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Formulas

Estradiol 0.3 mg/g/Estriol 1.2 mg/g Topical Cream

The Estradiol 0.3 mg/g/Estriol 1.2 mg/g Topical Cream is a compounded medication that combines two forms of estrogen, estradiol and estriol, in a semisolid dosage form. This cream is specifically designed to be dispensed from a pump mechanism, which allows for easy, controlled application to the skin. The formulation is intended for localized treatment and is absorbed through the skin to deliver the active ingredients directly to the affected area.

This topical cream is commonly used in the management of menopausal symptoms such as hot flashes, vaginal dryness, and atrophy. Additionally, it may be prescribed for conditions that result from estrogen deficiency or for hormone replacement therapy in postmenopausal women. The dual-estrogen combination aims to provide a balanced approach to alleviate symptoms and improve the quality of life for patients experiencing menopausal changes.

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Topical Cream
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Formula Information

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The Estradiol 0.3 mg/g/Estriol 1.2 mg/g Topical Cream is a compounded medication that combines two forms of estrogen, estradiol and estriol, in a semisolid cream base. This preparation is specifically designed to be dispensed from a pump mechanism, which allows for precise dosing and ease of application. The cream is intended for topical use, where it can be applied directly to the skin to achieve localized treatment effects or systemic absorption of the hormones.

Estradiol is a potent form of estrogen, the primary female sex hormone, and is identical to the hormone produced by the human ovaries. Estriol, on the other hand, is a weaker estrogen that is produced in significant amounts during pregnancy. The combination of these two estrogens in a topical cream allows for a balanced approach to hormone therapy, leveraging the benefits of both. This formulation is often used in hormone replacement therapy (HRT) for menopausal symptoms, such as hot flashes, vaginal dryness, and osteoporosis prevention. It may also be used for managing conditions like atrophic vaginitis or urogenital atrophy.

The topical route of administration provides several advantages, including the ability to apply the hormone directly to the affected area, potentially reducing systemic side effects compared to oral forms of HRT. Additionally, the use of a pump dispenser helps ensure consistent dosing, which is crucial for maintaining hormonal balance. The cream base is designed to facilitate the absorption of the active ingredients through the skin, providing a steady release of hormones into the bloodstream.

For patients and prescribers considering this formulation, it is important to note that individual responses to hormone therapy can vary, and the dosage may need to be adjusted based on therapeutic response and laboratory results. Regular monitoring and follow-up with a healthcare provider are essential to ensure the safety and efficacy of the treatment. As with any hormone therapy, there are potential risks and side effects, which should be discussed with a healthcare professional before starting treatment.

If you have any questions or require further information about the Estradiol 0.3 mg/g/Estriol 1.2 mg/g Topical Cream, or if you need assistance with dosing and administration, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing support and guidance to ensure the best possible outcomes for our patients and prescribers.

Drug Interactions

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The estradiol 0.3 mg/g and estriol 1.2 mg/g topical cream is a hormone replacement therapy primarily used to alleviate symptoms associated with menopause, such as hot flashes, vaginal dryness, and atrophy. It may also be used for other conditions as determined by a healthcare provider. When considering the use of this formulation, it is important to be aware of potential drug interactions that could affect the efficacy of the treatment or increase the risk of adverse effects.

One key interaction to be aware of is with medications that induce liver enzymes, such as carbamazepine, phenytoin, rifampicin, and St. John's Wort. These medications can increase the metabolism of estradiol and estriol, potentially reducing their effectiveness. Conversely, drugs that inhibit certain liver enzymes, such as ketoconazole, erythromycin, and grapefruit juice, may increase the levels of estradiol and estriol, leading to an increased risk of side effects.

Thyroid function may also be affected by the use of estradiol and estriol. Estrogens can increase thyroid-binding globulin (TBG) levels, which may alter the amount of thyroid hormone that is free and active in the body. Patients on thyroid replacement therapy may require monitoring and possible dose adjustments of their thyroid medication.

Additionally, the use of this topical cream may interfere with the pharmacokinetics of other topical medications applied to the same area due to alterations in skin absorption. It is advisable to apply other topical preparations at different times to avoid potential interactions.

Patients who are using anticoagulants, such as warfarin, should be monitored closely as estrogens can potentiate the effects of anticoagulants, increasing the risk of bleeding. Similarly, the concurrent use of corticosteroids or other hormones, including progestins or other estrogens, should be approached with caution, as the combined effects on hormone levels may require adjustments to dosages.

It is also important to note that smoking can reduce the effectiveness of this hormone therapy and increase the risk of serious cardiovascular side effects, especially in women over 35 years of age. Patients are strongly advised to avoid smoking while using this medication.

Lastly, patients with a history of hormone-sensitive cancers or conditions should discuss the use of this formulation with their healthcare provider, as it may be contraindicated or require careful monitoring.

This is not an exhaustive list of all possible drug interactions. Patients and prescribers are encouraged to review all medications, including over-the-counter drugs and herbal supplements, with a healthcare provider to ensure safety and efficacy. If you have any questions or concerns about the use of this topical cream or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Estradiol 0.3 mg/g/Estriol 1.2 mg/g Topical Cream is a hormone replacement therapy (HRT) designed to deliver a combination of estrogen hormones directly through the skin. Estradiol and estriol, the active ingredients in this formulation, are naturally occurring estrogens that play a crucial role in many processes in the female body. When applied topically, the cream is absorbed through the skin and enters the bloodstream, where it can exert its effects on estrogen receptors throughout the body.

Estradiol is the primary and most potent form of estrogen found in premenopausal women and is responsible for the regulation of the menstrual cycle and reproductive system. It also has beneficial effects on bone density, skin health, and the cardiovascular system. Estriol, on the other hand, is a weaker estrogen that is produced in significant amounts during pregnancy. It is thought to have a more selective action on tissues, potentially offering some benefits with a lower risk of side effects compared to stronger estrogens.

This particular cream formulation is designed to address symptoms associated with estrogen deficiency, such as those experienced during menopause, including hot flashes, vaginal dryness, and osteoporosis. By combining estradiol and estriol, the cream aims to provide a balanced approach to HRT, offering relief from menopausal symptoms while potentially minimizing the risks associated with estrogen therapy.

The cream is dispensed in a pump mechanism, which allows for precise dosing and ease of application. Patients are instructed to apply the cream to clean, dry skin, typically on the lower abdomen, thighs, or arms, depending on the prescriber's directions. The pump ensures that each dose contains a consistent amount of the active ingredients, promoting uniform absorption and effectiveness.

It is important for patients and prescribers to understand that while this topical cream can alleviate symptoms of estrogen deficiency, it should be used with caution. Estrogen therapy can be associated with risks, including an increased chance of blood clots, stroke, and certain types of cancer. Therefore, it is essential to use the lowest effective dose for the shortest duration necessary to achieve treatment goals. Regular follow-up with a healthcare provider is recommended to monitor the therapy's effectiveness and any potential side effects.

If you have any questions about this formulation or how it works, please do not hesitate to 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 care.

Other Uses

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Estradiol and estriol are both forms of estrogen, a hormone that plays a key role in the health and functioning of female reproductive tissues but also has various other impacts throughout the body. The combination of estradiol and estriol in a topical cream formulation, such as the estradiol 0.3 mg/g/estriol 1.2 mg/g topical cream dispensed from a pump mechanism, is primarily used for managing symptoms associated with menopause, such as vaginal dryness, itching, and hot flashes, as well as preventing osteoporosis. However, this combination may offer additional benefits outside these traditional indications.

Some studies have suggested that topical application of estrogens can have beneficial effects on skin health. Estrogens promote skin moisture by increasing hyaluronic acid levels in the skin, which may help in reducing the appearance of fine lines and wrinkles. They also may enhance collagen production, potentially improving skin elasticity and firmness. Further, due to its regenerative properties, this formulation might be considered for certain skin conditions that benefit from the topical application of estrogens, such as lichen sclerosus, although more research is needed in this area.

Another potential use of topical estradiol and estriol is in the treatment of mild to moderate cases of androgenetic alopecia in women (female pattern hair loss). While this is a less conventional use, some studies indicate that topical estrogen may promote hair growth by extending the growth phase of hair follicles or by delaying their entrance into the resting phase. This could be particularly beneficial for women who are postmenopausal, as they often experience a decrease in estrogen levels, which can contribute to thinning hair.

It's important to note that any off-label use of this formulation should be considered under the close supervision of a healthcare professional who can evaluate the potential risks and benefits for individual patients. Moreover, not all uses of this formulation are fully supported by the scientific community as research in some areas may still be considered preliminary.

We encourage both patients and prescribers to reach out to us at Bayview Pharmacy if you have any questions regarding the use of this topical cream, or if you are considering it for an application not mentioned here. Our skilled team of compounding pharmacists can provide guidance on its uses, potential off-label applications, possible side effects, and other considerations to ensure safe and effective use of this formulation.

Frequently Asked Questions

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What is Estradiol/Estriol Topical Cream used for?

This compounded topical cream is a hormone replacement therapy used to manage symptoms associated with menopause, such as hot flashes, vaginal dryness, and osteoporosis prevention. It is a combination of two estrogens, estradiol and estriol, to provide a balanced approach to estrogen supplementation.

How do I use Estradiol/Estriol Topical Cream?

Apply a small amount of cream onto clean, intact skin as directed by your physician. Typically, it is applied once daily or as per the dosage prescribed. Use the pump mechanism to dispense the cream, and spread it evenly on the area of skin recommended by your healthcare provider, which may be the arms, legs, or abdomen.

What are the benefits of using a pump mechanism for this cream?

The pump mechanism allows for a controlled and accurate dose with each application. It helps to ensure consistency in the amount of medication applied, reduces the likelihood of contamination, and makes the application process cleaner and more convenient.

Can I apply the cream at any time of day?

It's best to use the cream at the same time every day as directed by your healthcare provider. Some individuals prefer applying it in the morning, while others apply it at night. Your doctor will advise what is best for you based on your regimen and lifestyle.

Are there any side effects associated with Estradiol/Estriol Topical Cream?

Like all medications, this cream can cause side effects, although not everyone will experience them. Common side effects can include skin irritation, redness, or itching at the site of application. More significant side effects may include changes in weight, mood swings, or breast tenderness. If you experience any unusual symptoms or side effects, contact your healthcare provider immediately.

How should I store the Estradiol/Estriol Topical Cream?

Store the cream at room temperature, away from direct sunlight and heat. Keep the container tightly closed when not in use. Ensure it is kept out of reach of children and pets.

Can this topical cream affect my other medications?

It is possible for this cream to interact with other medications. Always tell your doctor and pharmacist about all the products you use, including prescription drugs, nonprescription drugs, and herbal products, to prevent any possible interactions.

Do I need a prescription for Estradiol/Estriol Topical Cream?

Yes, this is a compounded medication that requires a prescription from a licensed healthcare provider. It is custom-made for individual patients based on a doctor's order.

How long does it take to see the effects of Estradiol/Estriol Topical Cream?

The onset of action can vary depending on your body's response to the hormone replacement therapy. Some individuals may notice improvements in menopausal symptoms within a few weeks, while for others, it may take longer. Continual use as directed by your physician is important for optimal results.

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

If you miss a dose of the cream, apply it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Can men use Estradiol/Estriol Topical Cream?

While this cream is primarily prescribed for women to alleviate menopausal symptoms, in some cases, it might be prescribed for men. However, this occurs under strict medical supervision for specific conditions, such as for men with prostate cancer undergoing estrogen therapy. Always follow your healthcare provider's directions regarding the use of hormone treatments.

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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.