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Formulas

Progesterone 0.025%/Spironolactone 0.05% Topical Foam

The Progesterone 0.025%/Spironolactone 0.05% Topical Foam is a specialized dermatological formulation designed for the treatment of hormonal acne and androgenetic alopecia. This unique preparation is dispensed in a foamer bottle that releases the medication as a lightweight foam, ensuring an even and efficient application to the affected skin areas. The foam's consistency allows for quick absorption of the active ingredients, progesterone and spironolactone, which work synergistically to modulate hormonal activity on the skin's surface, thereby reducing inflammation, decreasing sebum production, and preventing hair loss associated with hormonal imbalances. The ease of use and targeted delivery system of this topical foam make it an effective option for patients seeking a non-invasive treatment for these specific skin conditions.

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Progesterone
Spironolactone
Topical Foam
65ce2f7ceb29bc66c8850ec4
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Formula Information

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Our Progesterone 0.025%/Spironolactone 0.05% Topical Foam is a meticulously crafted formulation that combines the hormonal regulation properties of progesterone with the anti-androgen effects of spironolactone. This unique combination is specifically designed to address skin conditions that are influenced by hormonal imbalances, such as certain types of acne, hirsutism, and even hair loss in some cases. The progesterone in the formulation works by modulating the hormonal milieu within the skin, which can be beneficial in conditions where excess estrogen or androgen activity is a contributing factor. On the other hand, spironolactone serves as an androgen receptor antagonist and also inhibits the enzyme 5-alpha reductase, which is involved in the conversion of testosterone to its more potent form, dihydrotestosterone (DHT). By reducing the action of androgens in the skin, spironolactone can help to decrease oil production, reduce inflammation, and mitigate the occurrence of hormonally-driven acne.

The topical foam delivery system is an innovative aspect of this formulation, providing several advantages over traditional creams or gels. Upon application, the foam expands, allowing for a more uniform distribution of the active ingredients over the affected area. This ensures that the medication is spread thinly and evenly, promoting better absorption into the skin. The foamer bottle dispenses the product in a ready-to-use form, eliminating the need for rubbing or spreading with the hands, which can sometimes introduce bacteria to the skin and exacerbate conditions like acne. Additionally, the foam base is non-greasy and dries quickly, making it a convenient option for patients who prefer a lightweight, non-intrusive medication application.

For prescribers, it is important to note that this formulation should be used with caution in patients with known sensitivities to progesterone or spironolactone, and it is not recommended for use during pregnancy due to the potential effects of the active ingredients on fetal development. The use of this topical foam should be part of a comprehensive treatment plan that may include other topical or systemic therapies, depending on the patient's specific condition and response to treatment. Regular monitoring and follow-up are advised to assess efficacy and tolerability.

Patients should be instructed on the proper use of the Progesterone 0.025%/Spironolactone 0.05% Topical Foam, including shaking the bottle well before use, applying a small amount of foam to the affected area once or twice daily as directed by their healthcare provider, and avoiding contact with the eyes, mouth, and mucous membranes. It is also important for patients to understand that improvement in their skin condition may take several weeks and that they should continue to use the medication as directed, even if they do not see immediate results.

If you have any questions or require further information about the Progesterone 0.025%/Spironolactone 0.05% Topical Foam, 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 both patients and prescribers to ensure the safe and effective use of this specialized formulation.

Drug Interactions

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The progesterone and spironolactone topical foam you have been prescribed is a unique formulation designed for direct application to the skin. Progesterone is a hormone that can be used to treat various skin conditions, and it may also have a role in skin elasticity and firmness. Spironolactone, on the other hand, is a medication that has anti-androgenic properties, making it useful in the treatment of skin conditions like acne, particularly in cases where the acne is due to hormonal imbalances. When combined in a topical foam, these two agents work synergistically to target skin conditions with a hormonal component.

It is important to consider potential drug interactions when using this topical foam. Progesterone can be metabolized by enzymes in the liver, and substances that affect these enzymes could potentially alter the levels and effectiveness of progesterone. For example, certain anticonvulsants and antimicrobial agents can increase the metabolism of progesterone, potentially reducing its therapeutic effects. Conversely, inhibitors of these enzymes could increase progesterone levels, leading to enhanced or prolonged effects.

Spironolactone is a potassium-sparing diuretic and has the potential to interact with other medications that affect potassium levels in the body. Care should be taken if the patient is on other potassium-sparing diuretics, angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or potassium supplements, as there is a risk of hyperkalemia (high potassium levels). Additionally, spironolactone can affect the metabolism of certain drugs by inhibiting cytochrome P450 enzymes, particularly CYP3A4. This could lead to increased levels of drugs metabolized by this pathway, such as certain statins, leading to an increased risk of side effects.

While the systemic absorption of progesterone and spironolactone from a topical formulation is expected to be lower than oral administration, interactions can still occur, especially with prolonged use or application over large surface areas. It is crucial to inform your healthcare provider of all medications, supplements, and herbal products you are currently using before starting treatment with this topical foam. Additionally, if you experience any unusual symptoms or side effects, you should contact your healthcare provider immediately.

As compounding pharmacists, we are here to support both patients and prescribers with any questions regarding this formulation. If you require further information or have specific concerns about drug interactions with the progesterone 0.025%/spironolactone 0.05% topical foam, please do not hesitate to reach out to us at Bayview Pharmacy for personalized advice and assistance.

How Does it Work

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The Progesterone 0.025%/Spironolactone 0.05% Topical Foam is a specialized formulation designed for direct application to the skin. This unique preparation combines two active ingredients, progesterone and spironolactone, each with distinct mechanisms of action that contribute to the treatment of various skin conditions. The foam is dispensed from a foamer bottle, which aerates the liquid formulation, creating a lightweight and easily spreadable foam that enhances the application process and promotes better coverage and absorption.

Progesterone in this topical formulation functions as a hormone replacement. It can help to regulate the menstrual cycle and is also used in hormone replacement therapy. When applied to the skin, progesterone can be absorbed into the bloodstream, where it exerts its effects. In the context of skin health, progesterone can help to counteract hormonal imbalances that may contribute to conditions like acne or hirsutism (excessive hair growth).

Spironolactone, on the other hand, is a medication that has anti-androgenic properties. It works by blocking androgen receptors and inhibiting the action of the hormone aldosterone. This can reduce the production of sebum, an oily substance produced by the sebaceous glands, which is often a contributing factor in acne. Additionally, by blocking androgen receptors, spironolactone can help to reduce the occurrence of hormonally influenced hair growth, making it a valuable treatment for hirsutism.

The combination of progesterone and spironolactone in a topical foam allows for targeted therapy with potentially fewer systemic side effects compared to oral administration. The foam formulation ensures that the active ingredients are delivered directly to the affected area, allowing for a localized effect. This can be particularly beneficial for patients who are sensitive to systemic medications or who prefer a topical treatment approach.

It is important for patients and prescribers to understand that while this formulation can be effective for treating certain skin conditions, it should be used under the guidance of a healthcare professional. The specific concentration of the active ingredients has been chosen to balance efficacy with safety, minimizing the risk of adverse effects while providing therapeutic benefit.

For more detailed information on the Progesterone 0.025%/Spironolactone 0.05% Topical Foam, including its suitability for specific skin conditions, potential side effects, and guidance on use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to answer any questions and provide the support needed to ensure the safe and effective use of this formulation.

Other Uses

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While the primary indication for a Progesterone 0.025%/Spironolactone 0.05% Topical Foam formulation is directed towards certain skin conditions such as hormonal acne, due to the action of both compounds on hormonal regulation and androgen blocking, respectively, there may be additional therapeutic uses warranting further exploration. The unique properties of progesterone as a hormonal regulator could potentially have an effect on skin disorders that are menstruation-related or linked with hormonal imbalance in both sexes. The anti-androgenic effects of spironolactone may also offer benefits in conditions like hirsutism, where excessive hair growth aligns with underlying hormonal issues.

It's worth considering that the anti-inflammatory properties of progesterone could be exploited in the management of inflammatory dermatoses. Anecdotal evidence suggests there might be a role for topical progesterone in improving skin elasticity and hydration, which may translate into an adjunctive role in anti-aging skincare regimens. Additionally, the foam formulation can be beneficial as a vehicle for delivering these hormones transdermally, potentially minimizing systemic side effects associated with oral administration.

Due to the spironolactone component, which can also function as a mild diuretic, there may be uncharted utility in conditions with local edema or fluid retention when applied topically. However, it's imperative to note that while these theorized applications may seem promising, robust clinical evidence is needed to support these additional uses, and it's important that any application outside of the primary indication be approached with caution and under the guidance of a healthcare professional. Off-label uses must be carefully considered on a case-by-case basis, considering patient-specific factors and potential risks.

The formulation being in a foamer bottle ensures that the active ingredients are delivered in a consistent and controlled manner, making it ideal for managing localized areas needing treatment. This method of delivery could be a favorable option for patients who are looking for a non-invasive and convenient method of applying medication. The foam consistency increases patient compliance due to its ease of use and pleasant application experience.

For prescribers and patients interested in utilizing this Progesterone 0.025%/Spironolactone 0.05% Topical Foam for uses beyond its primary indications, it is important to consult with a compounding pharmacist who can provide detailed information on the potential benefits and risks, as well as guide on proper usage and monitoring. Should you have any questions regarding the potential "Other Uses" of this formulation, please reach out to us at Bayview Pharmacy for further assistance and collaboration in patient care.

Frequently Asked Questions

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What is Progesterone 0.025%/Spironolactone 0.05% Topical Foam?

Progesterone 0.025%/Spironolactone 0.05% Topical Foam is a medicated foam formulated for application on the skin. It contains the active ingredients progesterone and spironolactone at specified concentrations and is used to treat various skin conditions, delivering the medication efficiently through its unique foam consistency.

How should I apply this topical foam?

Shake the foamer bottle well before use. Dispense a small amount of the foam onto your hands and apply a thin layer gently to the affected area of the skin as directed by your healthcare provider. Wash your hands after applying unless they are the area being treated.

Can I use this foam on my face?

Yes, if prescribed by your healthcare provider for a facial skin condition, you can use it on your face. Be careful to avoid contact with your eyes, mouth, and mucous membranes. If contact occurs, rinse thoroughly with water.

What are the benefits of using a foam dosage form for topical treatment?

The foam dosage form provides a lightweight and easily spreadable consistency, ensuring efficient coverage and improved absorption of the active ingredients. This allows for enhanced efficacy in delivering therapeutic agents to the skin and facilitates ease of application compared to other dosage forms.

Is this topical foam suitable for sensitive skin?

This medication can be suitable for sensitive skin, but individual reactions can vary. If you have sensitive skin, discuss with your healthcare provider before using the foam. It is essential to monitor for any signs of irritation and report them to your healthcare provider immediately.

How often should I use the Progesterone/Spironolactone Topical Foam?

The frequency of use will depend on the instructions provided by your healthcare provider based on your condition. It is crucial to follow their guidance precisely to achieve the best results and avoid potential side effects.

What should I do if I miss a dose?

If you miss a dose, 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.

Can I wear makeup or sunscreen over the topical foam?

Generally, you can wear makeup or sunscreen over the foam once it has dried on your skin. However, it is best to check with your healthcare provider before doing so to ensure it won’t affect the efficacy of the medication.

Are there any specific storage instructions for the foam?

Store the foam at room temperature, away from heat and direct sunlight, and keep the bottle tightly closed. Do not freeze the medication, and keep it out of reach of children and pets.

What side effects should I be aware of while using this medication?

Possible side effects include skin irritation, redness, itching, or dryness at the site of application. More severe side effects are rare but can occur. If you experience any unusual symptoms or signs of an allergic reaction, contact your healthcare provider immediately.

Can I use this product while pregnant or breastfeeding?

Consult your healthcare provider before using this medication if you are pregnant or breastfeeding. They will weigh the benefits and potential risks associated with the topical application of progesterone and spironolactone during these periods.

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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.