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Formulas

Estradiol 1.2 mg/Estriol 4.8 mg/Testosterone 4 mg/g Topical Cream

The Estradiol 1.2 mg/Estriol 4.8 mg/Testosterone 4 mg/g Topical Cream is a compounded medication that combines the estrogen hormones estradiol and estriol with testosterone in a semisolid cream base. This formulation is specifically designed to be dispensed from a pump mechanism, which allows for easy, controlled application to the skin. The cream is intended for localized treatment and is absorbed through the skin to deliver the active ingredients directly to the affected area.

This hormone therapy is commonly used to manage symptoms associated with menopause, such as hot flashes, vaginal dryness, and osteoporosis prevention. Additionally, it may be prescribed for conditions that benefit from topical hormone replacement therapy, including certain hormonal imbalances and deficiencies. The combination of estradiol, estriol, and testosterone in this formulation works synergistically to alleviate these disease states by replenishing hormone levels and providing relief from the associated symptoms.

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Topical Cream
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Formula Information

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The Estradiol 1.2 mg/Estriol 4.8 mg/Testosterone 4 mg/g Topical Cream is a compounded medication specifically formulated 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 designed to dispense a consistent dose with each use, which is crucial for maintaining the precise dosing required for hormone replacement therapy (HRT).

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. The use of estradiol and estriol in this cream can help alleviate symptoms associated with menopause, such as hot flashes, vaginal dryness, and bone loss. Estriol is considered a weaker estrogen and is often used in combination with estradiol to provide a balanced estrogenic effect with potentially fewer side effects.

Testosterone, although commonly recognized as a male hormone, is also important in females for bone strength, brain function, and the maintenance of libido. The inclusion of testosterone in this formulation can help address symptoms of testosterone deficiency in women, such as fatigue, mood swings, and decreased sexual desire.

This topical cream is particularly beneficial for patients who may have contraindications to oral hormone therapies or for those who prefer a localized treatment to minimize systemic exposure. The topical route of administration allows for the hormones to be absorbed directly into the bloodstream through the skin, bypassing the gastrointestinal tract and liver, which can reduce the risk of certain side effects and improve hormone utilization.

It is important for both patients and prescribers to understand that this is a customized medication prepared by a compounding pharmacy. The dosages of estradiol, estriol, and testosterone in this cream are tailored to meet the specific needs of the patient, based on their individual hormone levels and clinical response. Regular monitoring and follow-up with a healthcare provider are essential to ensure the effectiveness of the therapy and to make any necessary adjustments to the treatment regimen.

As with any hormone replacement therapy, there are potential risks and side effects that should be discussed with a healthcare provider. These may include skin irritation at the site of application, hormonal imbalances, and an increased risk of certain types of cancer. Patients should be counseled on the proper use of the pump dispenser, the amount of cream to apply, and the appropriate sites of application on the body.

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 knowledgeable compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this customized medication.

Drug Interactions

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The estradiol, estriol, and testosterone topical cream is a compounded medication that combines estrogen and androgen hormones for use on the skin. It is important to be aware of potential drug interactions when using this formulation. As with any hormone therapy, the active ingredients in this cream can interact with a variety of medications and substances, which could either diminish the effectiveness of the treatment or increase the risk of adverse effects.

One key interaction is with blood thinners or anticoagulants, such as warfarin. Estrogens can potentially increase the risk of blood clots, which could counteract the effects of anticoagulants. Patients on blood thinners should be closely monitored by their healthcare provider while using this cream. Additionally, certain medications metabolized by liver enzymes, particularly those processed by the cytochrome P450 system, may have altered effects when used concurrently with hormones. This is because estrogens and androgens can either induce or inhibit these enzymes, leading to increased or decreased levels of these medications in the body.

Thyroid function tests may also be affected by the use of estrogens, so patients on thyroid replacement therapy may require adjustments in their thyroid medication dosage. It is important to monitor thyroid levels regularly to ensure proper management of thyroid conditions. Furthermore, patients using corticosteroids or other hormonal therapies, such as oral contraceptives or hormone replacement therapy, should be aware that the topical application of additional hormones may alter the effects of these medications. This could lead to an imbalance and potential side effects or reduced efficacy of treatment.

Substances that may increase the metabolism of hormones, such as certain anticonvulsants and herbal products like St. John's Wort, could decrease the effectiveness of the topical cream. Conversely, substances that inhibit hormone metabolism, such as certain antibiotics and grapefruit juice, could increase hormone levels and the risk of side effects. It is crucial to inform the healthcare provider of all medications, supplements, and herbal products being used to avoid potential interactions.

Patients with a history of hormone-sensitive cancers or conditions should use this formulation with caution, as it may potentially influence the progression of these diseases. It is essential to discuss the risks and benefits with a healthcare provider before starting treatment. Additionally, patients with liver impairment, thromboembolic disorders, or cardiovascular disease should be evaluated carefully before using hormone-based therapies due to the increased risk of complications associated with these conditions.

This topical cream is designed to treat symptoms associated with hormonal imbalances or deficiencies, such as menopausal symptoms, androgen deficiency, and certain dermatological conditions that respond to hormone therapy. The combination of estradiol, estriol, and testosterone can help alleviate symptoms by providing a localized increase in hormone levels, which may improve skin texture, increase libido, and reduce hot flashes and other menopausal symptoms.

It is important for both patients and prescribers to be aware of these potential interactions and to monitor for any adverse effects or changes in the efficacy of the treatment. If you have any questions or concerns regarding this formulation or its interactions with other medications, please reach out to us at Bayview Pharmacy for further information and guidance.

How Does it Work

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The Estradiol 1.2 mg/Estriol 4.8 mg/Testosterone 4 mg/g Topical Cream is a compounded medication that combines three hormones, estradiol, estriol, and testosterone, in a topical cream base. This formulation is designed to be applied directly to the skin, where it can be absorbed into the bloodstream to exert its effects. The cream is dispensed in a pump mechanism, which allows for precise dosing and ensures that each application delivers a consistent amount of the active ingredients.

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 tissues, including the skin, bones, and cardiovascular system. Estrogen therapy is often used to treat symptoms of menopause, such as hot flashes, vaginal dryness, and osteoporosis. By combining estradiol and estriol, this formulation aims to provide a balanced estrogen effect, potentially reducing the risk of side effects associated with estrogen therapy. Estriol is considered to be a weaker estrogen and may offer a gentler option for those sensitive to stronger estrogens like estradiol.

Testosterone, although commonly known as a male hormone, is also important in females for maintaining muscle mass, bone density, and sexual health. In this formulation, testosterone is included to address symptoms such as low libido, fatigue, and loss of muscle strength that can occur with hormonal imbalances or deficiencies.

The topical application of this cream allows for the hormones to be absorbed through the skin and into the local tissue or systemic circulation. This route of administration can be advantageous as it bypasses the gastrointestinal tract and liver on the first pass, potentially reducing the risk of gastrointestinal side effects and alterations in liver metabolism that can occur with oral hormone therapies. Additionally, the topical route may allow for more consistent blood levels of the hormones.

This compounded cream is often used in hormone replacement therapy (HRT) for women who are experiencing symptoms of menopause or hormonal imbalances. It may also be used in certain cases of androgen deficiency or as part of a broader hormone management strategy in transgender individuals undergoing feminizing hormone therapy. The specific combination of estradiol, estriol, and testosterone in this formulation is tailored to address the unique needs of the patient, and the dosage may be adjusted based on individual response and hormone levels.

It is important for patients and prescribers to understand that this is a customized medication prepared by a compounding pharmacy. The effectiveness and safety of the formulation should be monitored closely, and hormone levels should be checked periodically to ensure that the therapy is achieving the desired outcomes without causing adverse effects. Patients should follow the application instructions provided by the pharmacy and report any side effects or concerns to their healthcare provider.

If you have any questions about this formulation or how it works, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support to ensure the best possible treatment outcomes for our patients.

Other Uses

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The topical cream containing Estradiol 1.2 mg, Estriol 4.8 mg, and Testosterone 4 mg/g is primarily formulated for hormone replacement therapy in postmenopausal women, often addressing symptoms of menopause such as hot flashes, vaginal atrophy, and osteoporosis prevention. However, this specific combination of hormones may have other potential therapeutic roles given the activities of these hormones in various tissue types.

In addition to its primary use, this topical cream may be employed to improve skin health in postmenopausal women. Studies suggest that estrogen can increase skin thickness and improve skin moisture, which could potentially be beneficial for women experiencing skin dryness or atrophy as a result of decreased estrogen levels associated with menopause. Similarly, testosterone is known to contribute to skin sebum production and may aid in maintaining the skin's overall condition.

Another consideration is the potential use of the cream for certain patients who may experience a decrease in libido due to hormonal imbalances. The combination of estradiol, estriol, and testosterone in this cream may help enhance libido by restoring hormone levels closer to the physiological range.

While these off-label uses may be beneficial for some patients, it is imperative to note that they should not be pursued without thorough consultation with a healthcare provider and consideration of the individual patient's health history, risk factors, and current medication regimen. It's crucial to be aware of the potential risks versus benefits in each unique case and monitor for side effects with compounding formulations, especially since such formulations are not typically reviewed by regulatory agencies in the same way as commercially available products.

If you have any questions regarding the potential alternative uses of this topical hormone cream or wish to discuss further the evidence supporting such uses, our team at Bayview Pharmacy is available to provide more information and personalized advice. We are committed to ensuring that our patients and prescribers receive the most up-to-date and comprehensive guidance possible on our compound formulations.

Frequently Asked Questions

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What is the purpose of using this compounded hormone cream?

This cream is a compounded medication that combines bioidentical hormones including estradiol, estriol, and testosterone. It's intended to treat symptoms related to hormonal imbalances or deficiencies such as menopausal symptoms, and it works by providing localized treatment with hormones that are chemically similar to those naturally produced by the body.

How do I use this topical hormone cream?

Apply the cream to clean, intact skin as directed by your healthcare provider. The pump mechanism is designed to dispense a controlled amount of cream with each pump. Typically, the cream is applied once or twice daily, but follow your healthcare provider's instructions regarding dosage and application sites.

What are the benefits of a cream with a pump mechanism?

The pump mechanism provides a convenient and hygienic way to dispense the medication, ensuring consistent dosing with each application and minimizing the risk of contamination.

Can this cream be applied anywhere on the body?

It's important to apply the cream only to areas recommended by your healthcare provider, which could include the arms, thighs, or stomach. Avoid applying to sensitive areas such as broken skin or near the eyes and mouth.

Are there any side effects associated with this hormone cream?

As with any medication, there may be side effects. Common side effects can include skin irritation at the application site, and systemic effects related to hormone exposure. If you experience any severe side effects or reactions, contact your healthcare provider immediately.

How should I store the hormone cream?

Store the cream at room temperature away from direct sunlight and heat. Keep the cream out of reach of children and pets. If you are uncertain about how to store the medication properly, consult your pharmacist.

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

If you miss a dose, apply the cream as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and return to your regular application schedule. Do not double the dose to catch up.

Can men use this hormone cream?

This cream has been compounded for specific hormonal needs and may be prescribed to both men and women. Yet, men should only use it under the strict guidance and prescription of a healthcare provider who has determined its appropriateness based on individual health conditions and hormone levels.

Is this cream safe to use during pregnancy or breastfeeding?

This cream contains hormones that could potentially have effects on pregnancy and breastfeeding. It is critical to consult your healthcare provider before using the medication if you are pregnant, plan to become pregnant, or are breastfeeding.

How long does it take to see results from using this topical hormone cream?

The onset of results can vary based on individual factors such as the condition being treated and the body's response to the hormones. Some may notice improvements within a few weeks, while for others it may take longer. Consistent use as prescribed is important for best results. Discuss with your healthcare provider what to expect and when to follow up on your treatment progress.

Can I use other skin products or medications with this hormone cream?

It's best to consult with your healthcare provider before combining this hormone cream with other skin products or medications. Some products could interact or interfere with the absorption or effectiveness of the hormones.

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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.