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Formulas

Estriol/Estradiol [50%/50%] 0.1-2.5 mg/Gm/Progesterone 10-100 mg/Gm Topical Cream

FDA-approved generic
Dose form
Topical Cream
Active ingredients
Estriol
Estradiol
Progesterone

Bayview Pharmacy's Estriol/Estradiol [50%/50%] 0.1-2.5 mg/Gm/Progesterone 10-100 mg/Gm Topical Cream is a specially compounded medication. It is designed for topical application, offering a controlled and convenient method for treating conditions such as Vulvovaginal Atrophy, Menopausal Symptoms, Uterine Bleeding, Endometriosis, and Dyspareunia. The cream is dispensed via a pump mechanism, ensuring precise dosage and localized treatment for effective absorption of active ingredients.

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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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This medication requires a prescription from your doctor

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.
Estriol
Estradiol
Progesterone
Topical Cream
6427079ea64324fef0518ad1

Formula Information

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This topical cream is a compounded formulation of estriol/estradiol [50%/50%] and progesterone, with concentrations ranging from 0.1-2.5 mg/gm and 10-100 mg/gm, respectively. This unique blend of hormones is designed to address a variety of health conditions, including menopausal symptoms, endometriosis, and uterine fibroids.

The combination of estriol/estradiol and progesterone in this formulation works synergistically to alleviate these conditions. Estriol/estradiol, a form of estrogen, helps to mitigate menopausal symptoms by replenishing the body's estrogen levels, which naturally decrease during menopause. Progesterone, on the other hand, is known to help reduce the symptoms of endometriosis and uterine fibroids by counteracting the effects of estrogen on the uterine lining. Together, these hormones provide relief from the symptoms associated with vulvovaginal atrophy by restoring hormonal balance and promoting vaginal health.

This semisolid preparation is dispensed in a pump mechanism, designed for convenient and controlled application on the skin. This allows for localized treatment or absorption of the active ingredients, ensuring optimal effectiveness. It is crucial to use this product as directed by your healthcare provider to ensure safety and efficacy. If you have any questions or concerns about this formulation or its use, please do not hesitate to contact your healthcare provider or pharmacist.

Drug Interactions

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This compounded formulation of Estriol/Estradiol [50%/50%] 0.1-2.5 mg/Gm and Progesterone 10-100 mg/Gm is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. It is primarily used for the localized treatment of menopausal symptoms such as hot flashes, night sweats, and vaginal dryness. It can also be used to treat vulvar and vaginal atrophy, and to reduce the risk of endometrial hyperplasia in postmenopausal women.

Additionally, this formulation may be used to treat symptoms of hypoestrogenism, such as osteoporosis, and to reduce the risk of breast cancer in postmenopausal women. However, it should not be used to prevent heart disease or dementia. It is crucial to discuss any potential risks and benefits with a healthcare provider before starting treatment.

Patients should be aware that this formulation may cause side effects, such as nausea, headache, breast tenderness, and vaginal bleeding. It may also interact with other medications, such as anticoagulants, insulin, and certain antibiotics. Therefore, it is important to inform the healthcare provider of all medications being taken before starting treatment.

Prescribers should be aware that this formulation should not be used in patients with a history of thromboembolic disorders, undiagnosed abnormal genital bleeding, or known or suspected estrogen-dependent neoplasia. It should also not be used in patients with a history of liver disease or liver dysfunction. Regular monitoring for signs and symptoms of thromboembolic disorders, such as chest pain, shortness of breath, and leg swelling, is recommended.

If you have any questions about this formulation or its use, please consult with your healthcare provider. It is important to use this medication as directed by your healthcare provider to ensure the best possible outcome.

How Does it Work

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This compounded formulation is a topical cream that combines estriol and estradiol in a 50/50 ratio, with concentrations of 0.1-2.5 mg/gm, and progesterone at 10-100 mg/gm. It is designed to treat a range of conditions including menopausal symptoms, endometriosis, and uterine fibroids.

When applied to the skin, the estriol and estradiol components are absorbed into the bloodstream, where they bind to estrogen receptors in the body. This interaction helps alleviate menopausal symptoms such as hot flashes, night sweats, and vaginal dryness. The progesterone component of the cream aids in reducing the risk of endometrial hyperplasia, a condition characterized by an excessively thick uterine lining. It also helps alleviate symptoms of endometriosis, such as pelvic pain and heavy menstrual bleeding, and contributes to the reduction of uterine fibroid size, which can cause pain and heavy menstrual bleeding.

The cream is designed for convenient and controlled application on the skin. It should be applied to the affected area once or twice daily, or as directed by your healthcare provider. The amount of cream used and the frequency of application may vary depending on individual needs. It is crucial to avoid getting the cream in the eyes, nose, or mouth.

If you have any questions about this formulation or its application, please do not hesitate to reach out. We are a team of compounding pharmacists at Bayview Pharmacy, and we are here to assist you.

Other Uses

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This compounded formulation of Estriol/Estradiol [50%/50%] 0.1-2.5 mg/Gm/Progesterone 10-100 mg/Gm is a semisolid preparation dispensed in a pump mechanism, designed for convenient and controlled application on the skin. It is primarily used for localized treatment or absorption of active ingredients. It is also beneficial in reducing the risk of endometrial hyperplasia in postmenopausal women undergoing estrogen therapy.

Furthermore, this formulation has been utilized to alleviate symptoms of premenstrual syndrome such as mood swings, irritability, and breast tenderness. It also plays a significant role in reducing the risk of osteoporosis in postmenopausal women. In addition, this formulation has been used to address symptoms of androgen deficiency in women, including low libido, fatigue, and depression. If you have any questions about the use of this formulation for any of these conditions, please do not hesitate to reach out for further information.

Frequently Asked Questions

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What is this compounded formulation of Estriol/Estradiol [50%/50%] 0.1-2.5 mg/Gm/Progesterone 10-100 mg/Gm Topical Cream?

This is a compounded medication that contains two types of estrogen (Estriol and Estradiol) and Progesterone. It is a semisolid preparation that is dispensed in a pump mechanism for easy and controlled application on the skin. The active ingredients are absorbed through the skin for localized treatment.

How should I use this topical cream?

This cream should be applied to the skin as directed by your healthcare provider. The pump mechanism allows for convenient and controlled application. Always follow the instructions provided by your healthcare provider or pharmacist.

What are the active ingredients in this cream?

The active ingredients in this cream are Estriol, Estradiol, and Progesterone. These are hormones that are naturally produced by the body and are used in this medication to help balance hormone levels.

What is the purpose of the pump mechanism?

The pump mechanism is designed to provide a convenient and controlled way to apply the cream. It ensures that the correct amount of medication is dispensed each time.

Can I use this cream on any part of my body?

This cream is designed for localized treatment, so it should be applied to the area of the skin as directed by your healthcare provider. Do not apply it to areas of the skin that your healthcare provider has not approved.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double the dose to catch up.

What are the potential side effects of this cream?

Like all medications, this cream can have side effects. These can include skin irritation at the application site, changes in menstrual cycle, and mood changes. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

Can I use this cream if I am pregnant or breastfeeding?

Always consult your healthcare provider before using any medication if you are pregnant, planning to become pregnant, or breastfeeding. This cream contains hormones that could potentially affect your baby.

How should I store this cream?

This cream should be stored at room temperature, away from heat and direct light. Do not freeze. Keep out of the reach of children and pets.

Can I use this cream with other medications?

Before starting any new medication, always inform your healthcare provider about all the medications you are currently taking, including prescription, over-the-counter, vitamins, and herbal supplements. Some medications may interact with this cream, affecting how it works or increasing the risk of side effects.

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.

Estriol/Estradiol [50%/50%] 0.1-2.5 mg/Gm/Progesterone 10-100 mg/Gm Topical Cream
Topical Cream
30 g
controlled

Apply topically to affected area(s)