This compounded formulation combines dehydroepiandrosterone (DHEA), estradiol, estriol, progesterone, and testosterone into a topical cream designed to deliver a precise dosage of hormones directly through the skin. Each milliliter of the cream contains 5 mg of DHEA, 0.35 mg of estradiol, 2 mg of estriol, 30 mg of progesterone, and 0.15 mg of testosterone. The cream is dispensed in a pump mechanism, which ensures a consistent and controlled dose with each application, enhancing patient compliance and ease of use.

The combination of these hormones is often used in hormone replacement therapy (HRT) for individuals experiencing symptoms associated with menopause or hormonal imbalances. DHEA is a precursor to both estrogen and testosterone and may help improve sexual function, mood, and overall well-being. Estradiol and estriol are forms of estrogen that can alleviate menopausal symptoms such as hot flashes, vaginal dryness, and bone loss. Progesterone is included to counterbalance the effects of estrogen and reduce the risk of endometrial hyperplasia, which can occur with estrogen therapy alone. Testosterone in this formulation may contribute to libido, mood stabilization, and muscle maintenance.

It is important for patients and prescribers to understand that this formulation is tailored for individual needs and should be used under the guidance of a healthcare professional experienced in hormone replacement therapy. Monitoring hormone levels and adjusting the dosage may be necessary to achieve optimal therapeutic outcomes while minimizing potential side effects. Patients should apply the cream as directed to clean, intact skin, typically on areas such as the inner arms or thighs, where absorption is efficient and consistent.

For prescribers considering this formulation for their patients, it is crucial to take a comprehensive medical history and conduct a thorough evaluation to ensure the appropriateness of this HRT approach. Potential interactions with other medications, contraindications, and the patient's individual risk factors for hormone-sensitive conditions should be assessed. As compounding pharmacists at Bayview Pharmacy, we are available to collaborate with healthcare providers to customize this formulation to meet the specific needs of their patients. If you have any questions or require further information about this compounded hormone therapy, please reach out to us for professional guidance and support.

The formulation described contains a combination of hormones: dehydroepiandrosterone (DHEA), estradiol, estriol, progesterone, and testosterone, which are intended for topical application. Each of these hormones can have interactions with other medications, supplements, or conditions, and it is important to consider these when prescribing or using this formulation.

DHEA is a precursor to sex hormones and may interact with medications that affect hormone levels. It can potentially alter the effects of hormone replacement therapy (HRT) and should be used cautiously in patients receiving other forms of estrogen or androgen therapy. DHEA may also interact with anticoagulants, antiplatelet drugs, and supplements such as garlic, ginkgo, and fish oil, which can increase the risk of bleeding. Additionally, DHEA can affect insulin sensitivity and glucose metabolism, so caution is advised in patients with diabetes or metabolic syndrome.

Estradiol and estriol are forms of estrogen and can interact with drugs that are metabolized by liver enzymes, particularly cytochrome P450 enzymes such as CYP3A4. Medications that induce or inhibit these enzymes may affect the levels and efficacy of the estrogens. Concurrent use with other estrogens or progestins should be monitored for additive effects. Estrogens can also increase the risk of thromboembolic events, so caution is advised when used with drugs that affect coagulation, such as warfarin or heparin. Additionally, thyroid hormone levels may be altered when taking estrogens, necessitating adjustments in thyroid medication dosages.

Progesterone can interact with benzodiazepines, some anticonvulsants, and certain antidepressants, potentially leading to increased sedation or other side effects. It may also interact with drugs that induce or inhibit hepatic enzymes, such as CYP3A4, affecting its metabolism and serum levels. Progesterone, like estrogens, can also affect coagulation, so caution is advised when used with anticoagulant or antiplatelet medications.

Testosterone can interact with oral anticoagulants, altering the anticoagulant effect and potentially requiring dose adjustments. It may also affect blood glucose levels, necessitating monitoring and possible adjustments of antidiabetic medications. Testosterone can be affected by drugs that induce or inhibit hepatic enzymes, such as CYP3A4, which can alter its metabolism and effectiveness.

This hormone combination cream is used to treat various conditions related to hormone deficiencies or imbalances, such as menopausal symptoms, androgen deficiency, and certain cases of premenstrual syndrome (PMS). It is important to note that the use of hormone therapy should be individualized and based on a thorough evaluation of the patient's medical history, current medications, and specific treatment goals. Patients should be monitored for side effects and response to therapy, and the risk-benefit profile should be regularly reassessed.

It is crucial for patients and prescribers to be aware of potential interactions and to monitor for any adverse effects or changes in efficacy when using this formulation. If you have any questions or require further information, please reach out to us at Bayview Pharmacy for assistance.

The DHEA 5 mg/Estradiol 0.35 mg/Estriol 2 mg/Progesterone 30 mg/Testosterone 0.15 mg/ml Topical Cream is a compounded formulation that combines several hormones to address various conditions related to hormonal imbalances or deficiencies. This cream is designed to be applied topically, which allows for the hormones to be absorbed directly through the skin into the bloodstream, providing a more targeted approach to therapy with potentially fewer systemic side effects compared to oral administration.

DHEA, or dehydroepiandrosterone, is a hormone produced by the adrenal glands that serves as a precursor to other sex hormones, including estrogen and testosterone. Supplementing with DHEA can help improve overall hormonal balance, support adrenal function, and may have benefits for mood, energy, and skin health. Estradiol and estriol are forms of estrogen, the primary female sex hormone. They are used to alleviate symptoms of menopause such as hot flashes, vaginal dryness, and bone loss. By combining estradiol with estriol, the formulation aims to provide a balanced estrogenic effect that can be beneficial for hormone replacement therapy.

Progesterone is another key hormone for women's health, particularly in balancing the effects of estrogen and supporting the menstrual cycle and pregnancy. In this formulation, progesterone can help to counteract potential side effects of estrogen therapy and is often used in hormone replacement therapy to mimic the natural cyclical production of hormones. Testosterone, while typically considered a male hormone, is also important for women in small amounts. It can contribute to libido, bone density, and muscle strength. The inclusion of testosterone in this formulation is to ensure a comprehensive approach to hormone balance.

The cream is dispensed in a pump mechanism, which allows for precise dosing and ease of use. Patients are typically instructed to apply the cream to areas of thin skin, such as the inner arms or thighs, where absorption can be maximized. The dose and frequency of application will depend on the individual's specific needs and the guidance of their healthcare provider.

This hormone combination cream may be used to treat symptoms associated with menopause, perimenopause, andropause, or other conditions where hormone replacement therapy is indicated. It is important to note that hormone therapy should be personalized and closely monitored by a healthcare provider to ensure safety and efficacy. Regular follow-up and adjustments to the formulation may be necessary based on patient response and laboratory results.

If you have any questions about this formulation or how it might be beneficial for your specific condition, 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.

The combination of DHEA, estradiol, estriol, progesterone, and testosterone in a topical cream formulation is primarily prescribed for hormone replacement therapy, particularly in perimenopausal, menopausal, and postmenopausal women, or for those experiencing symptoms related to hormonal imbalances or deficiencies. However, this formulation can have a range of other potential uses that arise from the properties of its individual components. For example, DHEA has been studied for its potential effects on mood enhancement, adrenal support, and its ability to improve the skin's appearance by increasing its thickness and decreasing facial skin pigmentation.

Estradiol and estriol, two forms of estrogen, have been used topically not just for menopausal symptoms, but also for promoting skin health and potentially improving skin elasticity and moisture. Some studies suggest that topical estrogen might promote collagen production and help in the prevention of skin aging. Progesterone, beyond its role in hormone replacement therapy, may exert a calming effect on the mood and facilitate sleep when applied in the evening due to its metabolites that have a sedative effect.

Testosterone, although typically associated with male hormone replacement, is also important in female hormone therapy. In a topical cream form, it could improve libido, muscle strength, and overall sense of well-being in women. In addition, given that the skin often shows the first signs of hormone deficiencies, such as elasticity loss, dryness, and thinning, this combination cream might help in maintaining a healthier skin structure and function.

It's important to note that while this formulation may have these additional uses, the majority of the evidence for benefits outside of traditional hormone replacement therapy is still evolving, and more research is needed to fully understand and verify these potential effects. Patients should use this treatment under the supervision of a healthcare provider, as it is tailored to address specific hormonal imbalances and should be used according to the individual needs and response to therapy. Prescribers should monitor patient progress and make adjustments as necessary. If you are considering this formulation for uses other than the prescribed indication or if you have any questions or concerns about its use, do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support tailored to your unique health needs.