Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Estradiol 0.01% to 10% Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Estradiol

The Estradiol 0.01% to 10% Topical Cream is a semisolid preparation intended for transdermal delivery of estradiol, a form of estrogen. This cream is dispensed in a pump mechanism, which allows for convenient, controlled, and consistent application to the skin. The formulation is designed for localized treatment and ensures the absorption of the active ingredient, estradiol, directly through the skin.

Estradiol topical cream is primarily used in the management of menopausal symptoms such as hot flashes, vaginal dryness, and atrophy. Additionally, it may be prescribed for hormone replacement therapy in conditions of estrogen deficiency or as part of a transgender hormone therapy regimen. The concentration of estradiol can be adjusted from 0.01% to 10% to meet the specific therapeutic needs of the patient.

View more
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.
Starting at
Get started as a patient
Get Started
This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
Check if we ship to your state
No prescription yet?

Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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.
Estradiol
Topical Cream
655e9f04c305a43f0c135a8f
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.

Check your state

Available in

Tap a state to check it.

Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

Select a state on the map or use the checker.

Formula Information

A small arrow pointing down

Estradiol, a form of estrogen, is a hormone critical for many processes in the body. As a topical cream, it can be used to treat various conditions related to estrogen deficiency or hormonal imbalances. The Estradiol 0.01% to 10% Topical Cream is a versatile formulation that can be customized to the specific needs of the patient, ranging from a very low to a high concentration of the active ingredient. This semisolid preparation is dispensed in a pump mechanism, which allows for precise dosing and ease of application. The pump design helps to ensure that each dose is consistent, reducing the risk of over- or under-dosing, which is particularly important when dealing with hormone therapy.

The topical application of estradiol is beneficial in managing symptoms associated with menopause, such as hot flashes, vaginal dryness, and atrophy. It can also be used in the treatment of certain conditions like atrophic vaginitis, kraurosis vulvae, and as part of hormone replacement therapy (HRT) for hypoestrogenism due to hypogonadism, castration, or primary ovarian failure. By applying the cream directly to the skin, the hormone is absorbed into the bloodstream, exerting its effects where needed while minimizing systemic exposure and potentially reducing some of the risks associated with oral hormone therapies.

For patients, it is important to understand that the use of estradiol cream should be based on a thorough evaluation by a healthcare provider, considering the individual's medical history, current conditions, and specific symptoms. The cream should be applied as directed by the prescriber, and patients should be aware of potential side effects, which may include skin irritation at the application site, changes in menstrual cycle, or other symptoms associated with hormonal changes. Regular follow-up appointments are essential to monitor the treatment's effectiveness and to make any necessary adjustments to the dosage.

Prescribers should consider the patient's hormone levels, symptom severity, and personal and family medical history when determining the appropriate concentration of estradiol in the topical cream. It is also important to counsel patients on the proper application technique and the importance of adhering to the prescribed regimen. Monitoring for therapeutic effectiveness and side effects is crucial, and adjustments to the formulation may be required based on the patient's response to therapy.

At Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the unique needs of each patient. Our team of compounding pharmacists is available to answer any questions and provide guidance on the use of Estradiol 0.01% to 10% Topical Cream. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

A small arrow pointing down

Estradiol is a form of estrogen, a female sex hormone produced by the ovaries. Estrogen is necessary for many processes in the body. Estradiol topical is used to treat certain symptoms of menopause such as hot flashes, and vaginal dryness, burning, and irritation. Other uses include prevention of osteoporosis in postmenopausal women, and replacement of estrogen in women with ovarian failure or other conditions that cause a lack of natural estrogen in the body.

When considering the use of estradiol 0.01% to 10% topical cream, it is important to be aware of potential drug interactions that may affect the efficacy of the treatment or cause adverse effects. Estradiol can interact with a variety of medications, including but not limited to blood thinners (such as warfarin), thyroid replacement therapy, corticosteroids, and other hormones. It is crucial to inform your healthcare provider of all medications, supplements, and herbal products you are currently using before starting treatment with estradiol topical cream.

Enzyme inducers, such as certain anticonvulsants (like phenytoin, carbamazepine) and some anti-infectives (like rifampicin, rifabutin) may increase the metabolism of estradiol, leading to reduced effectiveness. Conversely, enzyme inhibitors such as certain antifungals (like ketoconazole, itraconazole) and protease inhibitors used in the treatment of HIV may increase the levels of estradiol, potentially increasing the risk of side effects.

Additionally, the concurrent use of substances known to affect hormone levels, such as St. John's Wort, may also alter the effectiveness of estradiol. St. John's Wort, in particular, is known to induce the metabolism of various drugs, including estradiol, which could lead to decreased efficacy. Grapefruit juice may also increase plasma concentrations of estradiol and should be consumed with caution when using estradiol topical cream.

It is also important to note that the use of estradiol in combination with progestins may carry additional risks, particularly in the context of hormone replacement therapy (HRT). The combination has been associated with an increased risk of heart disease, stroke, blood clots, and breast cancer in some studies. Therefore, the decision to use a combination of hormones should be made based on individual health needs and in consultation with a healthcare provider.

Patients should be advised to report any unusual vaginal bleeding right away while they are using this medication. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find out the cause.

For any questions or concerns regarding the use of estradiol 0.01% to 10% topical cream, or to report any side effects or suspected drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with the necessary information to ensure appropriate treatment.

How Does it Work

A small arrow pointing down

The Estradiol 0.01% to 10% Topical Cream is a hormone replacement therapy that is applied directly to the skin. Estradiol, the active ingredient, is a form of estrogen, which is a hormone that regulates many processes in the body. As women approach menopause, their bodies produce less estrogen, which can lead to a variety of symptoms such as hot flashes, vaginal dryness, and bone loss. This topical cream works by supplementing the body's natural estrogen levels, helping to alleviate these symptoms.

The cream is formulated to allow for the controlled release of estradiol through the skin and into the bloodstream. The concentration of estradiol can be adjusted between 0.01% and 10% to meet the specific needs of the patient, as determined by their healthcare provider. The semisolid preparation is designed to be easily absorbed by the skin without leaving a greasy residue. The inclusion of a pump mechanism in the packaging ensures that a consistent and accurate dose is delivered with each application, which is important for maintaining stable hormone levels.

When applied as directed, the estradiol in the cream penetrates the skin and enters the local tissue or the bloodstream. Once absorbed, it binds to estrogen receptors and exerts its effects similarly to the body's own estrogen. In the treatment of menopausal symptoms, it can help reduce the severity and frequency of hot flashes, improve vaginal health, and potentially prevent osteoporosis by maintaining bone density. Additionally, for patients with certain estrogen-dependent conditions, such as some forms of breast cancer or prostate cancer, this formulation can be used as part of their treatment regimen under the close supervision of their healthcare provider.

It is important for patients and prescribers to understand that while this topical cream can provide significant benefits, it must be used with caution. Patients with a history of hormone-sensitive cancers, blood clots, or liver disease should discuss the risks and benefits with their healthcare provider. Regular monitoring and follow-up are essential to ensure the safe and appropriate use of this medication. As with any medication, adherence to the prescribed dosage and application instructions is crucial for optimal outcomes.

If you have any questions about this formulation or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the information and support you need to make informed decisions about your healthcare.

Frequently Asked Questions

A small arrow pointing down

What is Estradiol Topical Cream and what is it used for?

Estradiol Topical Cream is a hormone replacement therapy that contains Estradiol, a form of estrogen naturally produced by the ovaries. It's used to treat symptoms of menopause such as hot flashes, vaginal dryness, and irritation. It can also be used in certain cases to prevent osteoporosis in postmenopausal women and for other conditions as determined by a healthcare provider.

How do I use the Estradiol Topical Cream?

The cream should be applied as directed by your healthcare provider. It is typically applied once a day to clean, dry skin on a rotating area of the body, avoiding the face. Do not apply the cream to irritated skin or open wounds.

Can I use this cream on my face or for facial wrinkles?

No, Estradiol Topical Cream is not intended for use on the face or to treat facial wrinkles. It should only be used on specific areas of the body as directed by your healthcare provider, typically on the thighs or abdomen.

Is this product safe to use during pregnancy?

No, Estradiol Topical Cream should not be used during pregnancy. If you become pregnant while using this cream, contact your healthcare provider immediately.

Can men use Estradiol Topical Cream?

Unless specifically prescribed by a healthcare provider for conditions that warrant its use in men, Estradiol Topical Cream is generally formulated and indicated for women, primarily for the treatment of menopausal symptoms.

What are the possible side effects of using Estradiol Topical Cream?

Side effects can include skin irritation at the application site, nausea, headache, breast tenderness, and irregular vaginal bleeding or spotting. If any of these side effects worsen or persist, contact your healthcare provider promptly.

How do I store Estradiol Topical Cream?

The cream should be stored at room temperature away from light and moisture. Keep the bottle tightly closed when not in use. Do not freeze. Keep out of reach of children.

What should I do if I miss a dose?

If you miss a dose of Estradiol Topical Cream, apply it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and apply the next one at the regular time. Do not double doses to catch up.

Can I use other skin products along with Estradiol Topical Cream?

You should avoid using other skin products on the same area within the same time frame of applying Estradiol Cream unless your doctor has told you otherwise. Other products may affect absorption or change the potency of the medication.

How does the pump mechanism work?

The pump mechanism on the Estradiol Topical Cream bottle is designed for a controlled application. It dispenses a measured amount of cream with each pump. Before first use, you may need to pump several times to prime the pump.

Should I apply sunscreen over the area where I've used Estradiol Topical Cream?

You should consult with your healthcare provider regarding the use of sunscreen over the application area. In general, you should protect treated areas from sunlight or artificial UV rays to minimize the potential for skin reactions or degradation of the medication.

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.

Estradiol 0.01% to 10% Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)

Once daily