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Estradiol 0.2 mg/Estriol 0.8 mg Oral Capsules

Estradiol 0.2 mg/Estriol 0.8 mg oral capsules, compounded at Bayview Pharmacy, support hormone replacement therapy for menopause, osteoporosis, and vaginal atrophy.
For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
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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, NY, NJ, NH, FL and ME.
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Licensed to fill prescriptions for patients in RI, MA, CT, NY, NJ, NH, FL and ME.

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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.
Estradiol
Estriol
Capsules
655eaa7fac43c4d849e996bd

Formula Information

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Estradiol 0.2 mg/Estriol 0.8 mg Oral Capsules are a hormone replacement therapy (HRT) formulation designed to alleviate symptoms associated with menopause and other hormonal imbalances. This solid dosage form consists of two gelatin or vegetarian capsules that encapsulate the active ingredients, estradiol and estriol, in a precise 0.2 mg and 0.8 mg dose, respectively. The capsules are intended for oral administration, providing a convenient and patient-friendly method of medication delivery.

Estradiol is a form of estrogen, a female hormone that regulates many processes in the body. It is identical to the estrogen produced by the ovaries and is used to replace the natural hormone when the body does not produce enough, such as during menopause. Estriol, another form of estrogen, is considered to be a weaker estrogen but plays a crucial role in the management of menopausal symptoms. The combination of estradiol and estriol in these capsules aims to provide a balanced approach to hormone replacement, potentially reducing the risks associated with estrogen therapy while still offering symptomatic relief.

The use of estradiol and estriol in combination can help treat symptoms of menopause such as hot flashes, night sweats, vaginal dryness, and irritation. Additionally, this therapy may help prevent osteoporosis in postmenopausal women by maintaining bone density. It is important for prescribers to consider the individual needs of the patient, as hormone replacement therapy is not suitable for everyone and may carry risks that need to be weighed against the benefits. Regular monitoring and appropriate dosage adjustments are essential to ensure the safety and efficacy of the treatment.

Patients should be informed about the potential side effects of HRT, which can include breast tenderness, nausea, bloating, and headaches. It is also crucial to discuss the increased risk of certain conditions such as blood clots, stroke, and certain types of cancer with prolonged use of estrogen therapy. Prescribers should evaluate the patient's medical history, risk factors, and current medications to determine the appropriateness of this HRT formulation.

For those interested in using Estradiol 0.2 mg/Estriol 0.8 mg Oral Capsules, it is recommended to reach out to Bayview Pharmacy for further information and consultation. Our team of compounding pharmacists can provide detailed guidance on the use of this formulation, ensuring that both patients and prescribers are well-informed about the treatment options available for managing hormonal imbalances and menopausal symptoms.

Drug Interactions

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Estradiol and estriol are forms of estrogen, a female hormone involved in various physiological processes in the body. When combined in a capsule form, they are used to treat symptoms of menopause such as hot flashes, vaginal dryness, and osteoporosis prevention. However, it is important to consider potential drug interactions when taking this formulation.

One significant interaction is with drugs that induce liver enzymes, such as carbamazepine, phenytoin, rifampicin, and St. John's Wort. These medications can increase the metabolism of estrogens, potentially reducing their effectiveness. Conversely, drugs like erythromycin and ketoconazole may inhibit the metabolism of estrogens, leading to increased levels and potential side effects.

Thyroid hormone replacement therapy may require monitoring and dose adjustments, as estrogens can increase thyroxine-binding globulin, affecting thyroid hormone levels. Patients on anticoagulant therapy, particularly those taking warfarin, should be closely monitored as estrogens can alter the anticoagulant effect, either enhancing or diminishing it.

Estrogens may also interfere with the metabolism of other hormones, such as corticosteroids or sex hormones, which could necessitate dosage adjustments. Additionally, they can reduce the clearance of benzodiazepines and certain tricyclic antidepressants, potentially leading to increased effects or side effects of these drugs.

Patients with diabetes should be aware that estrogen therapy may affect glucose tolerance. Monitoring of blood glucose and potential adjustment of anti-diabetic medication may be required. Concurrent use with other medications that have similar side effects, such as fluid retention, should be approached with caution to avoid exacerbating these effects.

Grapefruit juice may increase plasma concentrations of estrogens and should be consumed with caution. Smoking tobacco can reduce the effectiveness of estrogen therapy and increase the risk of cardiovascular side effects, especially in women over 35 years of age.

It is crucial for patients to inform their healthcare provider of all medications, supplements, and herbal products they are taking to avoid potential interactions. If you have any questions or concerns about how this formulation may interact with other drugs you are taking, please reach out to us at Bayview Pharmacy for personalized advice and information.

How Does it Work

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The Estradiol 0.2 mg/Estriol 0.8 mg Oral Capsules are a bioidentical hormone replacement therapy (HRT) designed to alleviate symptoms associated with menopause and other hormonal imbalances. This formulation combines two forms of estrogen: estradiol, the primary and most potent form of estrogen found in the body, and estriol, a weaker form of estrogen. The ratio of estradiol to estriol in these capsules is specifically tailored to provide a balanced effect, aiming to minimize risks while offering symptomatic relief.

The capsules are solid dosage forms, consisting of two halves of a gelatin or vegetarian shell that encapsulate the powdered hormones. This design ensures that patients receive a consistent and precise dose of the medication with each capsule. The shells dissolve after ingestion, releasing the active ingredients for absorption in the gastrointestinal tract. The encapsulation also aids in protecting the hormones from degradation before they reach the systemic circulation.

Upon absorption, estradiol and estriol work by binding to estrogen receptors throughout the body, mimicking the action of naturally produced estrogen. This can help to restore hormonal balance and alleviate symptoms such as hot flashes, night sweats, vaginal dryness, and mood swings. Additionally, this HRT may help in preventing bone loss that can lead to osteoporosis in postmenopausal women. The use of both estradiol and estriol aims to provide a comprehensive approach to HRT, leveraging the benefits of both estrogens while mitigating the potential side effects associated with estrogen therapy.

It is important for patients and prescribers to understand that hormone replacement therapy requires careful consideration of the individual's health history, current symptoms, and risk factors. The decision to use this formulation should be based on a thorough evaluation and discussion between the patient and their healthcare provider. Regular monitoring and follow-up are essential to ensure the effectiveness of the therapy and to make any necessary adjustments to the treatment regimen.

For those interested in using this formulation or seeking more information, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to answer questions and provide guidance on the appropriate use of this medication. We are committed to supporting both patients and prescribers in achieving optimal therapeutic outcomes with our compounded medications.

Other Uses

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The formulation containing Estradiol 0.2 mg and Estriol 0.8 mg in a solid oral capsule is primarily used in hormone therapy for menopausal symptoms such as hot flashes, vaginal dryness, and bone loss prevention. However, it's important to note the versatility of this formulation can extend to other therapeutic areas. For instance, such hormone preparations can play a role in managing issues related to estrogen deficiency or hormone imbalances even in premenopausal women. This might include conditions such as primary ovarian insufficiency or certain menstrual disorders where supplemental estrogen may be deemed beneficial by a healthcare provider.

Additionally, in some cases, estrogen therapy in the form of such capsules may be considered as a part of the management strategy for certain skin conditions that demonstrate an improvement with estrogen supplementation - such as those experiencing changes in skin elasticity or texture due to hormone fluctuations. Furthermore, estrogen has been studied for its potential benefits in brain health, and there is some evidence to suggest that it may play a role in cognitive function in postmenopausal women, though this is an area that requires more research for conclusive applications.

It's crucial for both patients and prescribers to recognize that while there might be secondary applications for this estradiol and estriol combination, the main indication remains hormone replacement therapy during menopause, and any additional use should be carefully considered against potential risks and consulted with a healthcare professional. The specific ratio of estradiol to estriol in this formulation also allows for a more individualized approach to hormone therapy, catering to the needs of the patient where a lower dosage of estradiol is preferred or a more natural estrogen like estriol is desired. As always, a patient's history, concurrent medications, and overall health status should be taken into account before initiating or modifying therapy with this formulation. For more information or if you have any questions, do not hesitate to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What are Estradiol 0.2 mg/Estriol 0.8 mg Oral Capsules?

Estradiol 0.2 mg/Estriol 0.8 mg Oral Capsules are a compounded medication that combines two forms of estrogen—estradiol and estriol—in specific doses to create a hormone replacement therapy. These capsules are designed to help treat symptoms associated with menopause or other hormonal imbalances.

How should I take these capsules?

These capsules should be taken orally with a glass of water. It's important to follow your healthcare provider's instructions regarding the timing and frequency of the doses. Do not chew or open the capsule; swallow it whole for the best effect.

Are there any specific storage conditions for the capsules?

Yes, these capsules should be stored at room temperature, away from direct sunlight and moisture. Keep the bottle tightly closed when not in use and keep out of reach of children and pets.

Can I take these capsules with food?

It is generally safe to take these capsules with or without food, but you should follow any specific instructions from your healthcare provider. Some patients find that taking capsules with food reduces gastrointestinal discomfort. If you experience stomach upset, try taking your dose with a meal or snack.

What are the shells of the capsules made of?

The shells of these oral capsules are made from either gelatin or vegetarian-friendly materials, meant to enclose the medication and provide easy swallowing. This composition also helps to ensure that the correct dose of medication is administered each time.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it's almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.

Are there any side effects associated with Estradiol/Estriol oral capsules?

As with any medication, there can be side effects. Some common side effects include nausea, bloating, breast tenderness, and headache. More serious side effects should be reported to your healthcare provider immediately. It's important to review all potential side effects with your provider before beginning this therapy.

Can I use these capsules if I'm pregnant or breastfeeding?

Estradiol/Estriol oral capsules are typically not recommended during pregnancy or while breastfeeding. It's important to discuss any medications you are taking with your healthcare provider if you're pregnant, planning to become pregnant, or if you are breastfeeding.

How long do I need to take these capsules?

The duration of treatment with these capsules will depend on your individual circumstances and the advice of your healthcare provider. It's important to have regular check-ups and follow your provider's instructions on how long to continue the treatment.

Will I need to take other medications with these capsules?

Whether you'll need to take other medications in conjunction with Estradiol/Estriol capsules depends on your specific healthcare needs and conditions. Always inform your healthcare provider of all the medications and supplements you're currently taking to avoid potential interactions.

Can these capsules be custom formulated to a different dosage?

Yes, since these are compounded medications, they can potentially be customized to different dosages per the specifications of a licensed healthcare provider. Speak to your provider if you believe you need a dosage adjustment.

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, 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.

Estradiol 0.2 mg/Estriol 0.8 mg Oral Capsules
Capsules
90 capsules
controlled

Take 1 capsule by mouth