“This medicine was specially compounded in our pharmacy for you at the direction of your prescriber.”
This medication may contain one or a combination of the following Bio-Identical Estrogens: Estriol, Estradiol, and Estrone. These are identical to the hormones which are produced in significant quantities in the human body, primarily by the ovaries. Estrogens are responsible for the development and maintenance of the female reproductive system, secondary sex characteristics, favorable effects on blood cholesterol and lipid profiles, and slowing the progression of osteoporosis, as well as causing proliferation of the endometrium.
Bio-Identical Estrogens are used for replacement therapy in peri-menopausal, menopausal, and post-menopausal women for the treatment of symptoms of low estrogen levels. These symptoms include vasomotor symptoms (hot flashes, night sweats), irregular menses, mood swings, and vaginal dryness, burning, and itching. Estrogens are also used in the treatment of a variety of other conditions associated with a deficiency of estrogen hormones, including female hypogonadism, ovarian failure, or ovariectomy (removal of ovary). Other uses include preventing osteoporosis, ischemic heart disease, and Alzheimer’s disease; improving blood lipid profile, and maintaining bladder and urinary tract function. Estrogens can also be used for breast cancer treatment in selected postmenopausal women, and in combination with Progesterone, for ovulation control in prevention of conception. Estrogens can also be used for treatment of prostrate cancer in males. Topical Estrogen therapy has been used for reduction of wrinkles and skin softening effects.
Side effects of Estrogen therapy include nausea, stomach upset, bloating, headache, dizziness, and light-headedness. These effects may be temporary and self-limiting. Other adverse reactions may include breakthrough bleeding, breast-swelling, breast pain, fluid retention, weight gain, mood swings, depression, decreased libido, increased risk of gallbladder disease, increased risk of thromboembolic disorder, and increased risk of breast or uterine cancer. Patients should not use Bio-Identical Estrogens during pregnancy. Adverse reactions to Bio-Identical hormones may be related to dose or composition of the prescription. Patients should consult their Physician or Pharmacist if they experience any of these symptoms or have any questions.
Bio-Identical Estrogens are available in many dosage forms, including oral capsules, troches, injections, and topical preparations. Storage requirements depend on dosage form used. Patients should follow instructions from the pharmacist for their prescription. Oral preparations may be taken with food. Patients should follow dosage directions exactly. Patients should consult with their physician or pharmacist for adjusting dosage or if they have any questions. If a patient misses a dose, she should take the dose as soon as remembered. Patients should not take the dose if it is almost time for the next dose. Instead, patients should skip the missed dose and resume the usual dosing schedule. Patients should not double the dose.
This compounded prescription contains progesterone.
This medication is a Human identical, plant-derived hormone used to treat many conditions, some of which are: treating abnormal periods, aiding conception, maintaining pregnancy, hormone replacement therapy and other conditions as determined by the patient’s physician.
Side effects that may go away during treatment include nausea, changes in menstrual flow, breakthrough bleeding, spotting, missed periods, breast tenderness, headache, acne, or skin discoloration. If they continue or are bothersome, the patient should contact her physician. Patients may experience absence of menstrual periods while using this medicine. If patients experience irregular menstrual periods, they should contact their physician.
Progesterone may affect blood sugar and thyroid levels. Patients should contact their physician if they are currently taking medications for either of these conditions. Patients should contact their physician if they experience weight changes, rash itching, depression, or swelling of ankles or fingers. Patients should contact their physician immediately if they experience sudden or severe headache, sudden loss of coordination, sudden loss of vision or changes in vision, chest pain, weakness, numbness or pain in arm or leg, shortness of breath, or slurred speech. If the patient notices other effects not listed above, she should contact her physician.
This medicine may be administered as an injection, a vaginal or rectal suppository, an oral capsule or liquid, sublingual lozenge, drops or tablet, or a transdermal gel or cream applied to the skin. Patients should always follow their physician’s or pharmacist’s instructions. Patients should not exceed the dosage prescribed by their physician. This medication should be stored as directed by the pharmacist.
This compounded prescription contains testosterone.
This medication contains a hormone that is found naturally in the body. It is used to treat hormone deficiencies in men and women and other conditions as determined by the patient’s physician.
Side effects of this medication can include nausea, vomiting, diarrhea, agitation, depression, acne, chronic priapism, changes in libido, hirsutism, clitoral enlargement, voice changes, and electrolyte retention. If patients are using a formulation that is applied to the skin they may experience itching, discomfort, or irritation. These effects may go away during treatment. If they continue or are bothersome, patients should check with their physician or pharmacist.
Patients should contact their physician as soon as possible if they experience frequent or persistent erections of the penis, nausea, vomiting, ankle swelling, or headache. If patients notice other effects not listed above, they should contact their physician. If patients have Diabetes Mellitus and use insulin, this medicine may effect blood sugar and insulin requirements. Patients should check blood glucose levels closely and ask their physician before adjusting the dose of their insulin.
This medicine may be administered as a gel or cream applied to the skin, an oral capsule or liquid, implanted pellets, a sublingual drop or lozenge, or an injection. Patients should always follow their physician’s or pharmacist’s instructions. Patients should not exceed the dosage prescribed by their physician. This medication should be stored as directed by the pharmacist.
DIRECTIONS FOR TRANSDERMAL HORMONE CREAMS
In order to obtain the best results from our Transdermal products, we suggest the following:
1. Apply a warm wet washcloth to the area for a few minutes. This will help improve blood circulation in the area and thus help the drug penetrate the skin. Applying the cream to skin after a shower or bath will also serve the same purpose.
2. Measure the correct amount of cream and apply to selected areas. (WOMEN: Lower abdomen, inner thigh, inner arm, or buttocks. MEN: Upper arm, forearm, or upper chest.) Rub the cream into the skin, then wash hands well.
3. Rotate between various sites with each application. This will help to ensure maximum absorption of the cream and will also help avoid local irritation.
If you experience any skin irritation or allergic reaction, discontinue use and call our pharmacy. If you have any questions about this or any other medication filled at our pharmacy, please do not hesitate to call.
If your prescription is in a metered dose pump container, then 1 Pump is equal to 1 gram. If it is in a jar we will provide a measuring spoon. 1/4 level teaspoon equals 1 gram and 1/8 level teaspoon equals 1/2 gram.
1. Call your doctor if:
a. You experience any side effects.
b. You are taking additional medicines that may interact with this compounded medicine.
c. You have allergies or other medical conditions that should be noted.
2. Call our pharmacists if:
a. Information on the label is not clear to you.
b. You have any concerns regarding precautions, ingredients, or proper storage.
Our pharmacists are available to address any additional questions or concerns.