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Dehydroepiandrosterone 5%/Testosterone 13.33% Topical Cream

Custom-compounded at Bayview Pharmacy, this Dehydroepiandrosterone 5%/Testosterone 13.33% Topical Cream supports hormone balance for hypogonadism, adrenal insufficiency, and more.
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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
Testosterone
Topical Cream
654ebcd16b84546f4205d9fb

Formula Information

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Dehydroepiandrosterone (DHEA) 5%/Testosterone 13.33% Topical Cream is a compounded medication specifically formulated to address conditions related to hormonal imbalances or deficiencies. DHEA is a naturally occurring hormone that serves as a precursor to testosterone and other sex hormones. The inclusion of DHEA in this formulation aims to support the body's endogenous production of androgens and estrogens, which can be beneficial in various disease states. Testosterone, a primary male sex hormone, is crucial for maintaining muscle mass, bone density, and sexual function. It also plays a role in general health and well-being.

This cream is compounded in a semisolid dosage form and is dispensed in a pump mechanism container. This delivery system is designed to ensure a convenient, hygienic, and controlled application, allowing for accurate dosing and consistent delivery of the active ingredients to the targeted area. The topical route of administration is advantageous for localized treatment, minimizing systemic absorption and potential side effects that may occur with oral or injectable forms of these hormones.

The combination of DHEA and Testosterone in this cream may be prescribed for conditions such as androgen deficiency, certain types of sexual dysfunction, and some menopausal symptoms in women. In men, testosterone replacement therapy is often used to treat symptoms associated with low testosterone levels, such as decreased libido, fatigue, loss of muscle mass, and osteoporosis. In women, DHEA may help improve sexual arousal and bone density, while testosterone can be used to enhance libido and energy levels. It is important to note that hormone replacement therapy should be tailored to the individual's needs and closely monitored by a healthcare provider.

Patients and prescribers considering this formulation should be aware of the potential risks and benefits associated with hormone replacement therapy. Regular follow-up and laboratory testing are essential to ensure safety and efficacy. Side effects may include skin irritation at the application site, hormonal imbalances, and other systemic effects. It is crucial to use this medication under the guidance of a healthcare professional with expertise in hormone therapy.

For more detailed information about this formulation, including its suitability for specific patients, dosing, administration, and potential interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to answer any questions and provide the necessary support for both patients and prescribers.

Drug Interactions

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The Dehydroepiandrosterone (DHEA) 5%/Testosterone 13.33% Topical Cream is a compounded medication intended for the treatment of conditions that may benefit from the administration of these hormones, such as certain endocrine disorders, menopausal symptoms, or possibly for the management of low libido or erectile dysfunction. However, it is important to consider potential drug interactions when using this formulation.

Both DHEA and testosterone are steroid hormones that can have systemic effects when absorbed through the skin. Therefore, they may interact with other medications that alter hormone levels or are metabolized by similar pathways in the body. For instance, the use of this cream may influence the effects of oral anticoagulants like warfarin, as testosterone can potentially alter the synthesis of clotting factors. Patients on anticoagulant therapy should be closely monitored for changes in their INR or bleeding times.

Concomitant use of other androgens or anabolic steroids can exacerbate the potential for adverse effects such as virilization in women, worsening of benign prostatic hypertrophy, or the potential for cardiovascular side effects. Additionally, patients using insulin or oral hypoglycemic agents should be aware that androgens may alter glucose metabolism, necessitating adjustments in their antidiabetic medication dosages.

Enzyme-inducing drugs, such as certain anticonvulsants (e.g., phenytoin) and antibiotics (e.g., rifampin), may increase the metabolism of hormones in this cream, potentially reducing their effectiveness. Conversely, enzyme inhibitors like certain antifungals (e.g., ketoconazole) and protease inhibitors may increase hormone levels, leading to an increased risk of side effects.

It is also important to note that the use of this cream may affect thyroid function tests and may necessitate adjustments in thyroid hormone replacement therapy. Patients should be monitored for changes in thyroid function when initiating or discontinuing this cream.

Given the potential for interaction with a wide range of medications, it is crucial for patients to inform their healthcare providers of all medications, supplements, and herbal products they are currently using before starting treatment with DHEA/Testosterone Topical Cream. Healthcare providers should evaluate the patient's medication profile for potential drug interactions to ensure safe and appropriate use of this compounded formulation.

For any questions or concerns regarding this formulation or its potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide the necessary support and guidance to both patients and prescribers.

How Does it Work

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The Dehydroepiandrosterone (DHEA) 5%/Testosterone 13.33% Topical Cream is a compounded medication that combines two androgens, DHEA and testosterone, in a cream base for topical application. DHEA is a naturally occurring hormone in the body that serves as a precursor to testosterone and other sex hormones. It is involved in a wide range of biological effects, including immune response, energy level, mood, and libido. Testosterone is the primary male sex hormone, crucial for the development and maintenance of male sex characteristics, muscle mass, bone density, and sexual function.

The cream is formulated to be applied directly to the skin, where it is absorbed into the local tissue. This localized application aims to minimize systemic absorption and reduce the risk of side effects that may occur with oral or injectable forms of these hormones. The semisolid preparation is dispensed in a pump mechanism, which allows for a controlled and consistent dose with each application. This is particularly important for hormones like DHEA and testosterone, where precise dosing is necessary to achieve the desired therapeutic effect without exceeding the optimal hormone levels.

The combination of DHEA and testosterone in this topical cream may be used to treat various conditions associated with low levels of these hormones. For example, in men, it may be prescribed for testosterone replacement therapy to address symptoms of hypogonadism, such as decreased libido, erectile dysfunction, fatigue, and loss of muscle mass. In women, it may be used to improve sexual function, mood, and well-being, particularly during menopause when hormone levels decline. Additionally, the cream may be used off-label for other conditions as determined by a healthcare provider.

It is important to note that hormone replacement therapy with DHEA and testosterone should be closely monitored by a healthcare provider. Blood tests are often used to measure hormone levels and adjust dosing as needed. Patients should be aware of potential side effects, including but not limited to skin irritation at the application site, changes in hair growth, and alterations in mood or libido. Long-term use of hormone therapy may carry additional risks and should be discussed with a healthcare professional.

For patients and prescribers interested in using this formulation, it is essential to consider the individual patient's health history, current medications, and the specific condition being treated. Our team at Bayview Pharmacy is available to answer any questions and provide guidance on the appropriate use of this compounded medication. Please reach out to us for further information or to discuss the potential benefits and risks associated with this therapy.

Other Uses

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While the primary indication for a Dehydroepiandrosterone (DHEA) 5%/Testosterone 13.33% topical cream is typically hormone replacement therapy to address deficiencies in DHEA and testosterone levels, there may be other potential uses for this formulation. However, it should be noted that these other uses are less established in the clinical literature and may not have robust evidence to support their efficacy. Off-label uses may include support for mental health and mood regulation, as deficiencies in these hormones have been associated with mood disorders, such as depression. Some practitioners also consider this formulation for its potential anti-aging effects on the skin, believing it can improve skin quality or slow the aging process due to the role of these hormones in skin health.

Beyond the skin, some evidence suggests that topical application of hormones like DHEA and testosterone may have systemic benefits, such as improving bone density, muscle strength, and libido, as well as having cardioprotective effects. However, patients and prescribers should be cautious about these potential uses, as they can come with risks, and the evidence supporting them is not as strong or direct as the evidence supporting the primary uses. Any decision to use this cream for off-label purposes should be made in careful consultation with a healthcare provider, taking into account the patient's individual health status, potential contraindications, and the current evidence base.

It is also crucial to keep in mind that this formulation is dosed via a pump mechanism to ensure that the correct amount is applied each time, which helps in maintaining consistent blood hormone levels when used for conventional hormone replacement therapy. When considering other uses, the dosing and frequency might differ, thus requiring careful monitoring and adjustment by a healthcare professional.

Patients or prescribers looking for additional information or considering the use of this DHEA 5%/Testosterone 13.33% topical cream for applications beyond the established indications are encouraged to contact us at Bayview Pharmacy. Our team of compounding pharmacists can provide further guidance, answer questions, address concerns, and supply relevant scientific literature to help make informed decisions about treatment options. Patient safety and efficacy of therapy are our utmost concerns, and we are here to support your healthcare needs.

Frequently Asked Questions

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What is Dehydroepiandrosterone (DHEA)/Testosterone Topical Cream used for?

This cream is a hormone replacement therapy used to treat certain medical conditions that result from low levels of testosterone and DHEA. It is commonly employed in the management of hormone balance, symptoms of aging, and other health conditions as prescribed by a healthcare professional.

How does the pump mechanism benefit the use of this cream?

The pump mechanism is designed to deliver a controlled dose of the cream, which can help ensure consistent applications. It also eases the application process, making it cleaner and more convenient than traditional tubes or jars.

How should I apply Dehydroepiandrosterone/Testosterone Topical Cream?

Clean and dry the area of skin where you will apply the cream. Press the pump to dispense a small amount, then gently rub it onto the skin until absorbed. Always follow the specific instructions provided by your healthcare provider regarding dosage and application areas.

Can this cream be applied to any area of the skin?

Not all skin areas are appropriate for application. It is important to apply the cream only to areas recommended by a healthcare professional to ensure optimal absorption and reduce the risk of side effects.

What are the potential side effects of using DHEA/Testosterone Topical Cream?

Potential side effects may include skin irritation, redness, itching, or hair growth at the application site. More serious side effects can occur and should be reported to your healthcare provider, such as changes in mood, weight gain, or trouble breathing.

How often should the DHEA/Testosterone Topical Cream be applied?

The frequency of application will be determined by your healthcare provider based on your individual needs and response to treatment. It is crucial to follow their instructions precisely.

What should I do if I miss a dose of this cream?

If you miss a dose, apply it as soon as you remember. However, if it's nearly time for your next scheduled dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Can this cream be used by anyone?

Not everyone should use this cream. It is intended for patients with specific medical conditions or hormone deficiencies. You should only use this medication if it has been prescribed to you by a healthcare provider after a thorough evaluation.

Will the use of Dehydroepiandrosterone/Testosterone Cream affect my daily activities?

The cream is designed to be absorbed into the skin and should not interfere with your daily activities. However, after application, it's advisable to allow the cream to dry before dressing or coming into contact with others to prevent transfer of the medication.

Should I avoid any activities or other medications while using this topical cream?

You should discuss with your healthcare provider before starting any new medications, supplements, or engaging in activities that could interfere with the hormone treatment. Certain medications or activities may affect how the hormones in the cream work or increase your risk of side effects.

How should Dehydroepiandrosterone/Testosterone Topical Cream be stored?

The cream should be stored at room temperature, away from direct sunlight and heat. Do not refrigerate or freeze. Keep the container tightly closed and out of reach of children and pets. Be sure to check the expiration date and dispose of any expired or unused medication properly.

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.

Related Formulas

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, NY, NJ, NH, FL, and ME. 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 5%/Testosterone 13.33% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)