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Formulas

Dehydroepiandrosterone 1.25 mg/0.5 mL Topical Cream

The Dehydroepiandrosterone 1.25 mg/0.5 mL Topical Cream is a semisolid preparation intended for transdermal delivery of the active ingredient, dehydroepiandrosterone (DHEA). This cream is dispensed in a pump mechanism, which allows for convenient and controlled application to the skin. The formulation is designed to facilitate localized treatment and ensure consistent dosing with each use.

DHEA is a naturally occurring hormone that serves as a precursor to androgens and estrogens. The topical application of DHEA cream is used to manage various conditions associated with DHEA deficiency. This includes adrenal insufficiency, where the body does not produce adequate levels of steroids, and to address issues related to aging, such as decreased skin elasticity and bone density. Additionally, it may be used in the treatment of systemic lupus erythematosus (SLE), a chronic autoimmune disease that can cause inflammation and damage to various body systems.

Patients are advised to apply the cream as directed by their healthcare provider, with the precise dosage and treatment regimen tailored to their specific condition and response to therapy.

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Dehydroepiandrosterone
Topical Cream
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Formula Information

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Dehydroepiandrosterone (DHEA) is a naturally occurring hormone produced by the adrenal glands, which serves as a precursor to male and female sex hormones. The 1.25 mg/0.5 mL topical cream formulation of DHEA is designed to deliver a low dose of the hormone directly to the skin, where it can be absorbed into the local tissue or enter the systemic circulation. This semisolid preparation is dispensed in a pump mechanism, which allows for convenient, hygienic, and controlled dosing. The pump is calibrated to dispense a specific amount of cream with each actuation, ensuring consistent dosing for the patient.

The topical application of DHEA cream may be used in the management of various conditions. In women, it has been investigated for its potential benefits in treating symptoms associated with menopause, such as vaginal atrophy and decreased libido. For both men and women, DHEA may play a role in improving skin health and possibly supporting mood and energy levels. Additionally, DHEA supplementation has been studied for its potential to improve conditions related to adrenal insufficiency, where the body's natural production of DHEA is lower than normal.

It is important to note that the use of DHEA as a treatment should be based on a thorough evaluation by a healthcare provider, as hormone therapy can have significant effects on the body. The safety and efficacy of DHEA for these uses have not been established for all patient populations, and it should be used with caution. Patients should be monitored for side effects, which can include skin irritation at the site of application, hormonal imbalances, and other systemic effects. As with any medication, the potential benefits should be weighed against the risks.

For prescribers considering this formulation for their patients, it is crucial to assess the patient's hormonal profile and medical history to determine if DHEA therapy is appropriate. The topical route of administration may offer advantages in terms of localized treatment with potentially fewer systemic effects compared to oral administration. However, individual responses to hormone therapy can vary, and close monitoring is recommended.

Patients interested in using this DHEA topical cream should discuss with their healthcare provider to understand the potential benefits and risks. It is also essential for patients to follow the prescribed dosing regimen and to report any adverse effects to their healthcare provider promptly. For more detailed information or specific inquiries about the DHEA 1.25 mg/0.5 mL topical cream formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide guidance and support to both patients and prescribers.

Drug Interactions

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Dehydroepiandrosterone (DHEA) is an endogenous steroid hormone that serves as a precursor to androgens and estrogens, which are critical for a wide range of physiological functions. When applied topically, DHEA can be absorbed through the skin and may exert systemic effects. Therefore, it is important to consider potential drug interactions when using DHEA topical cream.

One key interaction is with medications that are metabolized by the liver enzymes, particularly the cytochrome P450 (CYP) family. DHEA has been reported to potentially affect the activity of certain CYP enzymes, which could alter the metabolism of other drugs. For example, DHEA may inhibit CYP3A4, potentially increasing the levels of drugs metabolized by this enzyme, such as certain statins, calcium channel blockers, and some benzodiazepines. Caution is advised when co-administering these medications, and monitoring for increased effects or side effects of the affected drugs is recommended.

Additionally, DHEA may interact with hormone therapies, including estrogen and testosterone replacement therapies. Since DHEA can be converted into these hormones, concurrent use may amplify the effects and side effects of hormone replacement therapy. Patients should be monitored for signs of excessive androgenic or estrogenic effects, such as acne, changes in hair growth, mood swings, or alterations in menstrual cycle in women.

Patients taking anticoagulants or antiplatelet medications should also be cautious, as DHEA may have a mild anticoagulant effect, potentially increasing the risk of bleeding when taken with these medications. Close monitoring for signs of bleeding or bruising is advised, and adjustments to anticoagulant medication dosages may be necessary.

It is also important to consider the potential interaction between DHEA and insulin or oral hypoglycemic agents. DHEA may influence insulin sensitivity and glucose metabolism, which could necessitate adjustments in the dosing of diabetes medications to avoid hypoglycemia or hyperglycemia.

Patients with a history of hormone-sensitive cancers, such as breast, ovarian, or prostate cancer, should use DHEA with caution, as it may interact with treatments for these conditions and potentially influence hormone levels. Consultation with an oncologist is recommended before initiating DHEA therapy in these patients.

Lastly, over-the-counter supplements and herbal products should not be overlooked for potential interactions. For instance, products containing St. John's Wort may induce CYP3A4 and could potentially lower DHEA levels, reducing its efficacy.

Given the complexity of potential drug interactions with DHEA, it is crucial for patients and prescribers to review all current medications, including over-the-counter drugs and supplements, before starting DHEA topical cream. Adjustments to therapy may be necessary, and close monitoring for adverse effects or changes in drug efficacy is important. If you have any questions or concerns regarding drug interactions with DHEA topical cream, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Dehydroepiandrosterone, commonly known as DHEA, is a hormone produced naturally by the adrenal glands, which are located just above the kidneys. As a medication, DHEA is synthesized in laboratories and can be formulated into various dosage forms, including topical creams. The Dehydroepiandrosterone 1.25 mg/0.5 mL Topical Cream is a specific preparation designed to deliver a low dose of DHEA directly to the skin.

The mechanism of action for DHEA is complex, as it serves as a precursor to many other hormones, including estrogen and testosterone. When applied topically, DHEA is absorbed through the skin and can be converted into these hormones within the body's tissues. This conversion can help to replenish hormone levels in individuals who may have deficiencies due to various conditions, such as adrenal insufficiency, menopause, or certain types of depression. The localized application of DHEA cream allows for targeted therapy with potentially fewer systemic side effects compared to oral administration.

The semisolid cream formulation is designed to facilitate easy skin penetration and absorption of DHEA. The cream base typically includes emollients and moisturizers that help to protect the skin barrier and ensure the hormone is delivered effectively to the area of application. The use of a pump mechanism for dispensing the cream provides a convenient and controlled method for delivering a consistent dose with each application. This is particularly important for hormones like DHEA, where precise dosing is crucial to achieving the desired therapeutic effect without causing adverse effects.

In terms of treating disease states, DHEA cream may be used to address conditions associated with low DHEA levels. For example, in women experiencing menopausal symptoms such as decreased libido, vaginal atrophy, or bone loss, topical DHEA can help to mitigate these issues by locally increasing estrogen and testosterone levels. Additionally, DHEA has been studied for its potential benefits in improving skin health, mood, and overall well-being in certain populations. However, it is important to note that the use of DHEA as a treatment should be based on a thorough evaluation by a healthcare provider, as hormone therapy can have significant effects on the body.

It is essential for both patients and prescribers to understand that while DHEA cream may offer benefits for certain conditions, it should be used with caution and under medical supervision. Monitoring hormone levels and adjusting the dose as necessary are important aspects of therapy to ensure safety and efficacy. If you have any questions about the Dehydroepiandrosterone 1.25 mg/0.5 mL Topical Cream or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support for your healthcare needs.

Other Uses

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Dehydroepiandrosterone (DHEA) is a naturally occurring hormone produced by the adrenal glands, which serves as a precursor to sex hormones such as estrogen and testosterone. While our DHEA 1.25 mg/0.5 mL Topical Cream is primarily formulated for the management of conditions related to hormone deficiencies or imbalances, there are other potential therapeutic applications of this hormone in a topical form. Due to the systemic effects of DHEA once it is converted into active sex hormones, it has been investigated for its role in several systemic conditions, though not all of them might be FDA-approved uses.

Emerging research suggests that DHEA may have skin health benefits, such as improving skin barrier function, hydration, and possibly reducing the appearance of aging. Thus, individuals interested in the dermatological applications may consider this formulation for its potential anti-aging properties. Moreover, DHEA may play a role in bone density maintenance, and some studies suggest that topical application could be beneficial in conjunction with other treatments for conditions such as osteoporosis, by enhancing the local bone-forming effects.

Fatigue, mood disorders, adrenal insufficiency, and sexual dysfunction are other areas where DHEA usage has been explored. Patients with diseases such as systemic lupus erythematosus (SLE) and other autoimmune conditions may find DHEA useful, as some research has hinted at the hormone's immunomodulatory effects; however, the clinical significance in these areas remains less clearly defined and should be approached with caution and medical supervision. Additionally, individuals with impaired adrenal gland function may find topical DHEA to be a supportive therapy, though it should be a part of a comprehensive treatment plan devised by a healthcare provider.

It's essential to note that the use of DHEA, particularly in hormone-sensitive conditions such as certain types of cancer, must be closely monitored by a healthcare professional. Patients should not use this cream as a substitute for prescribed medications or a doctor's recommendation. Interaction with other drugs, possible side effects, and contraindications should always be reviewed before considering DHEA for off-label uses.

We strongly advise consulting with a healthcare provider before initiating any new treatment regimen. Our knowledgeable team of compounding pharmacists at Bayview Pharmacy is available to address questions and provide guidance regarding the proper use of this DHEA topical cream formulation. We are here to support both patients and prescribers with the information necessary to ensure safe and effective use. Do not hesitate to reach out to us if you have any questions or need further clarification on potential applications of this product.

Frequently Asked Questions

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What is Dehydroepiandrosterone 1.25 mg/0.5 mL Topical Cream?

Dehydroepiandrosterone, or DHEA, is a hormone that your body naturally produces in the adrenal gland. The topical cream containing 1.25 mg of DHEA per 0.5 mL is a semisolid preparation designed to be applied to the skin, where it may be used for localized treatment and potential absorption into the bloodstream.

How do I use the DHEA topical cream?

The cream is dispensed from a pump mechanism, which provides a convenient and controlled application. To use it, press the pump to dispense the prescribed amount of cream and apply it to the target area of skin as directed by your healthcare provider.

How often should I apply the DHEA cream?

The frequency of application will depend on your specific condition and the instructions provided by your healthcare provider. You should follow their directions exactly for the best results and to avoid any potential side effects.

What are the benefits of using a cream with a pump mechanism?

A pump mechanism allows for a consistent and accurate dose with each use, reduces contamination risk, and makes the application process cleaner and more convenient than using jars or tubes.

Can I apply this cream to any area of my skin?

You should only apply the cream to areas of skin as directed by your healthcare provider. Some areas of the body may absorb the medication better than others, and some are too sensitive for topical treatments.

Are there any side effects of using DHEA cream?

As with any medication, there can be side effects. Common ones may include skin irritation, oiliness, or rashes. If you experience any unusual symptoms, you should contact your healthcare provider immediately.

What should I do if I miss a dose of DHEA cream?

If you miss a dose, apply it as soon as you remember. If it's almost time for your next dose, skip the missed dose and apply the next one at your regular time. Do not apply extra cream to make up for the missed dose.

How should I store the DHEA topical cream?

Store the cream at room temperature away from direct sunlight and heat. Do not freeze the medication and keep it out of reach of children and pets.

Can I use other skincare products while using DHEA cream?

It is best to discuss the use of other skincare products with your healthcare provider, as there could be interactions between the DHEA cream and other substances. They may provide recommendations on how to incorporate it into your routine.

Do I need a prescription for Dehydroepiandrosterone 1.25 mg/0.5 mL Topical Cream?

Yes, you would typically need a prescription to obtain this cream, as it is a compounded medication that is prepared specific to an individual's needs, based on a healthcare provider's prescription.

What should I do in case of an overdose with DHEA cream?

In case of an overdose, seek emergency medical attention or call a poison control center immediately. Symptoms of an overdose may include unwanted effects such as significant hormonal imbalances, so prompt attention is necessary.

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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.