not everyone will experience them. Possible side effects include vaginal discharge, local irritation, itching, or a burning sensation. If you experience any severe side effects or signs of an allergic reaction, contact your healthcare professional immediately.

Is DHEA 0.5% Vaginal Cream hormone replacement therapy (HRT)?

DHEA is considered a hormonal precursor, which means it can be converted into more potent hormones like estrogen and testosterone in the body. While it is not the same as traditional HRT, it can exert similar effects by influencing hormone levels in the tissue where it is applied. Discuss with your healthcare provider to understand how this affects your treatment.

Can I use DHEA 0.5% Vaginal Cream during my period?

It is generally advisable to avoid using DHEA 0.5% Vaginal Cream during menstruation. However, consult your healthcare provider for specific instructions tailored to your treatment plan.

Will the use of DHEA 0.5% Vaginal Cream affect my sexual activity?

DHEA 0.5% Vaginal Cream may actually improve sexual activity for some by alleviating discomfort due to vaginal dryness or atrophy. It is usually recommended to wait a certain amount of time after application before engaging in sexual activity; consult your healthcare provider for guidance.

Should I be concerned about using DHEA 0.5% Vaginal Cream if I have a history of hormone-sensitive cancers?

Patients with a history of hormone-sensitive cancers should discuss the use of DHEA 0.5% Vaginal Cream with their healthcare provider, as this treatment has the potential to influence hormone levels.

How should DHEA 0.5% Vaginal Cream be stored?

Store DHEA 0.5% Vaginal Cream at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets. Do not freeze the cream, and discard it if it becomes discolored or if the expiration date has passed.

Can I use other vaginal products while using DHEA 0.5% Vaginal Cream?

Before using other vaginal products in conjunction with DHEA 0.5% Vaginal Cream, it is important to discuss with your healthcare provider to ensure compatibility and to avoid potential interactions.

What should I do if I miss a dose of DHEA 0.5% Vaginal Cream?

If you miss a dose, use it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and proceed with your regular dosing schedule. Do not double the dose to catch up.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.