Description: This compounded formulation combines Estriol 1.25 mg, Pregnenolone 10 mg, Progesterone 50 mg, and Testosterone 1 mg into a single oral capsule. Each capsule is a solid dosage form consisting of two halves, either gelatin or vegetarian-based, that encapsulate the active ingredients. This design ensures the medication is easy to swallow and provides a precise dose of each hormone. This particular combination of hormones is often used in the management of hormone-related disorders, including menopausal symptoms, hormonal imbalances, and specific cases of adrenal fatigue. The formulation aims to restore hormonal equilibrium, alleviate symptoms associated with deficiencies or imbalances of these hormones, and support overall endocrine health.

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.
Estriol 1.25 mg/Pregnenolone 10 mg/Progesterone 50 mg/Testosterone 1 mg Oral Capsules are a compounded formulation designed to address hormonal imbalances or deficiencies in both men and women. Each capsule contains a precise dose of four key hormones, which work synergistically to restore hormonal equilibrium. Estriol, a weak estrogen, is often used in hormone replacement therapy (HRT) for menopausal symptoms, such as hot flashes and vaginal dryness, due to its milder effects compared to other estrogens. Pregnenolone is a precursor to various hormones, including progesterone and testosterone, and is included to support the body's natural hormone production.
Progesterone is included in this formulation to balance the effects of estrogen, which can help reduce the risk of endometrial hyperplasia and other estrogen-dominant conditions. It is also used for its calming effects on the nervous system and its role in supporting healthy sleep patterns. Testosterone, although typically associated with male characteristics, is an important hormone for women as well, contributing to muscle strength, libido, and overall well-being. In men, testosterone replacement can help address symptoms of andropause, such as decreased libido, fatigue, and loss of muscle mass.
The solid dosage form of these capsules ensures that the active ingredients are delivered in a consistent and controlled manner. The use of gelatin or vegetarian shells makes the capsules easy to swallow and digest, releasing the medication effectively once ingested. This formulation is typically customized to the individual needs of the patient, based on hormonal assessments and under the guidance of a healthcare provider. It is important to note that hormone replacement therapy should be closely monitored due to potential risks and side effects, and it is not suitable for everyone.
Patients and prescribers considering this compounded formulation should be aware of the importance of individualized dosing and the need for regular monitoring of hormone levels and clinical response. If you have any questions or require further information about this formulation and its suitability for specific disease states, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support to ensure appropriate treatment.
When considering the use of Estriol 1.25 mg/Pregnenolone 10 mg/Progesterone 50 mg/Testosterone 1 mg Oral Capsules, it is important to be aware of potential drug interactions that may occur. These interactions can affect the efficacy of the medication and may pose risks to the patient. The active ingredients in this formulation are hormones that can have various interactions with other medications, supplements, and even certain foods.
Estriol, a form of estrogen, can interact with substances that induce or inhibit hepatic enzymes, particularly cytochrome P450 enzymes such as CYP3A4. Medications that induce these enzymes, such as certain anticonvulsants (like phenytoin and carbamazepine) and some antibiotics (like rifampicin), may decrease the effectiveness of estriol. Conversely, inhibitors of these enzymes, such as ketoconazole and grapefruit juice, can increase estriol levels and potentially lead to side effects.
Pregnenolone is a precursor to various steroid hormones and may interact with medications that affect hormone levels. It is important to monitor patients taking other hormonal medications, including thyroid hormones, as pregnenolone may alter their effects. Additionally, pregnenolone may influence the metabolism of certain drugs through its impact on enzyme activity.
Progesterone can interact with medications that use the same metabolic pathways, particularly CYP3A4. Similar to estriol, the effectiveness of progesterone can be reduced by enzyme inducers and increased by enzyme inhibitors. Progesterone may also interact with benzodiazepines, some antidepressants, and other central nervous system depressants, potentially enhancing their sedative effects.
Testosterone's interactions are similar to those of other steroid hormones. It can be affected by substances that alter hormone metabolism, such as CYP3A4 inducers and inhibitors. Testosterone may also affect blood glucose levels, so interactions with antidiabetic medications should be monitored closely. Additionally, patients on anticoagulants should be observed for changes in bleeding time, as testosterone can affect the activity of these medications.
It is also important to consider the potential for additive effects when using a combination hormone product. The concurrent use of other hormonal therapies, including oral contraceptives or hormone replacement therapy, should be evaluated to avoid overexposure to hormones, which can increase the risk of side effects such as thromboembolic events, breast tenderness, or mood changes.
Patients should be advised to inform their healthcare providers of all medications, supplements, and herbal products they are taking to ensure safe and appropriate use of Estriol/Pregnenolone/Progesterone/Testosterone Oral Capsules. Healthcare providers should review the patient's medication profile for potential interactions and adjust therapy as necessary. If you have any questions or concerns regarding this formulation and its interactions, please reach out to us at Bayview Pharmacy for further assistance.
The Estriol 1.25 mg/Pregnenolone 10 mg/Progesterone 50 mg/Testosterone 1 mg Oral Capsules are a compounded formulation designed to deliver a combination of hormones that may be used in hormone replacement therapy (HRT). Each of these hormones plays a unique role in the body, and their combined use is intended to address various symptoms associated with hormonal imbalances or deficiencies, particularly in postmenopausal women or individuals with specific endocrine disorders.
Estriol is a form of estrogen, one of the primary female sex hormones. It is weaker than other forms of estrogen, such as estradiol, but it is often used in HRT for its potential to relieve menopausal symptoms like hot flashes, vaginal dryness, and urinary issues without causing strong proliferative effects on the endometrium (the lining of the uterus). This makes estriol a choice for those who need estrogen supplementation but want to minimize the risk of endometrial hyperplasia.
Pregnenolone is a precursor hormone that can be converted into various other hormones, including progesterone, estrogens, androgens, and corticosteroids. Supplementing with pregnenolone may help support the body's own production of these hormones, potentially aiding in the balance of hormonal levels and improving symptoms related to deficiencies or imbalances.
Progesterone is another key female sex hormone that is essential for regulating the menstrual cycle and maintaining pregnancy. In HRT, progesterone is often used in combination with estrogen to counterbalance estrogen's effects on the endometrium, thereby reducing the risk of endometrial cancer in women with an intact uterus. It may also help improve sleep quality, mood, and bone density.
Testosterone, while typically considered a male hormone, is also present in females and plays a role in maintaining muscle mass, bone density, and sexual function. In women, low levels of testosterone can lead to symptoms such as fatigue, weight gain, and decreased libido. The inclusion of a small dose of testosterone in this formulation aims to address these issues without causing masculinizing effects.
The oral capsules are a solid dosage form consisting of two gelatin or vegetarian shells that encapsulate the powdered hormones. This form of delivery ensures that patients receive a precise dose of each active ingredient in a manner that is easy to administer. The capsules are designed to be swallowed whole, releasing the hormones for absorption in the gastrointestinal tract.
This compounded formulation may be prescribed to treat symptoms associated with menopause, such as hot flashes, night sweats, mood swings, and vaginal atrophy. It may also be used in cases of adrenal insufficiency, where the body does not produce adequate levels of certain hormones, or in other conditions as determined by a healthcare provider. It is important to note that hormone replacement therapy should be tailored to the individual's needs and regularly monitored by a healthcare professional to ensure safety and efficacy.
If you have any questions about this formulation or how it might benefit your specific condition, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide guidance and support for both patients and prescribers considering the use of this hormone combination.
This compounded medication is typically used to address hormonal imbalances or deficiencies in individuals who may benefit from the combination of Estriol, Pregnenolone, Progesterone, and Testosterone. Each hormone plays a specific role, and the compound may be used for menopausal symptoms, adrenal fatigue, or other hormone-related conditions as determined by a healthcare provider.
You should take this medication exactly as prescribed by your healthcare provider. The capsules should be swallowed whole, preferably at the same time each day to maintain an even level of medication in your body. Do not split, chew, or crush the capsules.
This compounded formulation can be prescribed to both men and women, although the specific hormone combination is individualized based on a healthcare provider's assessment of hormone levels and clinical needs. It is essential to follow the instructions provided by your healthcare provider for the intended use.
As with all medications, there may be side effects. Common side effects may include breast tenderness, bloating, mood swings, fatigue, or acne. More serious side effects can occur and should be reported to your healthcare provider right away, such as severe headaches, vision changes, or signs of liver problems.
It's possible that this medication could interact with other medications or supplements. You should inform your healthcare provider about all other medications, vitamins, and herbal supplements you are taking so they can manage any potential interactions.
Some medications are better tolerated when taken with food to minimize gastrointestinal discomfort. Your healthcare provider will advise you if it's necessary to take this compounded formulation with food based on the contents of the compound and your individual needs.
If you miss a dose, take it as soon as you remember. However, if it's almost time for your next dose, skip the missed dose and resume your usual dosing schedule to avoid taking a double dose. Do not take extra capsules to make up for a missed dose without consulting your healthcare provider.
This medication should be stored at room temperature, away from direct light and moisture. Keep it out of reach of children and pets. Do not store in the bathroom or near a sink, and do not freeze the capsules unless instructed by a pharmacist or the product labeling.
The capsules are designed to be swallowed whole to ensure you receive the correct dosage. Opening them might affect the stability and delivery of the active ingredients. If you have trouble swallowing capsules, please discuss this with your healthcare provider for possible solutions or alternatives.
Follow your healthcare provider's instructions regarding regular check-ups and any monitoring required.
Alcohol can interact with some medications and may affect how they work or increase the risk of side effects. You should discuss alcohol consumption with your healthcare provider to understand how it could interact with this compounded formulation specifically.
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.
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.
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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.
Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.
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.
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.
Take 1 capsule by mouth