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Dehydroepiandrosterone 20 mg/g Transdermal Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Dehydroepiandrosterone

The Dehydroepiandrosterone (DHEA) 20 mg/g Transdermal Cream is a semisolid preparation intended for topical application. This cream is dispensed through a pump mechanism, which allows for convenient and controlled dosing. The formulation is designed to facilitate the localized treatment or systemic absorption of DHEA through the skin. DHEA is a naturally occurring hormone that serves as a precursor to androgens and estrogens. This transdermal cream is utilized in the management of various conditions, including adrenal insufficiency, depression, induction of labor, and systemic lupus erythematosus. It may also be used to improve skin health and to support overall well-being in aging individuals. The transdermal route of administration provides an alternative for those who may prefer or require a non-oral method of delivery for DHEA.

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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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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
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.
Dehydroepiandrosterone
Topical Cream
654e8f91751e9d846deceecc
Service area

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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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Dehydroepiandrosterone (DHEA) 20 mg/g Transdermal Cream is a specially compounded formulation intended for patients requiring hormone supplementation or modulation. DHEA is an endogenous steroid hormone precursor that plays a crucial role in a multitude of physiological responses, including immune function, brain function, bone metabolism, blood lipid metabolism, energy metabolism, and the regulation of normal growth and reproductive processes. As a transdermal cream, this formulation is designed to deliver a consistent dose of DHEA directly through the skin, thereby bypassing the gastrointestinal tract and potential first-pass metabolism by the liver.

The semisolid preparation of this DHEA cream is dispensed in a pump mechanism, which ensures a convenient, hygienic, and controlled application. This delivery system is particularly beneficial for patients who may have difficulties with oral administration or for those who require targeted application. The transdermal route also allows for steady absorption of the hormone into the systemic circulation, potentially reducing the risk of peak-and-trough effects associated with oral dosing.

DHEA supplementation via transdermal cream has been explored for its potential benefits in various disease states. It may be used in the management of adrenal insufficiency, where the adrenal glands do not produce adequate amounts of steroids. It has also been studied for its role in improving skin health, sexual function, and overall well-being in populations with declining DHEA levels, such as the elderly or those with certain endocrine disorders. Additionally, some research suggests potential applications in the management of systemic lupus erythematosus (SLE), osteoporosis, and depression, although more robust clinical trials are needed to fully establish its efficacy and safety in these conditions.

It is important for both patients and prescribers to understand that while DHEA is a naturally occurring hormone, its use as a supplement should be approached with caution. Monitoring of hormone levels, assessment of individual risk factors, and consideration of potential side effects are essential. The use of this transdermal cream should be guided by a healthcare professional with expertise in hormone replacement therapy. As with any compounded medication, the quality and consistency of the formulation are paramount, and at Bayview Pharmacy, we ensure that each batch of our DHEA transdermal cream meets stringent quality standards.

For those interested in utilizing this DHEA 20 mg/g Transdermal Cream, or for healthcare providers considering it for their patients, we encourage you to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide additional information to support your healthcare needs.

Drug Interactions

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Dehydroepiandrosterone (DHEA) is an endogenous steroid hormone that serves as a precursor to androgens and estrogens. DHEA has been used in various disease states, including adrenal insufficiency, depression, induction of labor, systemic lupus erythematosus, and as an anti-aging treatment. When considering the use of DHEA in a transdermal cream formulation, it is important to be aware of potential drug interactions that may affect the efficacy and safety of the treatment.

Firstly, DHEA may interact with medications that are substrates of the cytochrome P450 enzyme system, particularly CYP3A4. Drugs that are metabolized by this enzyme could have altered plasma concentrations when used concurrently with DHEA. For example, increased levels of DHEA may potentially increase the metabolism of certain benzodiazepines, calcium channel blockers, and statins, leading to decreased effectiveness of these medications. Conversely, drugs that inhibit CYP3A4 may increase DHEA levels, potentially leading to an increased risk of side effects.

Additionally, DHEA may interact with hormone therapies, including oral contraceptives or hormone replacement therapy. The use of DHEA with these medications may alter the effects of the hormones and could potentially lead to changes in menstrual cycle patterns, fertility issues, or increased risk of endometrial hyperplasia or certain cancers. Patients should be closely monitored when DHEA is used in conjunction with any form of hormone therapy.

Patients taking anticoagulants or antiplatelet medications should also exercise caution, as DHEA may have antithrombotic effects, which could increase the risk of bleeding when taken with these medications. It is crucial to monitor coagulation parameters and adjust the dose of anticoagulant or antiplatelet therapy as necessary.

Furthermore, DHEA may influence insulin sensitivity and glucose metabolism, which could impact the management of diabetes. Diabetic patients using DHEA may require adjustments to their antidiabetic medication regimen to maintain optimal glycemic control.

It is also important to note that DHEA may have immunomodulatory effects, which could interact with immunosuppressant drugs. Patients with autoimmune diseases or those undergoing organ transplantation and receiving immunosuppressive therapy should use DHEA with caution, and only under the close supervision of a healthcare provider.

Lastly, due to the potential for DHEA to convert into testosterone and estrogen, it may interact with therapies targeting hormone-sensitive cancers. Patients with breast, uterine, or prostate cancer should discuss the use of DHEA with their oncologist before starting treatment.

Given the potential for drug interactions, it is essential for patients and prescribers to review all current medications, including over-the-counter drugs and supplements, before initiating treatment with DHEA transdermal cream. Adjustments to therapy may be necessary, and patients should be monitored for side effects or changes in the efficacy of their other medications. If you have any questions or require further information regarding drug interactions with DHEA transdermal cream, please reach out to us at Bayview Pharmacy for assistance.

How Does it Work

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Dehydroepiandrosterone (DHEA) is a naturally occurring hormone produced by the adrenal glands, which serves as a precursor to male and female sex hormones, such as estrogen and testosterone. The 20 mg/g DHEA Transdermal Cream is a semisolid preparation that is designed to deliver a controlled dose of DHEA through the skin, directly into the bloodstream. This bypasses the first-pass metabolism in the liver, which can significantly reduce the bioavailability of orally administered DHEA. The cream is dispensed in a pump mechanism, which ensures a consistent and precise dose with each application, enhancing the reliability of the treatment.

The transdermal delivery system of this cream allows for localized treatment, which can be beneficial for certain conditions, or systemic absorption, depending on the site of application. When DHEA is absorbed through the skin, it can be converted by the body into the necessary sex hormones that may be deficient. This can help in the management of various disease states associated with low endogenous levels of DHEA and its downstream hormones, such as certain adrenal insufficiencies, menopausal symptoms, and possibly some cases of depression and sexual dysfunction. However, the effectiveness and safety of DHEA supplementation are still under investigation, and it should be used under the guidance of a healthcare professional.

For patients and prescribers considering the use of DHEA Transdermal Cream, it is important to understand that while transdermal delivery offers advantages over oral administration, factors such as the application site, skin integrity, and individual patient variability can affect absorption. Additionally, the use of DHEA may carry risks and potential side effects, including hormonal imbalances and interactions with other medications. Therefore, it is crucial to monitor patients closely and adjust the treatment regimen as necessary based on clinical response and laboratory values.

At Bayview Pharmacy, we are committed to providing high-quality compounded medications tailored to the specific needs of our patients. If you have any questions about the DHEA 20 mg/g Transdermal Cream or its use in treating various disease states, please do not hesitate to reach out to us. Our team of knowledgeable compounding pharmacists is here to support both patients and prescribers with expert advice and information.

Frequently Asked Questions

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What is Dehydroepiandrosterone (DHEA) 20 mg/g Transdermal Cream?

Dehydroepiandrosterone (DHEA) 20 mg/g Transdermal Cream is a medication that contains the hormone DHEA. This cream is formulated to be applied directly to the skin, where the hormone is absorbed into the body. The medication is commonly used to address various conditions related to DHEA deficiency or to provide systemic hormonal support.

How do I use the DHEA transdermal cream?

To use the DHEA transdermal cream, apply a prescribed amount of cream to clean, dry skin as directed by your healthcare provider. The cream should be spread evenly and allowed to be absorbed naturally without covering it with bandages or dressings unless advised otherwise by a medical professional.

Where on the body should I apply the DHEA cream?

Apply the DHEA cream to areas of the skin as recommended by your healthcare provider. Common areas for application include the inner wrists, arms, thighs, or abdomen. Rotate the application site to avoid skin irritation.

How often should I apply the DHEA transdermal cream?

The frequency of application will depend on your individual treatment plan provided by your healthcare provider. Typically, it is applied once or twice daily, or as directed by a healthcare professional.

Can I apply the cream to broken or irritated skin?

No, you should avoid applying the DHEA cream to broken, irritated, or diseased skin. If you have a skin condition or injury, consult your healthcare provider before using the cream.

What are the benefits of using a transdermal cream versus oral supplements?

Using a transdermal cream allows for the medication to be absorbed directly through the skin into the bloodstream, potentially providing a more consistent blood level of DHEA and bypassing the liver metabolism that oral supplements undergo. This may reduce the risk of certain side effects and improve the overall effectiveness of the treatment.

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

If you miss a dose of the DHEA cream, apply it as soon as you remember if it's not too close to the time for your next dose. If it is nearly time for your next application, skip the missed dose and return to your regular dosing schedule. Do not apply extra cream to make up for a missed dose.

Can the DHEA transdermal cream cause any side effects?

Like all medications, the DHEA cream can cause side effects. Common side effects may include skin irritation at the application site. More serious side effects may occur, and any persistent or concerning symptoms should be reported to your healthcare provider immediately.

How should I store the DHEA transdermal cream?

Store the DHEA transdermal cream at room temperature, away from direct sunlight and heat. Keep the pump mechanism tightly closed when not in use. Do not freeze the cream, and keep it out of the reach of children and pets.

Can I use other skin products in conjunction with the DHEA cream?

It is important to consult your healthcare provider before using other skin products along with the DHEA cream. Some products may affect the absorption or effectiveness of the DHEA cream.

How long does it take to see the results from using DHEA cream?

Response time can vary from person to person, depending on various factors such as the condition being treated, the dosage, and individual body response. Some people may notice effects within a few weeks, while for others, it might take longer. Consistent use as prescribed is essential for the best results, and any questions or concerns should be addressed with your healthcare provider.

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.

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.

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.

Dehydroepiandrosterone 20 mg/g Transdermal Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Twice daily