Dehydroepiandrosterone (DHEA) 150 mg/Testosterone 20 mg/ml Topical Cream is a compounded medication specifically formulated to deliver a combination of two hormones directly through the skin. DHEA is a naturally occurring hormone that serves as a precursor to testosterone and other sex hormones. The inclusion of testosterone in the formulation aims to address deficiencies or imbalances in this critical androgen. This semisolid preparation is dispensed in a pump mechanism, which ensures a convenient, hygienic, and controlled application. The pump is designed to deliver a consistent dose with each actuation, minimizing dosing errors and enhancing patient compliance.

The topical route of administration is chosen for its localized treatment benefits, which can reduce systemic side effects compared to oral or injectable forms. The cream is absorbed through the skin, where it can exert its effects directly in the treated area or enter the systemic circulation in a controlled manner. This formulation is used in the management of various conditions, including but not limited to, hormone replacement therapy in men with testosterone deficiencies, certain conditions of androgen insufficiency in women, and potentially in the management of age-related conditions where DHEA and testosterone levels may decline.

For patients, it is important to understand that the use of this cream should be under the guidance of a healthcare provider experienced in hormone replacement therapy. The cream should be applied as directed, typically to clean, dry skin on areas recommended by the prescriber, such as the shoulders or abdomen. Patients should be aware of the potential side effects, which may include skin irritation at the application site, changes in libido, hair growth, and other hormone-related changes. Regular monitoring by a healthcare provider is essential to adjust the dose as needed and to ensure the treatment's efficacy and safety.

Prescribers considering this formulation for their patients should be aware of the patient's medical history, current medications, and any contraindications for hormone therapy. It is crucial to individualize the treatment plan and monitor hormone levels and clinical response regularly. The compounded nature of this cream allows for flexibility in dosing, which can be tailored to the patient's specific needs. Prescribers should also counsel patients on the proper application technique and the importance of adhering to the prescribed regimen.

Bayview Pharmacy is committed to providing high-quality compounded medications to meet the unique needs of each patient. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide support to both patients and healthcare providers. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us.

The formulation of Dehydroepiandrosterone (DHEA) 150 mg/Testosterone 20 mg/ml Topical Cream is a hormone replacement therapy that can be used to treat various conditions such as adrenal insufficiency, depression associated with hormone imbalance, and certain conditions leading to a decrease in endogenous testosterone levels. However, it is important to consider potential drug interactions when prescribing or using this formulation.

Firstly, patients should be advised that the use of this topical cream may interact with anticoagulants such as warfarin. Both DHEA and testosterone can promote blood clotting, potentially reducing the efficacy of anticoagulants and increasing the risk of thrombotic events. Regular monitoring of INR and prothrombin time is recommended for patients taking anticoagulants.

Secondly, the concurrent use of other androgens or anabolic steroids with this formulation can potentiate the risk of edema, particularly in patients with underlying cardiac, renal, or hepatic diseases. This is due to the sodium-retaining properties of androgens. Patients should be monitored for signs of edema and congestive heart failure.

Thirdly, patients using insulin or oral hypoglycemic agents for diabetes management should be aware that androgens, including testosterone, may alter glucose metabolism, necessitating adjustments in the dosages of these medications. Close monitoring of blood glucose levels is advised when initiating or discontinuing therapy with this cream.

Additionally, the use of this topical cream may influence the metabolism of certain drugs through its effects on hepatic enzymes. Testosterone can induce the activity of cytochrome P450 enzymes, potentially leading to altered effects of medications metabolized by these enzymes, such as corticosteroids, cyclosporine, and some antiepileptics. Dose adjustments of the affected drugs may be necessary.

It is also important to note that the use of DHEA and testosterone may decrease the effectiveness of hormone-based contraceptives. Patients should be advised to use an alternative, non-hormonal method of contraception to prevent unintended pregnancies.

Lastly, the use of this formulation may interact with thyroid hormone replacement therapy. Androgens have been reported to decrease serum thyroxine-binding globulin (TBG) levels, which may result in decreased total T4 serum levels and increased resin uptake of T3 and T4. This effect is usually of little clinical significance for patients on thyroid hormone replacement therapy, but thyroid hormone levels should be monitored.

Due to the complexity and potential severity of drug interactions, it is crucial for prescribers to thoroughly review the patient's current medication list before prescribing this topical cream. Patients should be instructed to inform their healthcare provider of all medications, supplements, and herbal products they are currently taking. For any questions or concerns regarding this formulation and its interactions with other drugs, please reach out to us at Bayview Pharmacy for professional advice and guidance.

The Dehydroepiandrosterone (DHEA) 150 mg/Testosterone 20 mg/ml Topical Cream is a specially formulated medication that combines two androgens, DHEA and testosterone, in a cream base for transdermal delivery. DHEA is a naturally occurring hormone produced by the adrenal glands, which serves as a precursor to testosterone and other sex hormones. Testosterone is the primary male sex hormone, responsible for the development and maintenance of male secondary sexual characteristics, but it is also important for overall health in both men and women.

When applied to the skin, the cream facilitates the absorption of both DHEA and testosterone directly into the bloodstream through the epidermal layer. This method of delivery bypasses the gastrointestinal tract and liver, which can metabolize and reduce the effectiveness of oral preparations. The cream is designed to release the hormones in a controlled manner, ensuring a steady absorption rate and maintaining consistent hormone levels in the body.

The combination of DHEA and testosterone in this topical formulation can be used to treat a variety of disease states. In men, it may be prescribed for conditions such as hypogonadism, where the body does not produce enough testosterone, leading to symptoms like decreased libido, fatigue, and loss of muscle mass. In women, it may be used to address conditions like adrenal insufficiency or to help alleviate symptoms associated with menopause, such as hot flashes and vaginal atrophy. Additionally, both DHEA and testosterone have been shown to have potential benefits in improving mood, energy levels, and bone density.

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 clean, dry skin on areas such as the shoulders, upper arms, or abdomen. The specific dose and application site may vary based on individual patient needs and the prescribing healthcare provider's instructions.

It is important for patients and prescribers to understand that hormone replacement therapy with DHEA and testosterone should be closely monitored. Regular follow-up appointments and laboratory tests are necessary to ensure hormone levels are within the desired range and to adjust dosing as needed. Side effects can occur, and the risks and benefits of this therapy should be thoroughly discussed with a healthcare provider.

If you have any questions about the Dehydroepiandrosterone 150 mg/Testosterone 20 mg/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 you with the information and support you need to make informed decisions about your health and medication regimen.

The Dehydroepiandrosterone (DHEA) 150 mg/Testosterone 20 mg/ml Topical Cream is primarily indicated for use in conditions where there is a deficiency of these endogenous hormones or for hormonal imbalances that benefit from their supplementation. This can include various forms of adrenal insufficiency, hypogonadism in men, and certain conditions in postmenopausal women, where these hormones may play a therapeutic role. The precise application and usage may vary based on the individual patient profile and should be guided by clinical evidence and prescriber discretion.

In addition to its primary indications, there may be other uses for this topical formulation that are being explored in clinical practice and research. For instance, DHEA and testosterone have been implicated in the integrity of skin health, and thus there is potential for this formulation to assist in skin conditions where hormonal effects are beneficial. These could potentially include the promotion of wound healing or improving skin thickness and elasticity in cases where these are compromised. It is important to note that such uses would be considered off-label and should only be pursued based on a thorough evaluation by a healthcare professional.

Furthermore, there is some evidence to suggest that topical DHEA may have utility in managing symptoms of certain autoimmune conditions where steroid precursors are beneficial, though more research is needed in this area. The neurosteroid activity of DHEA also suggests potential cognitive benefits, but the application via a topical cream for such purposes is not well-established and would require specialist input.

It is crucial for prescribers and patients alike to understand that the safety and efficacy of this topical cream for any non-FDA approved uses have not been established. It is critical that any alternate uses for this formulation are approached with caution and under the guidance of a healthcare provider with expertise in hormone replacement therapy. If you have any questions regarding the potential off-label uses of this formulation, or if you are considering it for a condition not explicitly indicated, we encourage you to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is equipped to provide support and information regarding the suitability and possible benefits of this formulation for various conditions, respecting the compendium of clinical evidence and best practice guidelines.