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Estradiol 0.25 mg/Estriol 1 mg/Testosterone 2 mg/gm Transdermal Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Estradiol
Estriol
Testosterone

The Estradiol 0.25 mg/Estriol 1 mg/Testosterone 2 mg/gm Transdermal Cream is a compounded medication that combines three hormones in a semisolid dosage form. This cream is specifically formulated for transdermal delivery, allowing the active ingredients to be absorbed through the skin. The preparation is dispensed in a pump mechanism, which ensures a convenient, hygienic, and controlled application. This dosage form is designed to provide localized treatment, which can help to minimize systemic side effects.

This hormone therapy is primarily used to treat symptoms associated with menopause, such as hot flashes, vaginal dryness, and osteoporosis prevention. Additionally, it may be prescribed for conditions that result from hormone imbalances or deficiencies, such as certain types of amenorrhea or androgen deficiency. The combination of estradiol, estriol, and testosterone in this formulation works synergistically to restore hormonal balance and alleviate the associated symptoms of these disease states.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Estradiol
Estriol
Testosterone
Topical Cream
655ebf9c1f0d0ee8b03843a2
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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The Estradiol 0.25 mg/Estriol 1 mg/Testosterone 2 mg/gm Transdermal Cream is a compounded medication specifically designed to deliver a combination of hormones directly through the skin. This semisolid preparation is dispensed in a pump mechanism, which ensures a convenient, hygienic, and controlled application. The pump is calibrated to deliver a consistent dose with each use, which is crucial for maintaining the precise dosing required for hormone replacement therapy (HRT).

The formulation combines estradiol and estriol, two forms of estrogen, with testosterone. Estrogens are primarily used in HRT for women who are experiencing symptoms of menopause, such as hot flashes, night sweats, vaginal dryness, and osteoporosis prevention. The inclusion of testosterone, a hormone that both men and women produce, can help with sexual dysfunction, general well-being, and maintaining muscle mass and bone density. The balance of these hormones is critical, as it can affect a wide range of bodily functions and overall health.

Transdermal delivery of hormones has advantages over oral administration, including the avoidance of first-pass metabolism by the liver, which can lead to more stable blood levels and reduced side effects. This is particularly important for patients who may have liver disorders or those who are at risk for thromboembolic events, as oral estrogens have been associated with an increased risk of such complications. Additionally, the transdermal route can be more convenient and may lead to better patient adherence to therapy.

It is essential for patients and prescribers to understand that this compounded formulation is tailored to individual needs and should be used under the guidance of a healthcare professional with expertise in hormone therapy. Monitoring of hormone levels and adjustment of the dose may be necessary to achieve optimal therapeutic outcomes and minimize side effects. Patients should be educated on the proper use of the pump dispenser, the application of the cream to the appropriate skin areas, and the importance of following the prescribed dosing schedule.

For prescribers considering this formulation for their patients, it is important to note that compounded medications are not reviewed by the FDA for safety or efficacy. Prescribers should ensure that they are working with a reputable compounding pharmacy that follows strict compounding guidelines and quality assurance practices. Bayview Pharmacy is committed to providing high-quality compounded medications and is available to answer any questions or concerns regarding this formulation or other compounding needs.

If you have any questions or require further information about this transdermal cream or other compounding services, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you.

Drug Interactions

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The transdermal cream containing estradiol, estriol, and testosterone is a compounded medication used for hormone replacement therapy, primarily in postmenopausal women or individuals with hormonal deficiencies. The active ingredients in this formulation can interact with various medications and substances, which may alter their effectiveness or increase the risk of adverse effects. It is crucial for both patients and prescribers to be aware of these potential interactions.

Estradiol and estriol are forms of estrogen, a hormone that can interact with thyroid hormone replacement therapy. Estrogens may decrease the effectiveness of levothyroxine by increasing thyroid-binding globulin levels, necessitating adjustments in thyroid medication dosages. Additionally, estrogens can reduce the clearance of corticosteroids, potentially leading to increased effects or side effects of corticosteroids. Patients taking anticoagulants, such as warfarin, should be monitored closely, as estrogens can increase prothrombin time, potentially requiring dosage adjustments of the anticoagulant.

Testosterone, another hormone in this formulation, can interact with oral anticoagulants, increasing the risk of bleeding. Blood coagulation parameters should be monitored, and anticoagulant dosages may need to be adjusted. Testosterone may also affect blood glucose levels, which is particularly important for patients with diabetes. Insulin or oral hypoglycemic dosages may need to be adjusted under the supervision of a healthcare provider. Additionally, testosterone can increase the action of cyclosporine, leading to increased risk of cyclosporine toxicity.

Concomitant use of this transdermal cream with other topical medications on the same skin area should be approached with caution, as there may be alterations in the absorption of either medication. Patients should inform their healthcare provider of all topical treatments they are using. Furthermore, substances such as alcohol, which can cause skin vasodilation, may affect the absorption rate of the hormones in the transdermal cream.

It is also important to note that certain herbal supplements, such as St. John's Wort, can induce hepatic enzymes and potentially reduce the effectiveness of hormonal therapies. Patients should discuss all herbal and over-the-counter medications they are taking with their healthcare provider.

This transdermal cream is used to treat symptoms associated with menopause, such as hot flashes, vaginal dryness, and osteoporosis prevention, as well as hormone deficiencies in both men and women. The combination of estrogens and testosterone can help in balancing hormone levels and alleviating these symptoms. However, the risk of hormone-sensitive cancers should be evaluated before initiating treatment, and patients with a history of such cancers should typically avoid this therapy.

Patients and prescribers should be aware that this is not an exhaustive list of all potential interactions. It is essential to review all medications, including over-the-counter drugs and supplements, with a healthcare provider before starting this transdermal cream. For any questions or concerns regarding this formulation or its interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Estradiol 0.25 mg/Estriol 1 mg/Testosterone 2 mg/gm Transdermal Cream is a compounded medication that combines three hormones, estradiol, estriol, and testosterone, in a transdermal delivery system. This semisolid preparation is specifically designed to be dispensed from a pump mechanism, which allows for a convenient, controlled, and consistent application of the medication directly onto the skin. The transdermal route of administration is chosen for its ability to deliver the active ingredients directly into the bloodstream through the skin, bypassing the gastrointestinal tract and liver, which can metabolize and reduce the effectiveness of oral medications.

Estradiol and estriol are forms of estrogen, a hormone that plays a critical role in the regulation of many processes in the female body, including the menstrual cycle and reproductive system. Estrogen is also important for maintaining the health of other tissues, including bone, skin, and cardiovascular tissues. Testosterone, while typically considered a male hormone, is also present in females and contributes to libido, energy levels, and overall well-being. In women, testosterone is produced in the ovaries and adrenal glands and has significant physiological effects.

This transdermal cream is used to treat various disease states associated with hormonal imbalances or deficiencies, such as menopausal symptoms (hot flashes, night sweats, vaginal dryness), certain cases of osteoporosis, and hypoactive sexual desire disorder. By delivering hormones directly through the skin, the cream can help to restore hormonal balance and alleviate these symptoms. The combination of estradiol, estriol, and testosterone in one formulation provides a comprehensive approach to hormone replacement therapy, targeting multiple symptoms with a single application.

The cream's base is designed to enhance the absorption of the hormones into the skin and to ensure that they are delivered at a steady rate. The pump mechanism dispenses a measured dose with each actuation, which helps to ensure that patients receive the correct amount of medication with each use. Patients are typically instructed to apply the cream to areas of thin skin, such as the inner wrists or forearms, where absorption can occur more efficiently.

It is important for both patients and prescribers to understand that this is a customized medication prepared by compounding pharmacists at Bayview Pharmacy to meet the specific needs of individual patients. The strength and combination of hormones can be adjusted based on the patient's symptoms, hormone levels, and response to therapy.

If you have any questions or require further information about this transdermal cream or its use in treating hormonal imbalances and associated conditions, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support to both patients and healthcare providers.

Other Uses

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The estradiol 0.25 mg/estriol 1 mg/testosterone 2 mg/gm transdermal cream is primarily used for hormone replacement therapy (HRT) in individuals undergoing menopausal symptoms or hormonal imbalances, providing a combination of estrogen and testosterone that may help in alleviating symptoms such as hot flashes, night sweats, mood swings, and vaginal dryness. This cream's unique formulation leveraging the benefits of both estrogens and testosterone can also offer potential advantages in other applications, both for males and females.

For instance, in females, this transdermal cream might be used off-label to address conditions such as fibromyalgia or chronic pain syndromes where hormonal imbalances play a role in the exacerbation of symptoms. With the controlled delivery of hormones directly through the skin, some patients may find relief in overall pain and improvement in their quality of life. Additionally, for women experiencing low sexual desire as a result of low testosterone levels, this cream may be considered as a treatment option to help improve libido due to its testosterone content.

For males, though this is less common, the testosterone component may be useful in managing symptoms associated with male hypogonadism, such as fatigue, loss of muscle mass, and reduced libido when careful consideration is given to balancing the effects of estrogens. Although not typically prescribed for men, under the guidance of a healthcare provider, it may be tailored to suit individual therapeutic needs. It is vital to be aware that the use of any hormonal products in males should be approached with caution and under strict medical supervision to avoid potential adverse effects, such as gynecomastia or exacerbation of hormone-sensitive conditions.

Beyond these clinical scenarios, research has been exploring the neuroprotective effects of estrogens and testosterone in cognitive functions. There have been suggestions that hormone replacement may play a role in the management of neurodegenerative diseases like Alzheimer's disease, although this application is not well established and warrants further study before it can be routinely recommended.

In any case, it is essential that the use of this transdermal cream, for indications other than the primary ones, is based on a thorough evaluation and under the advice of a healthcare professional. The safety and effectiveness of the off-label uses have not been established by regulatory agencies, and careful monitoring for side effects is necessary. We remind patients and prescribers that individual responses to hormone therapy can vary; hence, dosage adjustments and adherence to monitoring protocols are crucial. If you have any questions or concerns regarding the use of this specific transdermal hormone formulation for conditions other than those mentioned, please reach out to us for more personalized information and guidance.

Frequently Asked Questions

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What is Estradiol/Estriol/Testosterone Transdermal Cream?

This cream is a compounded formulation that combines Estradiol 0.25 mg, Estriol 1 mg, and Testosterone 2 mg per gram in a semisolid base. It is designed for transdermal delivery of these hormones through the skin to provide localized treatment or systemic absorption.

How should I use this transdermal cream?

Apply the cream as directed by your healthcare provider. It typically involves pressing the pump mechanism to dispense the prescribed amount of cream, which is then spread evenly on clean, dry skin in the area specified by your doctor.

Where on my body should I apply this cream?

Your healthcare provider will instruct you on specific areas of your body to apply the cream. Common areas include the inner arms, thighs, or abdomen, away from sensitive areas like the eyes and mucous membranes.

How often should I apply this compounded cream?

The frequency of application will be determined by your healthcare provider based on your individual needs and hormonal levels. Follow the prescribed regimen and do not alter the dosage without consulting your doctor.

Can men use this Estradiol/Estriol/Testosterone cream?

This cream may be prescribed for men in certain clinical situations, but it is important for any patient to use it only under the direct supervision and prescription of a healthcare provider.

What are the potential side effects of using this transdermal cream?

Side effects can include skin irritation at the application site, hormonal imbalance symptoms such as mood swings or weight changes, and other individual reactions. If you experience any severe side effects, contact your healthcare provider.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's close to the time for your next dose, skip the missed dose and resume your normal dosing schedule. Do not double the dose to catch up.

How do I store the Estradiol/Estriol/Testosterone cream?

Store the cream at room temperature away from light and moisture. Keep the pump mechanism closed when not in use. Do not refrigerate or freeze the medication and keep it out of reach of children and pets.

Can I use other medications or creams with this compounded formulation?

Before using any additional medications or topical agents, consult with your healthcare provider to ensure they are compatible with the hormones in your transdermal cream and that there is no risk of interactions.

Is this transdermal cream safe to use during pregnancy or breastfeeding?

This compounded cream contains hormones that may not be safe during pregnancy or while breastfeeding. Always inform your healthcare provider if you are pregnant, planning to become pregnant, or are breastfeeding before using this medication.

Can I be exposed to sunlight after applying this cream?

Normal exposure to sunlight is generally acceptable, but you should avoid exposing the treated area to strong sunlight or UV light, as it might alter the effectiveness of the product. Always consult your healthcare provider for specific advice.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Estradiol 0.25 mg/Estriol 1 mg/Testosterone 2 mg/gm Transdermal Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Once daily