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Estriol 1 mg/ml Vaginal Cream

The Estriol 1 mg/ml Vaginal Cream is a semisolid formulation specifically compounded for the treatment of various gynecological conditions. Packaged in a tube for ease of application, this cream is designed to deliver a precise dose of estriol directly to the vaginal area. Estriol, a naturally occurring estrogen, is utilized in this formulation to address symptoms associated with menopausal changes such as vaginal atrophy and dryness. Additionally, it may be prescribed for the management of conditions like atrophic vaginitis and kraurosis vulvae. The cream's consistency ensures that the active ingredient is distributed evenly, providing relief and promoting the healing of the vaginal tissues.

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Vaginal Cream
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Formula Information

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Estriol 1 mg/ml Vaginal Cream is a specially compounded semisolid formulation intended for vaginal administration. This cream is designed to deliver a consistent dose of estriol, a naturally occurring estrogen, directly to the affected area. The cream is dispensed in a tube, which allows for convenient, hygienic, and precise application. This is particularly beneficial for patients who may experience difficulty with other dosage forms or who require localized drug delivery.

The use of Estriol in this formulation is primarily aimed at treating various gynecological conditions that are associated with estrogen deficiency. These conditions may include atrophic vaginitis, which is characterized by thinning and inflammation of the vaginal walls due to a decrease in estrogen levels, commonly seen in postmenopausal women. Estriol works by replenishing estrogen in the vaginal tissue, which can help to alleviate symptoms such as dryness, itching, burning, and pain during intercourse. Additionally, it may be used as part of hormone replacement therapy (HRT) for managing menopausal symptoms.

Estriol is considered a weaker form of estrogen compared to other forms such as estradiol, which may result in a favorable safety profile for certain patients. However, as with any estrogen therapy, it is important to assess the risks and benefits on an individual basis, particularly in patients with a history of hormone-sensitive cancers or thromboembolic disorders. The formulation's concentration of 1 mg/ml allows for flexible dosing as prescribed by a healthcare provider, tailored to the patient's specific needs and condition severity.

Patients and prescribers considering the use of Estriol 1 mg/ml Vaginal Cream should be aware of potential side effects, which may include local irritation, increased risk of endometrial hyperplasia, or systemic effects such as nausea and breast tenderness. Regular monitoring and follow-up with a healthcare provider are recommended to ensure the treatment's efficacy and safety. It is also important to discuss any other medications or supplements the patient is taking to avoid potential interactions.

For more detailed information on the Estriol 1 mg/ml Vaginal Cream formulation, or if you have any questions regarding its use, compounding process, or suitability for specific patients, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is dedicated to providing high-quality, individualized care to meet the unique needs of each patient.

Drug Interactions

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Estriol is a form of estrogen, a female hormone that regulates various processes in the body. When applied vaginally, estriol cream is primarily used to treat symptoms associated with menopause, such as vaginal dryness, itching, and burning. It may also be used for the management of atrophic vaginitis and kraurosis vulvae. As with any medication, it is important to consider potential drug interactions that may affect the safety and efficacy of the treatment.

Estriol may interact with other hormone therapies, including other estrogens, progestins, and androgens. Concurrent use of multiple hormone therapies should be approached with caution, as it may increase the risk of endometrial hyperplasia and other hormone-related side effects. Patients should inform their healthcare provider if they are using any other form of hormone therapy, including oral contraceptives or hormone replacement therapy.

Enzyme inducers, such as carbamazepine, phenytoin, rifampicin, and St. John's Wort, may decrease the plasma concentrations of estriol, potentially reducing its effectiveness. Patients using these medications should be monitored for reduced therapeutic effects of estriol, and dosage adjustments may be necessary.

Conversely, enzyme inhibitors like ketoconazole, itraconazole, and erythromycin may increase the plasma concentrations of estriol, leading to an increased risk of estrogenic side effects. Caution is advised when using these medications concurrently with estriol cream, and dose adjustments may be required.

Thyroid function may be affected by estrogens, including estriol. Estrogens can increase thyroid-binding globulin (TBG) levels, leading to increased circulating total thyroid hormone, as measured by protein-bound iodine (PBI), T4 levels (by column or by radioimmunoassay), or T3 levels (by radioimmunoassay). T3 resin uptake is decreased, reflecting the elevated TBG. Patients on thyroid replacement therapy may require higher doses of thyroid hormone when using estriol cream.

Patients with a history of thromboembolic disorders should be aware that estrogens may increase the risk of venous thromboembolism, especially in women with a personal or family history of these conditions. While topical application of estriol may have a lower risk compared to systemic forms, caution is still advised.

It is also important to note that the use of estriol cream may interfere with certain laboratory tests, including tests for coagulation factors, lipids, glucose tolerance, and binding proteins. Healthcare providers should be informed of estriol use prior to the interpretation of laboratory results.

Patients should be advised to report any unusual vaginal bleeding, new breast lumps, or other potential signs of hormone-related adverse effects to their healthcare provider. Additionally, patients should inform their healthcare provider of all medications, supplements, and herbal products they are currently taking to assess for potential interactions.

If you have any questions or require further information regarding the drug interactions associated with Estriol 1 mg/ml Vaginal Cream, 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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Estriol 1 mg/ml Vaginal Cream is a hormone replacement therapy that is specifically formulated to alleviate symptoms associated with menopause and other gynecological conditions. Estriol, the active ingredient in this cream, is a form of estrogen, which is a hormone that regulates many processes in the female body. As women approach menopause, their bodies produce less estrogen, which can lead to symptoms such as vaginal dryness, itching, burning, and irritation. These symptoms can be uncomfortable and may affect a woman's quality of life.

The Estriol 1 mg/ml Vaginal Cream works by delivering a low dose of estriol directly to the vaginal tissue. When applied as directed, the cream is absorbed through the skin of the vagina and into the surrounding tissues, where it replenishes the local deficiency of estrogen. This localized approach allows for the therapeutic effects of estrogen to be concentrated in the area where it is most needed, with a reduced risk of systemic side effects that can occur with oral hormone replacement therapies.

The semisolid formulation of the cream is designed to ensure that the medication is easy to apply and stays in place, providing consistent and targeted relief. The cream is dispensed in a tube, which allows for convenient and precise dosing. Patients are typically instructed to use an applicator that helps to apply the cream at the correct dose and ensures that the medication is delivered to the right area within the vagina.

By restoring the natural balance of estrogen in the vaginal area, Estriol 1 mg/ml Vaginal Cream can help to relieve the symptoms of vaginal atrophy, such as dryness, itching, and irritation. It can also aid in maintaining the health and function of the vaginal tissue, potentially reducing the risk of urinary tract infections and improving the overall vaginal environment. Additionally, this treatment may provide relief for those experiencing discomfort during sexual intercourse due to menopausal changes in the vaginal tissue.

It is important for patients and prescribers to understand that while Estriol Vaginal Cream can be very effective for treating specific symptoms, it should be used with caution and under the guidance of a healthcare professional. Patients with a history of hormone-sensitive cancers, blood clots, or unexplained vaginal bleeding should discuss the risks and benefits of this therapy with their healthcare provider. Regular follow-up and monitoring may be necessary to ensure the safe use of this medication.

If you have any questions about Estriol 1 mg/ml Vaginal Cream or would like to know more about how it can be used to treat specific gynecological conditions, please 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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Estriol 1 mg/ml Vaginal Cream is primarily indicated for the management of menopausal symptoms such as atrophic vaginitis and urogenital atrophy associated with estrogen deficiency. However, due to its estrogenic properties, this formulation may have additional off-label uses that health practitioners sometimes consider depending on individual patient needs. Some alternative uses could include assistance in the management of symptoms associated with vulvar and vaginal atrophy not just limited to menopausal changes but also those stemming from other conditions like breast cancer treatment-induced atrophy. Moreover, estriol has been studied for potential benefits in skin elasticity and health, although its application in dermatology via a vaginal cream formulation is not well established and would require further clinical evidence for recommendations.

Another off-label use could be in the management of Sjogren's syndrome, where it may help alleviate vaginal dryness associated with the condition. Additionally, despite limited evidence, some practitioners have used estriol in a compounded vaginal cream as part of an overall strategy for preventing recurrent urinary tract infections, as it can support the health of the urothelial tissue. There is also some research suggesting that local application of estrogens can have an impact on pelvic floor strength and function, which could theoretically aid in the management of certain cases of urinary incontinence. However, firm conclusions and broader recommendations regarding these uses cannot be made without more robust clinical data.

For any health practitioner or patient who is considering the use of Estriol 1 mg/ml Vaginal Cream for any other purpose outside of its primary indication, it is imperative to do so under the guidance of a licensed healthcare provider. Such uses should be supported by an appropriate assessment of risks, benefits, and current clinical evidence. If there are any questions regarding potential off-label uses, dosing, side effects, or interactions with other medications, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing the most up-to-date and comprehensive information to ensure the safe and effective use of compounded medication formulations.

Frequently Asked Questions

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What is Estriol 1 mg/ml Vaginal Cream used for?

Estriol 1 mg/ml Vaginal Cream is commonly used to treat menopausal symptoms like vaginal dryness, itching, and burning, which are often a result of the body producing less estrogen. This medication helps to alleviate these symptoms by delivering the estrogen hormone directly to the vaginal area.

How do you apply Estriol Vaginal Cream?

To apply Estriol Vaginal Cream, you should first wash your hands thoroughly. Lie on your back with your knees drawn upward, then gently insert the applicator into the vagina and release the prescribed amount of cream. After application, remove the applicator, clean it with soap and warm water, and rinse it well. Be sure to follow the specific instructions provided by your healthcare professional.

How often should I use the Estriol Vaginal Cream?

The frequency of use will depend on your individual prescription, but it is often applied once daily, usually at bedtime, to make it more convenient and to minimize leakage. Always adhere to your healthcare provider's instructions and the recommended dosage on your prescription.

Can Estriol Vaginal Cream cause side effects?

Like all medications, Estriol Vaginal Cream can cause side effects, although not everyone gets them. Common side effects can include local irritation, increased vaginal discharge, and symptoms of too much estrogen in the body, such as tenderness in the breasts. If you experience any severe side effects or signs of an allergic reaction, contact your healthcare provider immediately.

Is Estriol Vaginal Cream safe for long-term use?

This will depend on your treatment plan and the condition being treated. Estriol Vaginal Cream is often used for short-term relief. However, your healthcare provider will determine whether long-term use is appropriate for you. Long-term users should be regularly monitored due to the potential risks associated with prolonged hormone replacement therapy.

Can Estriol Vaginal Cream interact with other medications?

Yes, Estriol Vaginal Cream can interact with other medications. Be sure to discuss with your healthcare provider any other drugs you are taking, including over-the-counter medications, vitamins, and herbal supplements, to avoid potential interactions.

Can I use Estriol Vaginal Cream if I am pregnant or breastfeeding?

Estriol Vaginal Cream is usually not recommended for use during pregnancy or breastfeeding. If you become pregnant while using this medication, inform your healthcare provider immediately. Always consult your healthcare provider before starting any new medication if you are pregnant or breastfeeding.

Does Estriol Vaginal Cream affect the use of tampons or intimate hygiene products?

While using Estriol Vaginal Cream, you may be advised to avoid the use of tampons, douches, or other vaginal products to prevent altering the cream's effectiveness or causing irritation. Discuss with your healthcare provider the proper use of intimate hygiene products during treatment with Estriol Vaginal Cream.

How should I store Estriol Vaginal Cream?

Store Estriol Vaginal Cream at room temperature away from moisture, heat, and light. Keep the tube tightly closed when not in use and out of reach of children and pets. Do not use the cream after the expiration date printed on the tube or packaging.

What should I do if I miss a dose of Estriol Vaginal Cream?

If you miss a dose of Estriol Vaginal Cream, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one.

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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.