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Clomiphene Citrate 2%/Testosterone 2% Topical Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Clomiphene Citrate
Testosterone

Clomiphene Citrate 2%/Testosterone 2% Topical Gel is a semisolid formulation designed for the treatment of male hypogonadism and infertility. This gel is dispensed through a pump mechanism, ensuring easy and precise application on the skin. The gel-like consistency allows for targeted treatment and effective absorption of active ingredients, aiding in the management of hormonal imbalances and improving reproductive health.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Clomiphene Citrate
Testosterone
Topical Gel
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Clomiphene Citrate 2%/Testosterone 2% Topical Gel is a compounded semisolid formulation designed for transdermal delivery, providing a convenient and effective method for administering these active ingredients. The gel is dispensed through a pump mechanism, ensuring precise dosing and ease of application. This formulation is particularly beneficial for patients requiring targeted treatment, as it allows for direct application to the skin, facilitating localized absorption and minimizing systemic side effects.

Clomiphene Citrate is a selective estrogen receptor modulator (SERM) commonly used to treat conditions related to hormonal imbalances. It works by stimulating the pituitary gland to release hormones necessary for ovulation and testosterone production. In men, it is often used off-label to treat hypogonadism by increasing endogenous testosterone levels, thereby improving symptoms such as low libido, fatigue, and muscle weakness.

Testosterone, a key male sex hormone, plays a crucial role in maintaining muscle mass, bone density, and sexual function. The inclusion of testosterone in this formulation aims to directly supplement and stabilize testosterone levels in patients with deficiencies. This can be particularly useful in treating conditions such as male hypogonadism, where the body does not produce enough testosterone, leading to symptoms like decreased energy, mood disturbances, and reduced sexual function.

The combination of Clomiphene Citrate and Testosterone in a topical gel form offers a synergistic approach to managing these conditions. By applying the gel directly to the skin, patients can achieve a steady absorption rate, which helps maintain consistent hormone levels. This method of delivery also bypasses the gastrointestinal tract, reducing the risk of hepatic metabolism and potential gastrointestinal side effects associated with oral administration.

For prescribers, this formulation provides a customizable option to tailor treatment to individual patient needs, potentially improving adherence and outcomes. It is important to monitor hormone levels regularly to adjust dosing as necessary and ensure optimal therapeutic effects. Patients should be advised on the proper application technique to maximize absorption and minimize the risk of transferring the gel to others through skin contact.

If you have any questions or require further information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Drug Interactions

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Clomiphene Citrate 2%/Testosterone 2% Topical Gel is a compounded formulation designed to deliver active ingredients through the skin, providing a targeted approach for the treatment of specific conditions such as hypogonadism, infertility, and other hormonal imbalances. While this formulation offers therapeutic benefits, it is crucial to be aware of potential drug interactions that may affect its efficacy and safety.

Clomiphene Citrate, a selective estrogen receptor modulator (SERM), can interact with other medications that influence hormonal pathways. For instance, concurrent use with other SERMs or estrogen-containing products may lead to an increased risk of adverse effects such as ovarian hyperstimulation syndrome or thromboembolic events. Patients should inform their healthcare provider of any other hormonal therapies they are using to avoid potential interactions.

Testosterone, an androgen, can interact with a variety of medications. It may enhance the anticoagulant effect of warfarin, increasing the risk of bleeding. Patients on anticoagulant therapy should be closely monitored, and dose adjustments may be necessary. Additionally, testosterone can interact with insulin and oral hypoglycemic agents, potentially altering blood glucose levels. Diabetic patients should monitor their blood sugar levels closely and consult their healthcare provider for any necessary adjustments in their diabetes management plan.

Furthermore, testosterone may interact with corticosteroids, potentially exacerbating fluid retention and increasing the risk of edema, particularly in patients with pre-existing cardiovascular conditions. Patients should be advised to report any signs of fluid retention or cardiovascular symptoms to their healthcare provider promptly.

It is also important to consider the potential for interactions with other topical medications. The application of multiple topical agents in the same area may alter the absorption and effectiveness of the active ingredients. Patients should be instructed to discuss all topical and systemic medications they are using with their healthcare provider to ensure optimal treatment outcomes.

Patients and prescribers should be aware of these potential interactions and work closely with their healthcare team to monitor for any adverse effects or changes in therapeutic efficacy. If you have any questions or concerns regarding the use of Clomiphene Citrate 2%/Testosterone 2% Topical Gel, please reach out to us for further guidance and support.

How Does it Work

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The Clomiphene Citrate 2%/Testosterone 2% Topical Gel is a compounded semisolid formulation designed to deliver precise doses of active ingredients through the skin. This formulation is dispensed via a pump mechanism, ensuring ease of use and accurate dosing. The gel-like consistency allows for smooth application and optimal absorption of the active compounds, Clomiphene Citrate and Testosterone, into the skin, where they can exert their therapeutic effects.

Clomiphene Citrate is a selective estrogen receptor modulator (SERM) that works by blocking estrogen receptors in the hypothalamus, a part of the brain that plays a crucial role in regulating hormones. By inhibiting these receptors, Clomiphene Citrate stimulates the release of gonadotropin-releasing hormone (GnRH), which in turn increases the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary gland. This hormonal cascade ultimately leads to increased production of testosterone in the testes, making it particularly useful in treating conditions such as male hypogonadism, where there is a deficiency in testosterone production.

Testosterone, the other active ingredient in this formulation, is a naturally occurring hormone that plays a vital role in the development and maintenance of male characteristics, as well as overall health. When applied topically, testosterone is absorbed through the skin and enters the bloodstream, where it can help restore normal levels of the hormone in individuals with low testosterone. This can lead to improvements in symptoms such as fatigue, decreased libido, and loss of muscle mass, which are commonly associated with testosterone deficiency.

The combination of Clomiphene Citrate and Testosterone in a topical gel formulation offers a dual approach to managing conditions related to low testosterone levels. By simultaneously stimulating the body's natural production of testosterone and supplementing it with exogenous testosterone, this formulation can provide a comprehensive treatment strategy. The topical application allows for localized absorption, potentially reducing the risk of systemic side effects compared to oral or injectable forms of testosterone therapy.

For both patients and prescribers, it is important to understand that the effectiveness of this treatment can vary based on individual factors such as skin type, the severity of the condition, and adherence to the prescribed regimen. Regular monitoring of hormone levels and clinical symptoms is recommended to ensure optimal outcomes and to adjust the treatment as necessary. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy. We are here to assist you with any inquiries or concerns you may have.

Other Uses

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The Clomiphene Citrate 2% / Testosterone 2% Topical Gel formulation, dispensed through a convenient pump mechanism, offers a precise method of application that ensures targeted delivery and absorption of the active ingredients directly through the skin. While its primary indications often center around assisting with hormonal deficiencies and balance, particularly those related to male hypogonadism and specific infertility issues, the unique combination of Clomiphene Citrate and Testosterone in a transdermal gel has potential applications beyond these traditional uses.

The topical application of this formulation could offer potential benefits in areas such as addressing systemic issues through hormone modulation, where hormones play a broader role in mood stabilization, potentially aiding individuals experiencing mild symptoms related to decreased testosterone levels, such as low energy, mood slumps, and minor memory issues. Furthermore, the formulation can support men undergoing testosterone replacement therapy who may have difficulty adhering to oral or injectable formulations, providing a non-invasive alternative with a reduced risk of systemic side effects that are often associated with other forms of administration.

In addition, by stimulating the body’s own production of hormones indirectly, Clomiphene Citrate in this formulation may aid in cases where maintaining the body’s natural testosterone production is desired or when attempting to mitigate the suppressive effects of exogenous testosterone on natural hormonal axes. This tailored hormone therapy can also potentially support the optimization of athletic performance by fine-tuning hormonal balances that promote muscle strength, physical endurance, and recovery. However, it should be noted that such off-label uses require careful evaluation and monitoring due to the complex nature of endocrine interactions within the body.

Patients interested in exploring these additional potential uses should engage in thorough discussions with their healthcare providers to ensure the therapy aligns with their individual health needs and goals. Healthcare professionals must consider the nuanced pharmacokinetics of topical formulations and the individualized response to hormone therapy to optimize outcomes. As the exploration of hormone-related therapies evolves, both patients and prescribers are encouraged to approach the formulation's application thoughtfully, recognizing its dual capacity for prescribed and off-label utilization.

If you have any questions or need further clarification regarding the usage of this formulation, please feel free to reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in optimizing therapeutic outcomes.

Frequently Asked Questions

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What is the purpose of Clomiphene Citrate 2%/Testosterone 2% Topical Gel?

This gel is formulated to facilitate the easy and precise application of active ingredients, Clomiphene Citrate and Testosterone, on the skin for targeted treatment or absorption. It aims to deliver these compounds effectively to address hormonal imbalances or related conditions.

How should I apply the Clomiphene Citrate 2%/Testosterone 2% Topical Gel?

The gel is designed to be dispensed through a pump mechanism. Apply the gel to the skin as instructed by your healthcare provider, typically on areas where absorption is optimal. Wash your hands before and after application.

Where should I apply the gel on my body?

Typically, the gel should be applied to clean, dry, and intact skin on areas specified by your healthcare provider, such as the upper arms or shoulders. Avoid applying the gel to broken skin or mucous membranes.

What are the active ingredients in this topical gel?

The active ingredients in the gel are Clomiphene Citrate at a concentration of 2% and Testosterone also at a concentration of 2%. These ingredients work together to help address hormonal imbalances.

How does the pump mechanism work?

The pump mechanism is designed to dispense the gel in a consistent and precise amount, making it easy to control the dosage and apply the correct amount of gel to the skin.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply extra gel to make up for a missed dose.

Are there any side effects associated with this gel?

Some individuals may experience skin irritation at the application site, changes in mood, or other side effects. Contact your healthcare provider if you experience any unusual symptoms or adverse reactions.

Can I use other skincare products with this gel?

You should consult your healthcare provider before using other skincare products on the treated areas to avoid interactions that might affect the absorption of the active ingredients.

Is it safe to use this gel during pregnancy?

This gel is not recommended for use during pregnancy. If you become pregnant while using this product, contact your healthcare provider immediately.

How should I store the gel?

Store the gel in a cool, dry place away from direct sunlight and heat. Keep it out of reach of children and pets. Do not freeze the gel.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

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.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Clomiphene Citrate 2%/Testosterone 2% Topical Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Once daily