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Dehydroepiandrosterone DHEA 50 mg/0.2 mL Transdermal Gel

FDA-approved generic
Dose form
Topical Gel
Active ingredients
Dehydroepiandrosterone

The Dehydroepiandrosterone (DHEA) 50 mg/0.2 mL Transdermal Gel is a semisolid formulation designed for ease of use and precise dosing through a pump mechanism. This transdermal delivery system allows for the direct application of DHEA onto the skin, where it is absorbed into the body to exert its effects. The gel-like consistency ensures that the medication is spread evenly and absorbed effectively at the site of application.

DHEA is an endogenous steroid hormone that serves as a precursor to androgens and estrogens. This transdermal gel is utilized in the treatment of various conditions, including adrenal insufficiency, depression, induction of labor, and systemic lupus erythematosus. It may also be prescribed for other indications as deemed appropriate by a healthcare provider, based on the patient's specific health needs and medical history.

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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.

For prescribersSign in for prescription details and order forms.
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 Gel
654ec2a6410d24517c7c44cf
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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) is an endogenous steroid hormone that serves as a precursor to androgens and estrogens, which are vital for a wide array of physiological functions. The DHEA 50 mg/0.2 mL Transdermal Gel is a specialized semisolid formulation designed to deliver a consistent dose of DHEA through the skin, directly into the systemic circulation. This transdermal delivery system is advantageous as it bypasses the first-pass metabolism in the liver, potentially reducing the risk of hepatic side effects and improving bioavailability. The gel is dispensed through a pump mechanism, which ensures precise dosing and ease of application. The targeted transdermal application allows for localized or systemic treatment, depending on the clinical indication.

The use of DHEA in this transdermal gel form has been explored for various disease states. In patients with adrenal insufficiency, DHEA supplementation can help restore normal levels of DHEA and alleviate symptoms associated with its deficiency, such as fatigue, muscle weakness, and mood disturbances. Additionally, DHEA may have a role in managing conditions related to aging, as DHEA levels naturally decline with age. Some studies suggest that DHEA supplementation may improve skin hydration and texture, bone density, and sexual function, although more research is needed to confirm these benefits.

Furthermore, DHEA has been investigated for its potential benefits in managing systemic lupus erythematosus (SLE), as it may modulate the immune system and reduce inflammation. However, the use of DHEA should be carefully considered, as it can exert hormonal effects and may not be suitable for all patients, particularly those with hormone-sensitive cancers or a history of such conditions. It is also important to monitor patients for side effects, which may include acne, hair loss, or changes in mood or libido, among others.

For prescribers considering this formulation, it is crucial to evaluate the patient's overall health status, hormone levels, and specific treatment goals. Patients should be counseled on the proper application of the gel, including the site of application and the avoidance of washing the area immediately after application to ensure adequate absorption. Regular follow-up and monitoring of hormone levels and clinical response are recommended to adjust the dose as necessary and to ensure safety and efficacy of the treatment.

If you have any questions or require further information about the DHEA 50 mg/0.2 mL Transdermal Gel formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to providing comprehensive support and guidance to both patients and healthcare providers.

Drug Interactions

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Dehydroepiandrosterone (DHEA) is an endogenous steroid hormone that serves as a precursor to androgens and estrogens, which are critical for a wide range of physiological functions. When considering the use of DHEA in a transdermal gel formulation, it is important to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. DHEA metabolism involves the cytochrome P450 enzyme system, particularly CYP3A4, which is responsible for the conversion of DHEA into its active metabolites. Therefore, concurrent use of medications that are strong inhibitors or inducers of CYP3A4 may alter the levels of DHEA and its metabolites, potentially leading to altered therapeutic effects or increased risk of side effects.

For example, certain antifungal agents (such as ketoconazole), antibiotics (like erythromycin), and protease inhibitors used in the treatment of HIV may inhibit CYP3A4, potentially increasing DHEA levels and the risk of side effects such as acne, hair loss, or virilization. Conversely, medications that induce CYP3A4 activity, such as some anticonvulsants (like phenytoin) and rifampin, may decrease the effectiveness of DHEA by increasing its metabolic clearance. Additionally, DHEA may interact with hormone-sensitive conditions and medications, as it can be converted into estrogen or testosterone. Patients with hormone-sensitive cancers or those taking hormone therapy should use DHEA with caution, and only under the supervision of a healthcare provider.

It is also important to consider the potential for DHEA to interact with other supplements and over-the-counter medications. For instance, the concurrent use of DHEA with other supplements that affect hormone levels, such as tribulus terrestris or 5-alpha reductase inhibitors, may amplify or oppose the effects of DHEA, leading to unpredictable outcomes. Patients should be advised to disclose all medications, supplements, and herbal products they are taking to their healthcare provider to avoid potential interactions.

Regarding the treatment of disease states, DHEA has been investigated for a variety of conditions, including adrenal insufficiency, depression, osteoporosis, and systemic lupus erythematosus, among others. Its efficacy in these conditions may be influenced by individual patient factors, including age, sex, and baseline hormone levels. As a transdermal gel, DHEA offers the advantage of bypassing first-pass metabolism in the liver, potentially providing more consistent serum levels of the hormone. However, the transdermal route also necessitates consideration of the skin's condition and integrity, as skin disorders or damage may affect the absorption of the medication.

Patients and prescribers should monitor for signs of excessive androgenic or estrogenic effects, as well as any other unexpected symptoms that may arise during treatment with DHEA. Regular follow-up and possibly hormone level assessments may be necessary to ensure the safe and appropriate use of this medication. If you have any questions or require further information regarding the use of DHEA transdermal gel, please reach out to us at Bayview Pharmacy for personalized guidance and support.

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. The DHEA 50 mg/0.2 mL Transdermal Gel is a specially designed formulation that allows for the hormone to be absorbed directly through the skin. This method of delivery bypasses the gastrointestinal tract and liver, which can metabolize and inactivate oral forms of DHEA, potentially reducing its effectiveness. The transdermal route ensures a more consistent absorption and maintains steadier blood levels of the hormone.

The gel is composed of a base that facilitates the solubilization and stabilization of DHEA, allowing it to penetrate the stratum corneum, or the outermost layer of the skin. Once through the skin barrier, DHEA diffuses into the systemic circulation, where it can exert its effects. The semisolid formulation is dispensed through a pump mechanism, which provides a convenient and precise dosing method. Each pump delivers a measured dose of the gel, which can be applied to a relatively small area of skin, such as the inner forearm or upper chest, ensuring consistent dosing and minimizing the risk of transference to others.

DHEA has been investigated for its potential benefits in a variety of disease states. It is often used in conditions associated with low DHEA levels, such as adrenal insufficiency, depression, osteoporosis, and systemic lupus erythematosus (SLE). In these conditions, DHEA supplementation may help to restore more youthful levels of DHEA and its metabolites, potentially improving symptoms and quality of life. For example, in SLE, DHEA may modulate the immune response and reduce inflammation. In osteoporosis, it may contribute to bone density maintenance. However, the effectiveness and safety of DHEA supplementation can vary, and it is important to monitor patients for side effects, such as hormonal imbalances or changes in cholesterol levels.

It is crucial for patients and prescribers to understand that while DHEA supplementation may offer benefits, it should be used with caution and under medical supervision, particularly in those with hormone-sensitive conditions. The transdermal delivery system of DHEA gel provides a targeted approach that may reduce some risks associated with systemic hormone therapy, but it is not without potential side effects. As with any medication, adherence to dosing instructions and regular follow-up with healthcare providers are essential for appropriate treatment.

If you have any questions or require further information about the DHEA 50 mg/0.2 mL Transdermal Gel, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance needed to ensure optimal treatment outcomes.

Other Uses

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Dehydroepiandrosterone (DHEA) is an endogenous hormone precursor, which serves various functions in the body and can be converted into both estrogen and testosterone. Although DHEA is often prescribed for its potential to manage or augment treatment for certain disease states, this transdermal gel formulation may also have a wider range of uses that extend beyond its typical indications.

The transdermal delivery mechanism of DHEA offers potential benefits in terms of ease of application and sustained release of the hormone into the body. Research suggests that transdermal application can ensure a steady absorption, which may help maintain consistent blood levels of DHEA. By avoiding first-pass metabolism, transdermal application could also lead to fewer side effects compared to oral administration in some patients.

Beyond its primary use for adrenal insufficiency and other hormonal imbalances, DHEA in a transdermal application has been studied for its role in improving skin health and possibly counteracting the effects of aging, such as thinning skin, reduced elasticity, and impaired wound healing. Additionally, some researchers suggest that DHEA may have a beneficial impact on mood and cognitive function, as well as potential effects on bone density, although these areas require further study and should not be considered established uses.

Patients looking to use DHEA transdermal gel for any off-label use should do so only under the guidance and close supervision of a healthcare professional to ensure safety and effectiveness. It is important to balance the expected benefits against potential risks and to monitor for any adverse effects regularly since the long-term effects of DHEA supplementations are not fully understood.

This formulation's non-standard uses should always be critically evaluated by prescribers on an individual patient basis. If you have any questions or require more detailed information about this DHEA transdermal gel formulation, or its potential uses, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support.

Frequently Asked Questions

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What is Dehydroepiandrosterone (DHEA) Transdermal Gel?

DHEA transdermal gel is a semisolid preparation containing the hormone Dehydroepiandrosterone (DHEA) for topical application. It is used to deliver DHEA through the skin directly to the bloodstream, potentially offering benefits such as improved hormonal balance, increased energy levels, or other health effects associated with DHEA.

How do you use DHEA 50 mg/0.2 mL Transdermal Gel?

To use this gel, place a small amount on the skin as directed by your healthcare provider. Apply it to clean, dry, and intact skin, typically on areas recommended by your physician, such as the arms, shoulders, or abdomen. Avoid contact with the eyes or open wounds.

How does the pump mechanism work for this DHEA gel?

The pump mechanism is designed to dispense a specific dose of the DHEA gel with each pump. To use it, remove the cap, press down on the pump top, and it will release a measured amount of gel for application. This allows for easy and precise dosing.

How often should I apply the transdermal gel?

The frequency of application will depend on your individual treatment plan prescribed by your healthcare provider. It's essential to follow their specific instructions regarding dosage and frequency.

Can this DHEA gel be applied to any area of the skin?

It's best to apply the gel to areas of the skin as recommended by your healthcare provider, generally where the skin is thin and has good blood flow, such as the arms, shoulders, or abdomen. Avoid applying it to sensitive areas or where the skin is broken.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your regular schedule. Do not apply extra gel to compensate for a missed dose.

Are there any side effects of using DHEA transdermal gel?

As with any medication, there can be side effects. Some individuals may experience skin irritation or allergic reactions at the application site, along with other possible side effects. Contact your healthcare provider if you notice any symptoms or if you have any concerns.

Can this gel be used with other topical medications?

You should discuss with your healthcare provider before using other topical medications in combination with DHEA gel to avoid any interactions and ensure proper absorption of both treatments.

Is DHEA transdermal gel suitable for everyone?

DHEA may not be suitable for everyone, particularly those with hormone-sensitive conditions, pregnant women, or nursing mothers. It's crucial to consult with a healthcare provider before starting any new treatment, including DHEA transdermal gel.

How should I store the DHEA transdermal gel?

Store the gel at room temperature, away from direct sunlight and heat. Keep the container tightly closed when not in use. Ensure it is kept out of reach of children and pets.

Does the DHEA transdermal gel have an expiry date?

Yes, like all medications, this gel has an expiry date. Use it within the expiration period for maximum efficacy and safety, and dispose of any remaining gel according to your healthcare provider's instructions after it has expired.

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 DHEA 50 mg/0.2 mL Transdermal Gel
Topical Gel
60 g
controlled

Apply topically to affected area(s)

Once daily