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Formulas

Estradiol 0.5 mg/Estriol 2.0 mg/Testosterone 2 mg/g Transdermal Cream

The Estradiol 0.5 mg/Estriol 2.0 mg/Testosterone 2 mg/g Transdermal Cream is a semisolid preparation that is dispensed through a pump mechanism. This formulation is designed to deliver a controlled dose of hormones directly through the skin, ensuring consistent and localized treatment. The combination of estradiol, estriol, and testosterone in this cream is commonly used in hormone replacement therapy to alleviate symptoms associated with menopause, such as hot flashes, vaginal dryness, and osteoporosis. Additionally, it may be prescribed to address conditions related to hormone deficiencies or imbalances in both women and men, including certain cases of hypogonadism. The transdermal route of administration is chosen for its ability to provide steady hormone levels and for its convenience of use.

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Estradiol
Estriol
Testosterone
Topical Cream
655eb4193c252e422ce0d5d7
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Formula Information

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The Estradiol 0.5 mg/Estriol 2.0 mg/Testosterone 2 mg/g 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 precise dose with each actuation, minimizing dosing errors and ensuring consistency in therapy.

The formulation combines estradiol and estriol, both of which are forms of estrogen, and testosterone. Estrogen is crucial for many body processes in women, and its topical application can help alleviate symptoms associated with menopause, such as hot flashes, vaginal dryness, and bone loss. Estriol, being a weaker estrogen, is often used for its potential benefits in skin elasticity and thickness, which may improve the appearance of the skin and reduce wrinkles. Testosterone, included in the formulation, is not only important for sexual health and bone density in both men and women but may also contribute to muscle strength and mood stabilization.

This transdermal cream is particularly beneficial for patients who are seeking hormone replacement therapy (HRT) but want to avoid oral administration or have contraindications to systemic therapy. Transdermal application bypasses the first-pass metabolism in the liver, potentially reducing the risk of adverse effects and improving the bioavailability of the hormones. The combination of hormones in this formulation can be tailored to the individual needs of the patient, based on their hormonal deficiencies or imbalances, and is often used in the management of menopausal symptoms, andropause symptoms in men, or as part of a broader hormone replacement therapy plan.

It is important for both patients and prescribers to be aware that this is a customized medication prepared in a compounding pharmacy. The use of this cream should be based on a thorough evaluation of the patient's medical history, current symptoms, and hormone levels. Regular monitoring and follow-up with the healthcare provider are essential to adjust the dose and ensure the effectiveness and safety of the treatment. As with any hormone therapy, there are potential risks and side effects, which should be discussed with a healthcare professional.

If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure optimal patient care and treatment outcomes.

Drug Interactions

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The transdermal cream containing estradiol, estriol, and testosterone is a compounded medication that combines estrogen and testosterone, hormones that play key roles in various physiological processes in the body. Estradiol and estriol are forms of estrogen, a female sex hormone that is essential for many body functions, including reproductive and sexual health. Testosterone, while typically considered a male hormone, is also important for women's health, influencing libido, energy levels, and bone density. This formulation is often used to treat symptoms associated with menopause, such as hot flashes, vaginal dryness, and osteoporosis, as well as to improve sexual function and overall quality of life.

When using this transdermal cream, it is important to be aware of potential drug interactions. Estrogens can interact with a variety of medications, potentially altering their effects. For example, they may reduce the effectiveness of aromatase inhibitors, which are used in the treatment of certain types of breast cancer. Concurrent use with thyroid hormone replacement therapy may necessitate adjustments in the dose of thyroid medication, as estrogens can increase thyroid-binding globulin levels, affecting thyroid hormone availability.

Estrogens may also interact with anticoagulants such as warfarin, leading to an increased risk of bleeding. Patients on anticoagulant therapy should be closely monitored for changes in prothrombin time or INR. Additionally, estrogens can affect the metabolism of certain drugs processed by liver enzymes, particularly those involving the cytochrome P450 system. This can lead to either increased or decreased concentrations of these drugs, potentially requiring dose adjustments.

Testosterone can also interact with various medications. It may enhance the anticoagulant effects of warfarin and other blood thinners, increasing the risk of bleeding. Patients using these medications should be monitored closely. Testosterone may also affect blood sugar levels, which can be of particular concern for patients with diabetes. Diabetic patients may need to adjust their insulin or oral diabetic medication dosages accordingly.

It is important to note that the use of this transdermal cream may also influence the results of certain laboratory tests. For instance, it can affect tests for thyroid function, coagulation parameters, glucose tolerance, and lipid profiles. Patients should inform their healthcare provider and the laboratory personnel that they are using this medication.

Patients should be advised to inform their healthcare providers of all medications they are taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins, to avoid potential interactions. Healthcare providers should review the patient's medication profile for possible interactions before prescribing this transdermal cream.

If you have any questions or require further information regarding this formulation and its potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

How Does it Work

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The Estradiol 0.5 mg/Estriol 2.0 mg/Testosterone 2 mg/g Transdermal Cream is a compounded medication that combines three hormones, estradiol, estriol, and testosterone, in a transdermal cream base. This formulation is designed to deliver hormones directly through the skin into the bloodstream, providing an alternative to oral or injectable hormone therapies. The cream is dispensed in a pump mechanism, which allows for precise dosing and ease of application. The pump dispenses a consistent amount of cream with each actuation, ensuring that patients receive the correct dose of medication.

Estradiol and estriol are forms of estrogen, a hormone that plays a critical role in the female reproductive system and in maintaining the health of various bodily tissues, including bone, skin, and the cardiovascular system. Estrogen therapy is often used to treat symptoms of menopause, such as hot flashes, vaginal dryness, and osteoporosis. The combination of estradiol and estriol in this formulation provides a balanced approach to estrogen replacement, as estriol is considered a weaker estrogen and may offer a favorable safety profile when used in conjunction with estradiol.

Testosterone, although commonly associated with male physiology, is also an important hormone for women, contributing to muscle strength, bone density, and sexual function. In this formulation, testosterone is included to address conditions such as hypoactive sexual desire disorder (HSDD) in women, where there is a deficiency or imbalance of this hormone. Additionally, testosterone can have positive effects on mood, energy levels, and overall well-being.

The transdermal delivery system of this cream allows for the hormones to be absorbed through the skin, bypassing the gastrointestinal tract and liver, which can metabolize and alter hormones before they reach the systemic circulation. This can result in more consistent blood levels of the hormones and potentially reduce the risk of side effects associated with oral hormone therapies. The transdermal route also allows for the application of hormones to specific areas of the body, which may be beneficial for localized symptoms such as vaginal dryness or for targeted effects.

It is important 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. The specific dose and combination of hormones are determined based on the patient's symptoms, hormone levels, and health history. Regular monitoring and adjustments may be necessary to achieve the desired therapeutic outcomes and minimize potential risks.

If you have any questions or require further information about this formulation and how it may benefit specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and effective use of this transdermal hormone therapy.

Other Uses

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The transdermal cream containing Estradiol 0.5 mg, Estriol 2.0 mg, and Testosterone 2 mg/g is primarily formulated for hormone replacement therapy in women, particularly for those experiencing symptoms of menopause or perimenopause such as hot flashes, vaginal dryness, and mood swings. The synergistic effects of estradiol and estriol can help in restoring the natural balance of female hormones and provide relief from menopausal symptoms, while the inclusion of testosterone can improve libido, muscle mass, and energy levels.

Aside from its primary indication, this hormone combination may offer other therapeutic benefits. Some women may find that transdermal hormone replacement can contribute to an overall sense of well-being and improve conditions such as osteoporosis by potentially aiding in the preservation of bone density when used long-term under medical supervision. Additionally, there is evidence to suggest that balanced hormone levels achieved through such formulations can help maintain skin elasticity and reduce the formation of wrinkles, thereby providing cosmetic benefits.

This unique combination cream may also be used off-label for managing certain conditions under the guidance of a healthcare provider. For instance, in some cases, the testosterone component may be considered for women with hypoactive sexual desire disorder (HSDD), who have low sexual desire causing personal distress. Subsequent to a thorough evaluation by a healthcare professional, this formulation could be tailored to individual patient needs.

It is important to note that while there may be other potential uses, the safety and efficacy of this transdermal cream for indications other than those approved may not have been established by rigorous scientific studies and should be used with caution. Patients and prescribers should engage in a comprehensive discussion regarding the benefits and risks of using this compound for off-label purposes, including a review of the patient's full medical history and current medications to preemptively address possible drug interactions or contraindications.

If you have any questions or concerns about this transdermal cream or its potential uses, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is dedicated to ensuring that patients and prescribers are well-informed and receive the highest level of care and customized pharmaceutical solutions.

Frequently Asked Questions

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What is the purpose of this transdermal cream?

This compounded transdermal cream is designed to deliver a combination of hormones – Estradiol, Estriol, and Testosterone – through the skin to help manage symptoms associated with hormonal imbalances or deficiencies. It is often prescribed for hormone replacement therapy in women.

How do I use the transdermal cream?

Apply the cream as directed by your healthcare provider. Typically, you'll press the pump to dispense the prescribed amount of cream and then apply it to clean, dry skin on an area of the body as advised, such as the inner forearm or thigh. Avoid applying the cream to broken skin or sensitive areas.

How often should I apply the transdermal cream?

The frequency of application will depend on your individual prescription. Some regimens may require daily application, while others may have different instructions. Always follow your healthcare provider's recommendations.

Can I apply the cream to any area of skin?

No, you should only apply the cream to areas recommended by your healthcare provider, as the absorption rate can vary depending on the skin site. Common application areas include the inner forearm or thigh.

What should I do if I miss a dose?

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

Will this transdermal cream have any side effects?

As with any medication, side effects are possible. Common side effects include skin irritation at the site of application, headaches, and hormonal changes such as mood swings or weight changes. Contact your healthcare provider if you experience any severe or persistent side effects.

How should I store the transdermal cream?

Store the cream at room temperature, away from heat and direct light. Do not freeze. Keep the pump bottle out of reach of children and pets.

Certain medications may interact with the cream. What should I avoid?

It's important to inform your healthcare provider about all medications and supplements you are taking, as certain substances can interact with hormone therapy. Follow your provider's advice regarding any specific medications or substances to avoid.

Can I shower or swim after applying the transdermal cream?

After applying the cream, allow enough time for it to absorb fully into your skin before showering, bathing, or swimming. This typically means waiting for at least 1 to 2 hours to ensure the medication has been adequately absorbed.

Is the dosage of this transdermal cream customizable?

Yes, compounded medications like this transdermal cream are often customized to suit the specific needs and hormonal requirements of the patient as determined by their healthcare provider.

How long does a bottle of transdermal cream last?

The duration a bottle lasts will depend on the prescribed dosage and frequency of application. Your pharmacist can give you an estimate based on your individual prescription.

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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.