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Estradiol 0.02% Vaginal Cream

FDA-approved generic
Dose form
Vaginal Cream
Active ingredients
Estradiol

Estradiol 0.02% Vaginal Cream is a semisolid formulation dispensed in a tube, designed for convenient and precise application in the vaginal area. It delivers medication to provide therapeutic effects for specific gynecological conditions.

This formulation is used to treat Vaginal Atrophy, Dyspareunia, Vaginal Dryness, Vulvovaginal Atrophy, and Genitourinary Syndrome of Menopause, offering relief and improving quality of life for those experiencing these conditions.

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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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Ships within 1 to 2 business days after pharmacist verification
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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.
Estradiol
Vaginal Cream
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.

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Formula Information

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Estradiol 0.02% Vaginal Cream is a semisolid formulation specifically designed for intravaginal application, providing a targeted delivery of estradiol, a form of estrogen, directly to the vaginal tissues. This formulation is dispensed in a tube, allowing for convenient and precise application, which is crucial for ensuring the correct dosage and maximizing therapeutic effects. The cream is intended to address a range of gynecological conditions associated with estrogen deficiency, particularly in postmenopausal women.

Vaginal Atrophy, also known as atrophic vaginitis, is a condition characterized by the thinning, drying, and inflammation of the vaginal walls due to decreased estrogen levels. Estradiol 0.02% Vaginal Cream helps to restore the normal thickness and elasticity of the vaginal epithelium, alleviating symptoms such as itching, burning, and irritation. By replenishing local estrogen levels, the cream effectively reverses the atrophic changes, improving overall vaginal health.

Dyspareunia, or painful intercourse, is often a consequence of vaginal atrophy and dryness. The application of estradiol cream enhances vaginal lubrication and elasticity, reducing friction and discomfort during sexual activity. This improvement in vaginal moisture and tissue pliability can significantly enhance sexual function and quality of life for affected individuals.

Vaginal Dryness is another common symptom associated with estrogen deficiency, leading to discomfort and an increased risk of infections. Estradiol 0.02% Vaginal Cream works by increasing the production of natural secretions and maintaining the optimal pH balance of the vaginal environment. This not only alleviates dryness but also supports the growth of healthy vaginal flora, providing a protective barrier against pathogens.

Vulvovaginal Atrophy and Genitourinary Syndrome of Menopause (GSM) encompass a broader spectrum of symptoms, including urinary issues such as urgency and recurrent urinary tract infections. The localized estrogen therapy provided by the cream can improve the integrity of the urogenital tissues, reducing urinary symptoms and enhancing overall genitourinary health.

For prescribers, it is important to consider the individual needs of each patient when recommending Estradiol 0.02% Vaginal Cream. The formulation offers a low-dose, localized treatment option with minimal systemic absorption, making it a suitable choice for women who may not tolerate or require systemic hormone replacement therapy. Patients should be advised on the correct application technique to ensure optimal results and minimize potential side effects.

Patients using this formulation should follow the prescribed regimen and report any adverse reactions or concerns to their healthcare provider. Regular follow-up appointments are recommended to assess the effectiveness of the treatment and make any necessary adjustments. If you have any questions or require further information about Estradiol 0.02% Vaginal Cream, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in achieving the best possible outcomes.

Drug Interactions

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Estradiol 0.02% Vaginal Cream is a topical estrogen therapy used to treat conditions such as Vaginal Atrophy, Dyspareunia, Vaginal Dryness, Vulvovaginal Atrophy, and Genitourinary Syndrome of Menopause. While this formulation is generally well-tolerated, it is important to be aware of potential drug interactions that may affect its efficacy or safety.

Patients using this formulation should be cautious when concurrently using other estrogen-containing products, as this may increase the risk of estrogen-related side effects. It is essential to inform your healthcare provider about all medications you are currently taking, including over-the-counter drugs, supplements, and herbal products, to avoid potential interactions.

Concomitant use of estradiol with certain medications may alter the metabolism of estradiol, potentially affecting its therapeutic effects. For instance, drugs that induce hepatic enzymes, such as certain anticonvulsants (e.g., phenytoin, carbamazepine) and anti-tuberculosis medications (e.g., rifampin), may decrease the effectiveness of estradiol by increasing its clearance from the body. Conversely, medications that inhibit these enzymes, such as certain antifungals (e.g., ketoconazole) and antibiotics (e.g., erythromycin), may increase estradiol levels, potentially leading to an increased risk of side effects.

Additionally, caution is advised when using estradiol in conjunction with thyroid hormone replacement therapy. Estrogens can increase the levels of thyroid-binding globulin, which may necessitate an adjustment in the dosage of thyroid medications to maintain therapeutic efficacy.

Patients with a history of hormone-sensitive conditions, such as breast cancer or thromboembolic disorders, should discuss the use of estradiol vaginal cream with their healthcare provider, as it may not be suitable for them. Furthermore, the use of estradiol may affect the results of certain laboratory tests, including thyroid function tests and blood glucose levels, so it is important to inform laboratory personnel of its use.

For prescribers, it is crucial to evaluate the patient's complete medication profile and medical history to identify any potential interactions or contraindications. Regular monitoring and follow-up appointments are recommended to assess the patient's response to therapy and to make any necessary adjustments.

If you have any questions or concerns about the use of Estradiol 0.02% Vaginal Cream and its potential interactions, please reach out to us for further assistance.

How Does it Work

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Estradiol 0.02% Vaginal Cream is a semisolid formulation specifically designed for intravaginal application, providing a targeted delivery of estradiol, a form of estrogen, directly to the vaginal tissues. This localized delivery system ensures that the medication is concentrated where it is most needed, minimizing systemic absorption and reducing the risk of side effects commonly associated with oral or systemic hormone replacement therapies. The cream is dispensed in a tube, allowing for convenient and precise application, which is crucial for achieving optimal therapeutic outcomes.

When applied, the estradiol in the cream binds to estrogen receptors in the vaginal epithelium and surrounding tissues. This binding action stimulates the proliferation of the vaginal epithelium, increases the thickness of the vaginal lining, and enhances the elasticity and lubrication of the vaginal tissues. These physiological changes are particularly beneficial in treating conditions such as vaginal atrophy, dyspareunia, vaginal dryness, vulvovaginal atrophy, and genitourinary syndrome of menopause, which are often characterized by thinning, drying, and inflammation of the vaginal walls due to decreased estrogen levels during menopause.

In the case of vaginal atrophy and vulvovaginal atrophy, the estradiol cream helps restore the normal structure and function of the vaginal tissues, alleviating symptoms such as itching, burning, and irritation. For dyspareunia, which is painful intercourse often resulting from inadequate lubrication and thinning of the vaginal walls, the cream enhances lubrication and tissue resilience, thereby reducing discomfort during sexual activity. Similarly, for vaginal dryness, the cream provides much-needed moisture and improves the overall health of the vaginal mucosa.

Genitourinary syndrome of menopause encompasses a range of symptoms affecting the genital and urinary systems, including those mentioned above. By addressing the underlying estrogen deficiency, estradiol 0.02% vaginal cream effectively mitigates these symptoms, improving the quality of life for many women experiencing menopausal changes. The formulation's ability to deliver estradiol directly to the affected area ensures that therapeutic effects are achieved efficiently and with minimal systemic exposure.

Patients should be instructed on the proper application technique to ensure that the cream is applied evenly and reaches the intended areas. Prescribers should consider the patient's overall health, the severity of symptoms, and any contraindications before recommending this treatment. If you have any questions or need further information about this formulation, please reach out to us at Bayview Pharmacy.

Other Uses

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Estradiol 0.02% Vaginal Cream, apart from its primary use in treating vaginal atrophy, dyspareunia, vaginal dryness, vulvovaginal atrophy, and genitourinary syndrome of menopause, may have additional applications that can benefit patients. A notable alternative use is in the improvement of urogenital health. Due to its moisturizing and therapeutic properties, this formulation may help in maintaining the integrity of the vaginal epithelium, reducing the incidence of urinary tract infections (UTIs) in postmenopausal women. The application of estradiol cream can potentially strengthen the walls of the urethra and surrounding tissues, thereby reducing UTI occurrences. This benefit can be particularly valuable for individuals seeking to improve their overall vaginal health and reduce recurrent UTIs.

Additionally, the cream may be used off-label in managing certain symptoms associated with mild pelvic prolapse by enhancing the strength of the pelvic floor tissues, although this use should always be under the guidance and supervision of a healthcare provider. Patients who are considering the use of estradiol cream for purposes other than those it is primarily prescribed for are advised to consult with their healthcare provider to evaluate the appropriate dosage and application regimen suitable for their specific needs. It is important to note that the use of this topical formulation should be closely monitored by a healthcare professional to mitigate any side effects or contraindications that could potentially arise.

Prescribers should consider the comprehensive health profile of the patient before recommending estradiol cream for alternative uses. A thorough understanding of the patient's hormonal balance, history of hormone-related conditions, and potential allergies is essential to ensure safe and appropriate use. Given the nature of estrogen therapy, it is vital to assess any risks of estrogen exposure and to discuss these potential risks and benefits in detail with patients. Communication is key in ensuring patient compliance and optimizing therapeutic outcomes. If prescribers or patients have any questions regarding the alternative uses or specific considerations surrounding Estradiol 0.02% Vaginal Cream, they should reach out to us for more detailed and personalized information.

Frequently Asked Questions

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What is Estradiol 0.02% Vaginal Cream used for?

This cream is typically used to treat symptoms of menopause such as vaginal dryness, itching, and burning by providing local estrogen therapy to the vaginal area.

How should I apply Estradiol 0.02% Vaginal Cream?

The cream should be applied as directed by your healthcare provider. Typically, it is inserted into the vagina using an applicator provided with the medication to ensure precise application.

How often should I use the Estradiol 0.02% Vaginal Cream?

The frequency of use should be determined by your healthcare provider based on your individual needs. Commonly, it's applied daily or a few times a week, depending on treatment goals.

Are there any side effects associated with Estradiol 0.02% Vaginal Cream?

Some users may experience side effects such as headache, breast tenderness, or localized irritation. It’s important to discuss any adverse effects with your doctor.

Can I use Estradiol 0.02% Vaginal Cream during my period?

Yes, you can use the cream during your period. If you experience any unusual irritation or side effects, consult with your healthcare provider.

Is Estradiol 0.02% Vaginal Cream safe for long-term use?

Long-term use should be assessed by your healthcare provider, considering benefits and potential risks. Regular reviews are recommended to evaluate continued need and safety.

Does Estradiol 0.02% Vaginal Cream interact with other medications?

While this cream has local effects and less systemic absorption, you should still inform your healthcare provider of all medications and supplements you are taking to avoid possible interactions.

What should I do if I miss a dose of Estradiol 0.02% Vaginal Cream?

If you miss a dose, apply the cream as soon as you remember unless it's almost time for your next dose. Do not double doses to catch up.

How should I store Estradiol 0.02% Vaginal Cream?

Store the cream at room temperature away from direct sunlight and moisture. Keep it out of reach of children and pets.

Can I stop using Estradiol 0.02% Vaginal Cream abruptly?

It's best to consult your healthcare provider before discontinuing the use of this cream to ensure it aligns with your health plan and symptoms management.

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.

Estradiol 0.02% Vaginal Cream
Vaginal Cream
30 g
controlled

Insert/apply intravaginally

Twice weekly