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Dehydroepiandrosterone 200 mg Oral Troches

FDA-approved generic
Dose form
Troches
Active ingredients
Dehydroepiandrosterone

The Dehydroepiandrosterone (DHEA) 200 mg Oral Troches are square-shaped solid dosage forms intended for buccal administration. These troches are designed to dissolve slowly in the mouth, facilitating the absorption of DHEA through the oral mucosa. This delivery method allows for targeted local or systemic effects. DHEA is a naturally occurring hormone that serves as a precursor to other hormones such as estrogen and testosterone. The use of DHEA troches may be indicated in the treatment of various conditions, including adrenal insufficiency, depression, induction of labor, systemic lupus erythematosus, and as part of hormone replacement therapy in individuals with decreased hormone levels due to aging or other factors.

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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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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
Troches
654e6e8e8993504ccacea96a

Formula Information

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Dehydroepiandrosterone (DHEA) 200 mg oral troches are square-shaped solid dosage forms specifically designed to dissolve slowly in the mouth. This unique delivery system allows for the medication to be absorbed directly through the oral mucosa, which can lead to a rapid onset of action and increased bioavailability. The troches are intended for patients who may benefit from DHEA supplementation, which includes those with adrenal insufficiency, certain autoimmune conditions, and individuals experiencing age-related DHEA decline.

DHEA is a naturally occurring hormone produced by the adrenal glands, and it serves as a precursor to androgens and estrogens, the male and female sex hormones. As a medication, DHEA is used to treat a variety of conditions. In patients with adrenal insufficiency, DHEA supplementation can help alleviate symptoms such as fatigue, weakness, and mood disturbances. It has also been studied for its potential benefits in autoimmune conditions like systemic lupus erythematosus (SLE), where it may help improve quality of life and reduce corticosteroid usage. Additionally, DHEA may have a role in improving bone density, sexual function, and psychological well-being in certain populations, particularly in those experiencing a natural decline in hormone levels due to aging.

It is important for patients and prescribers to understand that while DHEA has potential benefits, it also carries risks and may interact with other medications. The use of DHEA should be monitored by a healthcare professional, and its safety and efficacy for individual conditions should be evaluated on a case-by-case basis. Patients with a history of hormone-sensitive cancers, liver disease, or psychiatric conditions should use DHEA with caution, and it is not recommended for pregnant or breastfeeding women.

For prescribers considering DHEA 200 mg oral troches for their patients, it is crucial to assess the patient's overall health status, current medications, and specific treatment goals. Pharmacokinetic properties, such as the first-pass metabolism avoidance due to mucosal absorption, should be taken into account when determining the appropriateness of this formulation. Additionally, the compounding pharmacists at Bayview Pharmacy can provide guidance on the proper use and storage of these troches to ensure stability and efficacy.

If you have any questions or require further information about DHEA 200 mg oral troches, or if you need assistance in determining if this formulation is suitable for your patient, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to support you with expert advice and personalized care.

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 for a variety of conditions, including adrenal insufficiency, depression, induction of labor, and systemic lupus erythematosus, among others. However, its efficacy for many of these uses has not been conclusively established. When considering the use of DHEA 200 mg oral troches, it is important to be aware of potential drug interactions that may affect patient safety and treatment efficacy.

DHEA may interact with medications that are substrates of the cytochrome P450 enzyme system, particularly CYP3A4. Drugs that are metabolized by this enzyme could potentially have altered plasma concentrations in the presence of DHEA. For example, increased levels of DHEA may enhance the metabolism of certain benzodiazepines, calcium channel blockers, and some statins, potentially reducing their effectiveness. Conversely, medications that inhibit CYP3A4 could lead to increased levels of DHEA and its metabolites, possibly increasing the risk of side effects.

Additionally, DHEA may influence the effects of hormone therapies, including oral contraceptives and hormone replacement therapy. The troches could potentially alter the effectiveness of these medications or increase the risk of hormone-related side effects. Patients using any form of hormone therapy should consult with their healthcare provider before starting DHEA.

Patients taking anticoagulants or antiplatelet medications should be cautious, as DHEA may have anticoagulant properties. This could potentially increase the risk of bleeding. Close monitoring of coagulation parameters and adjustment of anticoagulant dosage may be necessary when DHEA is used concurrently with these medications.

Insulin and other antidiabetic drugs may also interact with DHEA. Since DHEA can affect insulin sensitivity, it may necessitate adjustments in antidiabetic medication dosages to maintain optimal glycemic control. Patients with diabetes should be closely monitored for changes in blood glucose levels when initiating or discontinuing DHEA therapy.

It is also important to consider the potential interaction between DHEA and herbal supplements. For instance, supplements that possess estrogenic or androgenic activity could amplify the hormonal effects of DHEA, leading to an increased risk of side effects. Patients should inform their healthcare provider of all prescription, over-the-counter medications, and dietary supplements they are taking before starting DHEA therapy.

Given the potential for drug interactions, prescribers should thoroughly review the patient's medication history before recommending DHEA oral troches. Pharmacokinetic and pharmacodynamic profiles should be considered to avoid adverse interactions. Patients should be advised to report any unusual symptoms or side effects promptly, and regular follow-up appointments should be scheduled to monitor the patient's response to therapy and to make any necessary adjustments to their medication regimen.

If you have any questions or require further information regarding drug interactions with DHEA oral troches, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to ensuring the safe and appropriate use of compounded medications.

How Does it Work

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Dehydroepiandrosterone (DHEA) is a naturally occurring hormone produced by the adrenal glands, gonads, and brain. It serves as a precursor to male and female sex hormones, including testosterone and estrogen. As a medication, DHEA is used to replenish levels in individuals who may have a deficiency due to various conditions such as adrenal insufficiency, menopausal symptoms, or age-related decreases in hormone production.

The oral troche form is a square-shaped solid dosage that is intended to dissolve slowly in the mouth. This allows the medication to be absorbed directly through the oral mucosa, the mucous membrane lining the inside of the mouth. This route of administration can offer several advantages. Firstly, it bypasses the gastrointestinal tract, which can be beneficial for drugs that are poorly absorbed from the gut or are extensively metabolized by the liver – a phenomenon known as first-pass metabolism. This can result in a higher bioavailability of the active ingredient. Secondly, the gradual dissolution of the troche ensures a more sustained release of DHEA into the bloodstream, which may help in maintaining stable hormone levels over time.

For patients with adrenal insufficiency, DHEA supplementation can help in restoring the physiological levels of DHEA and its metabolites, potentially improving quality of life, mood, and sexual function. In postmenopausal women, DHEA may help alleviate symptoms such as vaginal atrophy and dryness, while also potentially having a positive effect on bone density and overall well-being. Additionally, for individuals experiencing a natural decline in DHEA levels due to aging, these troches may help in mitigating some age-related physiological changes and support a healthy aging process.

It is important for both patients and prescribers to understand that while DHEA supplementation can be beneficial in certain conditions, it should be used with caution and under medical supervision, particularly due to its ability to convert into active sex hormones. Monitoring hormone levels and adjusting the dosage accordingly is crucial to avoid potential side effects and ensure the safe and appropriate use of DHEA troches. Furthermore, patients with a history of hormone-sensitive cancers should avoid using DHEA unless specifically recommended by their healthcare provider.

If you have any questions or require further information about the Dehydroepiandrosterone 200 mg Oral Troches, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the support and guidance you need to make informed decisions about your health and medication regimen.

Other Uses

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While Dehydroepiandrosterone (DHEA) is primarily recognized for its role as a precursor to sex hormones and its use in treating conditions related to hormonal imbalances such as adrenal insufficiency, it has also been investigated for other potential therapeutic applications. In addition to its utility in such diseases, DHEA troches may also be explored for their possible effects on aging, mood enhancement, cognitive function, bone density, and overall well-being due to its influence on endocrine function. Some studies have suggested that DHEA supplementation could improve skin health and sexual function, possibly due to its conversion to more potent androgens and estrogens. Moreover, there is emerging interest in the role of DHEA in modulating the immune system, which might have implications for its use in managing certain inflammatory and autoimmune conditions.

Furthermore, because DHEA can be metabolized into testosterone or estrogen, it might be considered for inclusion in a treatment regimen for patients who have age-related declines in these hormones or for those who are undergoing gender transition and may benefit from hormonal modulation. The potential applications of DHEA are broad, but it is critical to note that its use should always be guided by a healthcare professional due to its powerful hormonal effects and the potential for side effects and interactions with other medications.

Patients and prescribers should be aware that while there is ongoing research into the myriad effects of DHEA, not all proposed benefits are well-substantiated by clinical trials, and the regulatory status of DHEA as a supplement or drug may vary by country. It is equally important to monitor hormone levels and adjust dosages accordingly to avoid adverse events. Due to its various potential uses, patient-specific factors, and the need for close monitoring, Dehydroepiandrosterone 200 mg Oral Troches provide a versatile option for tailored therapies where the convenience and sustained release of a troche may be beneficial.

If you have any questions or require further information about DHEA troches and their possible applications or about the management of hormone-related conditions, do not hesitate to reach out to us at Bayview Pharmacy. We are committed to providing the necessary guidance and support to ensure the safe and appropriate use of compounded medications.

Frequently Asked Questions

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What is a Dehydroepiandrosterone (DHEA) 200 mg Oral Troche?

A Dehydroepiandrosterone 200 mg Oral Troche is a square-shaped solid dosage form containing 200 milligrams of Dehydroepiandrosterone. It's designed to dissolve slowly in the mouth and deliver medication directly through the oral mucosa for either targeted local relief or systemic effects.

How do you use an Oral Troche?

To use an Oral Troche, place it in your mouth and allow it to dissolve slowly. It's important not to chew or swallow the troche. Instead, let it sit and gradually release the medication for absorption through the lining of your mouth.

How long does it take for a DHEA Oral Troche to dissolve?

The time it takes for a DHEA Oral Troche to dissolve can vary, but it is designed to dissolve slowly to ensure proper absorption. This process can typically take anywhere between 15 to 30 minutes.

Can you eat or drink while using an Oral Troche?

It's recommended to avoid eating or drinking while the troche is dissolving in your mouth. This can disrupt the absorption process. It's generally advised to wait until the troche has completely dissolved before consuming any food or beverages.

What are the benefits of using a Dehydroepiandrosterone Oral Troche over other forms of DHEA supplementation?

Dehydroepiandrosterone Oral Troches bypass the digestive system and liver, which can lead to improved absorption and quicker onset of action. They may also provide a more consistent delivery of the hormone into the bloodstream.

Is Dehydroepiandrosterone safe to use?

Dehydroepiandrosterone is considered safe for many people when used under the supervision of a healthcare provider. However, it can interact with certain medications and is not suitable for everyone. Consult with a healthcare professional before starting any new supplement regimen.

Who might need DHEA supplementation?

Individuals who have low levels of DHEA, such as those with certain adrenal disorders, aging adults, or individuals undergoing certain medical treatments, may benefit from DHEA supplementation. Always seek advice from a healthcare professional to determine if supplementation is right for you.

Are there any side effects associated with DHEA Oral Troches?

As with any medication or supplement, there can be side effects. Common side effects of DHEA can include oily skin, acne, hair loss, stomach upset, high blood pressure, and changes in menstrual cycle. If you experience any adverse effects, contact your healthcare professional immediately.

Can you use DHEA Oral Troches if you are pregnant or breastfeeding?

DHEA supplementation is not recommended for pregnant or breastfeeding women due to the potential risks to the baby. It is important to consult with a healthcare provider before starting any new medications or supplements if you are pregnant or breastfeeding.

How should I store my DHEA Oral Troches?

Store your DHEA Oral Troches at room temperature away from direct light, moisture, and heat. Keep them in their original packaging until you are ready to use them. It is also important to keep them out of reach of children and pets.

Do you need a prescription for DHEA Oral Troches?

Yes, DHEA is considered a controlled substance in many countries, including the United States, and requires a prescription from a licensed healthcare provider for use.

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.

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 200 mg Oral Troches
Troches
90 troches
controlled

Place 1 troche between cheek and gum and let slowly dissolve