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Formulas

Estradiol 0.1 mg Vaginal Suppository

The Estradiol 0.1 mg Vaginal Suppository is a solid dosage form designed for insertion into the vaginal cavity. Upon insertion, the suppository dissolves or melts, releasing the hormone estradiol for local absorption. This formulation is specifically used to treat conditions related to estrogen deficiency such as atrophic vaginitis, vulvar atrophy, and to alleviate symptoms of menopause including vaginal dryness, itching, and burning. Additionally, it may be used as part of hormone replacement therapy to maintain the health of the vaginal tissues and support the urinary tract.

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Formula Information

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Estradiol 0.1 mg Vaginal Suppositories are a specialized form of hormone replacement therapy designed to deliver estradiol, a form of estrogen, directly to the vaginal tissue. This solid dosage form is specifically intended for insertion into the vagina, where it dissolves or melts, allowing the estradiol to be absorbed locally into the vaginal mucosa. The primary use of this medication is to treat various conditions related to estrogen deficiency, such as atrophic vaginitis, which is characterized by thinning, drying, and inflammation of the vaginal walls due to a decrease in estrogen. This condition often occurs in postmenopausal women but can also affect those who have experienced induced menopause due to surgery or other medical treatments.

The local administration of estradiol via vaginal suppositories offers the advantage of targeting the affected area directly, which can lead to fewer systemic side effects compared to oral hormone replacement therapy. This is particularly beneficial for patients who may be at risk for or wish to avoid systemic estrogen therapy. The estradiol in the suppository works by replenishing estrogen levels in the vaginal tissue, promoting the maintenance and repair of the mucosal lining, and facilitating the natural secretions that keep the vagina moist and lubricated. This can alleviate symptoms such as vaginal dryness, itching, and burning, and can also help prevent urinary tract infections by maintaining the health of the urogenital system.

For prescribers considering this formulation for their patients, it is important to note that estradiol vaginal suppositories should be used with caution in individuals with a history of hormone-sensitive cancers, liver dysfunction, thromboembolic disorders, or unexplained vaginal bleeding. Regular monitoring and individualized dosing are essential to ensure the safety and efficacy of the treatment. Patients should be instructed on the proper insertion technique for vaginal suppositories to maximize the therapeutic benefits and minimize potential discomfort or side effects.

Bayview Pharmacy is committed to providing high-quality compounded medications tailored to the specific needs of each patient. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of estradiol 0.1 mg Vaginal Suppositories. We work closely with prescribers to ensure that each formulation is appropriate for the patient's condition and health status. If you have any questions or require further information about this or other compounded medications, please do not hesitate to reach out to us.

Drug Interactions

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Estradiol is a form of estrogen, a female sex hormone produced by the ovaries. Estrogen is necessary for many processes in the body. Estradiol vaginal suppositories are used to treat atrophic vaginitis and kraurosis vulvae, which are symptoms of vulvar and vaginal atrophy associated with menopause. Estradiol works by replacing estrogen that is normally produced by the body. When inserted into the vagina, estradiol is absorbed through the vaginal tissue, which can help to alleviate local symptoms such as dryness, itching, and burning.

When considering the use of estradiol vaginal suppositories, it is important to be aware of potential drug interactions. Estradiol can interact with several types of medications, which can alter the effectiveness of the treatment or increase the risk of adverse effects. For example, the concurrent use of aromatase inhibitors (e.g., anastrozole, letrozole), used to treat certain types of breast cancer, may be antagonized by estradiol. Similarly, the effectiveness of tamoxifen, another breast cancer treatment, may be reduced when used with estradiol.

Medications that induce liver enzymes, such as some anticonvulsants (e.g., phenobarbital, phenytoin, carbamazepine) and anti-infectives (e.g., rifampicin, rifabutin), can increase the metabolism of estradiol, leading to decreased effectiveness. Conversely, drugs that inhibit cytochrome P450 enzymes, such as some antifungals (e.g., ketoconazole, itraconazole) and protease inhibitors, may increase the levels of estradiol and the risk of side effects.

Thyroid hormone replacement therapy may require adjustment when used with estradiol, as estrogen can increase thyroxine-binding globulin (TBG) levels, affecting thyroid function tests. Patients on thyroid replacement therapy should be monitored for changes in thyroid function when initiating or discontinuing estradiol treatment.

Additionally, estradiol can affect the anticoagulant effects of warfarin, and patients may require closer monitoring of their prothrombin time or INR. Corticosteroids may also be affected, as estrogen can increase their bioavailability, potentially requiring a dosage adjustment.

It is also important to note that the concurrent use of other vaginal products may alter the absorption or effectiveness of estradiol vaginal suppositories. Patients should inform their healthcare provider of all medications, supplements, and herbal products they are using before starting treatment with estradiol.

Patients should be advised to report any unusual vaginal bleeding, new breast lumps, or signs of blood clots (such as sudden chest pain, shortness of breath, or changes in vision) to their healthcare provider. These could be signs of serious side effects that require immediate medical attention.

Healthcare providers should review the patient's full medication profile for potential drug interactions before prescribing estradiol vaginal suppositories. Adjustments to therapy or additional monitoring may be necessary to ensure safe and effective use of this medication.

If you have any questions or require further information regarding drug interactions with estradiol vaginal suppositories, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance needed to ensure optimal treatment outcomes.

How Does it Work

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Estradiol 0.1 mg vaginal suppositories are a specialized form of hormone replacement therapy designed to deliver a precise dose of estradiol directly to the vaginal tissue. Estradiol is a form of estrogen, a female hormone that regulates many processes in the body. As a solid dosage form, the suppository is inserted into the vagina, where it gradually dissolves or melts at body temperature, releasing the estradiol for local absorption into the vaginal wall.

The primary mechanism by which estradiol suppositories work is through the replacement of estrogen that the body is no longer producing in sufficient quantities. This is particularly relevant in postmenopausal women or those with certain conditions that lead to estrogen deficiency. By delivering estradiol directly to the vaginal tissue, the suppository helps to alleviate symptoms such as vaginal atrophy, dryness, itching, and burning, which are often associated with menopause or estrogen deficiency. The local application of estradiol minimizes systemic absorption, which can be beneficial in reducing the potential for systemic side effects and risks associated with oral hormone replacement therapy.

In addition to treating the symptoms of vaginal atrophy, estradiol vaginal suppositories can also help in maintaining the health and integrity of the vaginal tissue. Estrogen plays a crucial role in maintaining the thickness and elasticity of the vaginal walls, as well as in promoting the production of natural lubrication. By restoring estrogen levels locally, estradiol suppositories can help to prevent the progression of vaginal atrophy and improve sexual health and comfort.

While estradiol vaginal suppositories are primarily used for their local effects, there may be some degree of systemic absorption, especially with prolonged use or higher doses. Therefore, it is important for prescribers to consider the patient's overall hormone replacement therapy regimen to avoid excessive estrogen exposure, which could increase the risk of certain conditions such as blood clots or breast cancer.

Patients should be instructed on how to properly insert the suppository to ensure optimal efficacy and comfort. It is typically recommended to insert the suppository before bedtime to reduce the likelihood of the suppository being expelled and to maximize the residence time for absorption. Patients should also be aware of potential side effects, such as local irritation or discharge, and should contact their healthcare provider if they experience any adverse effects or have concerns about their treatment.

For prescribers and patients interested in using estradiol 0.1 mg vaginal suppositories, it is important to consider individual patient needs, existing medical conditions, and any contraindications to estrogen therapy. As compounding pharmacists at Bayview Pharmacy, we are available to answer any questions and provide additional information to ensure safe and effective use of this formulation. Please reach out to us for further assistance or consultation.

Other Uses

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Estradiol vaginal suppositories, such as the one containing 0.1 mg of estradiol, are primarily prescribed for the management of menopausal symptoms such as vaginal atrophy, dryness, burning, and irritation. These symptoms are often due to a decrease in the natural hormone estrogen. The medication works by replacing estrogen locally in the vaginal tissue, which can help restore vaginal health and alleviate these discomforts. However, estradiol in this formulation may have other uses beyond the typical menopausal symptoms relief.

For instance, estradiol vaginal suppositories may be used in premenopausal women with estrogen deficiencies due to a variety of causes such as hypogonadism, oophorectomy, or premature ovarian failure. In these cases, the suppositories can help in maintaining the health of the vaginal lining and ensure adequate estrogen levels locally. Furthermore, there is evidence that local estrogen therapy like estradiol suppositories may play a role in the treatment of certain conditions such as atrophic urethritis or recurrent urinary tract infections in postmenopausal women by improving the health of the urinary tract mucosa.

Another use for estradiol vaginal suppositories may be in the preoperative preparation or postoperative management of women undergoing vaginal surgery. Using estrogen locally may enhance tissue healing and improve surgical outcomes due to its effects on blood flow and collagen synthesis. Additionally, in cases of chemotherapy or radiation-induced vaginal dryness and atrophy, estradiol suppositories may be considered for symptomatic relief and to foster tissue repair, though this should be done with careful consideration of the patient’s overall cancer treatment plan.

While these suppositories are designed primarily for vaginal insertion, it's important to note that they should not be used rectally, as the formulation is specifically designed for the vaginal environment. Estradiol suppositories might also be considered off-label for other gynecological conditions where estrogen replacement is deemed beneficial by the healthcare provider. It's crucial for prescribers to evaluate the potential benefits and risks in individual cases and to discuss these with their patients.

Patients considering the use of estradiol vaginal suppositories for conditions other than those approved by regulatory agencies should do so under the strict guidance and supervision of a healthcare professional. Prescribers and patients are encouraged to monitor for side effects and assess the efficacy of the treatment regularly. If you have any questions about the use of estradiol 0.1 mg vaginal suppositories or their potential applications beyond the scope of traditional menopausal symptom management, please reach out to us at Bayview Pharmacy. We are here to provide the information and support you need to make informed decisions about your healthcare.

Frequently Asked Questions

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What is an Estradiol 0.1 mg Vaginal Suppository?

An Estradiol 0.1 mg Vaginal Suppository is a solid dosage form containing the hormone estradiol. It is designed to be inserted into the vagina where it dissolves or melts, releasing the medication for local absorption into the vaginal tissue.

How does the Estradiol Vaginal Suppository work?

Once inserted into the vagina, the suppository begins to dissolve or melt due to the body's warmth. This releases the estradiol hormone, which is then absorbed by the vaginal walls to exert its therapeutic effects, such as alleviating menopausal symptoms or addressing hormonal imbalances.

What are the indications for using Estradiol Vaginal Suppositories?

Estradiol Vaginal Suppositories are commonly prescribed to manage symptoms related to menopause, such as vaginal atrophy, dryness, itching, and burning. They may also be used in hormone therapy for conditions involving estrogen deficiency.

How should I insert the Estradiol Vaginal Suppository?

Wash your hands thoroughly before handling the suppository. Lie on your back with your knees bent or stand with one leg elevated. Gently insert the suppository into the vagina as far as it can comfortably go, using your finger or an applicator if provided.

How often should I use the Estradiol Vaginal Suppository?

The dosage and frequency depend on your individual medical condition and the directions provided by your healthcare provider. It's essential to follow the prescribed schedule without deviation unless otherwise instructed by a medical professional.

Can I use Estradiol Vaginal Suppositories during my period?

Using vaginal suppositories during your period is generally not recommended. Menstrual flow could potentially hinder the proper absorption of the medication. It is best to consult with your healthcare provider for individual advice regarding usage during menstruation.

Are there any potential side effects of using Estradiol Vaginal Suppositories?

Some common side effects include local irritation, vaginal itching or discharge, and mild bleeding or spotting. More serious side effects can occur, and any unusual symptoms or persistent discomfort should be reported to your healthcare provider immediately.

Will the Estradiol Vaginal Suppository affect my daily activities?

Generally, Estradiol Vaginal Suppositories should not interfere with your daily activities. However, it is recommended to avoid activities such as swimming or vaginal intercourse immediately after inserting the suppository to ensure the medication is properly absorbed.

How should I store the Estradiol Vaginal Suppositories?

Store the suppositories at room temperature away from moisture and heat. Keep them in their original packaging until ready for use, and make sure they are kept out of reach of children and pets.

What should I do if I forget to insert the Estradiol Vaginal Suppository at the scheduled time?

If you miss a dose and it is reasonably close to the time when the dose was due, insert the suppository as soon as you remember. If it's near the time of your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up without consulting your healthcare provider.

Is it safe to drive or operate heavy machinery after using an Estradiol Vaginal Suppository?

Using Estradiol Vaginal Suppository typically does not impair your ability to drive or operate heavy machinery. However, if you experience any side effects that might affect your ability to perform these activities safely, avoid them and contact your healthcare provider.

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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.