The Pregnenolone 37.5 mg/Progesterone 100 mg Slow Release (MEM4) Oral Capsules are a specialized hormone replacement therapy designed to address conditions such as adrenal insufficiency, where the body does not produce enough steroid hormones, and certain cases of menopause where the natural decline in hormone levels leads to symptoms like hot flashes, night sweats, and osteoporosis. This formulation leverages the controlled-release properties of Methocel E4M, a hydrophilic polymer, to ensure a steady and prolonged delivery of the active ingredients, pregnenolone and progesterone, into the bloodstream. This slow-release mechanism enhances the therapeutic efficacy of the hormones, minimizes potential side effects associated with peak dosing, and improves patient adherence by reducing the frequency of dosing.

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.
Pregnenolone and progesterone are both naturally occurring hormones that play vital roles in the human body. Pregnenolone is a precursor to various hormones, including progesterone, and is involved in the synthesis of neurosteroids. It has been studied for its potential to enhance memory and cognitive function, as well as for its anti-inflammatory and neuroprotective properties. Progesterone, on the other hand, is a key hormone in the regulation of the menstrual cycle, maintenance of pregnancy, and various other physiological processes. It has been used therapeutically for conditions such as hormone replacement therapy (HRT) in menopausal women, premenstrual syndrome (PMS), and as part of infertility treatments.
The combination of pregnenolone 37.5 mg and progesterone 100 mg in a slow-release oral capsule formulation provides a balanced approach to hormone supplementation. By utilizing Methocel E4M, a hydrophilic methylcellulose polymer, these capsules are designed to swell and form a gel barrier upon contact with gastrointestinal fluids, resulting in a controlled release of the active ingredients. This slow-release mechanism allows for a steady absorption of the hormones over time, which can lead to more stable blood levels and minimize the fluctuations that might occur with immediate-release formulations. This can be particularly beneficial for patients who require consistent hormone levels to manage their symptoms effectively.
The reduced dosing frequency not only improves patient compliance but also minimizes the risk of side effects associated with peak concentrations of hormones. Additionally, the controlled release of hormones may mimic the body's natural rhythm more closely, potentially leading to better therapeutic outcomes.
It is important for prescribers to consider individual patient needs when recommending this formulation, as hormone therapy can be highly personalized. Factors such as the patient's overall health, hormone levels, and specific symptoms should be taken into account. Monitoring and adjusting the dosage may be necessary to achieve the desired therapeutic effect while minimizing side effects.
For patients and prescribers interested in this slow-release hormone therapy, Bayview Pharmacy is equipped to provide high-quality compounding services tailored to individual needs. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of this formulation. If you have any questions or require further information, please do not hesitate to reach out to us.
The combination of pregnenolone and progesterone in a slow-release capsule formulation may interact with various medications and substances. It is important for both patients and prescribers to be aware of these potential interactions to ensure safe and appropriate use of this hormone therapy.
Pregnenolone is a precursor to various steroid hormones, and its metabolism may be affected by medications that induce or inhibit hepatic enzymes, particularly cytochrome P450 enzymes. For example, certain anticonvulsants (like phenytoin and carbamazepine) and antibiotics (such as rifampin) may increase the metabolism of pregnenolone, potentially reducing its effectiveness. Conversely, drugs that inhibit these enzymes, like ketoconazole and grapefruit juice, may increase pregnenolone levels, leading to enhanced or prolonged effects and possible side effects.
Progesterone's metabolism can also be influenced by similar enzyme inducers and inhibitors. Additionally, progesterone can interact with other hormone therapies, such as estrogen or testosterone, altering their effects. Patients using other hormonal medications should consult with their healthcare provider before starting this formulation. Progesterone may also interact with benzodiazepines, some antidepressants, and other central nervous system (CNS) depressants, potentially increasing their sedative effects.
Both pregnenolone and progesterone may alter the effectiveness of certain medications. For instance, they can potentially decrease the efficacy of lipid-lowering drugs like statins. Patients taking medications for chronic conditions should be closely monitored when starting this hormone therapy. Additionally, because this formulation is designed for slow release, interactions may be prolonged or delayed, and careful monitoring over time is recommended.
It is also important to consider the impact of other medical conditions on the use of this formulation. For example, patients with liver disease, a history of thromboembolic disorders, or hormone-sensitive cancers should use this medication with caution, as hormone therapies can exacerbate these conditions.
Patients should be advised to inform their healthcare providers of all medications, supplements, and herbal products they are currently taking before starting treatment with pregnenolone and progesterone slow-release capsules. This will help to identify any potential interactions and allow for appropriate management. If you have any questions or require further information regarding drug interactions with this formulation, please reach out to us at Bayview Pharmacy for assistance.
The Pregnenolone 37.5 mg/Progesterone 100 mg Slow Release (MEM4) Oral Capsules are a specialized formulation designed to provide a controlled release of hormones into the body. This formulation utilizes Methocel E4M, a hydrophilic polymer that swells and forms a gel when it comes into contact with gastric fluids. This gel matrix creates a barrier through which the active ingredients, pregnenolone and progesterone, must diffuse to be absorbed into the bloodstream. The rate of diffusion is carefully controlled by the properties of the Methocel E4M, which is tailored to ensure a slow and steady release of the hormones over an extended period.
Pregnenolone is a precursor to various hormones, including progesterone, and is involved in the synthesis of neurosteroids. It has been studied for its potential to enhance memory and cognitive function, as well as for its anti-inflammatory and neuroprotective properties. Progesterone, on the other hand, is a natural hormone that plays a crucial role in the menstrual cycle, pregnancy, and embryogenesis. It is commonly used in hormone replacement therapy (HRT) for menopausal symptoms, as well as in the management of menstrual disorders and infertility.
The slow release of these hormones from the MEM4 capsules ensures a more consistent blood level, avoiding the peaks and troughs associated with immediate-release formulations. This can lead to improved efficacy and reduced side effects, as the body is exposed to a more natural, steady hormone level. The reduced dosing frequency also enhances patient compliance, as patients are required to take the medication less often than they would with a traditional immediate-release capsule.
This formulation is particularly beneficial for patients requiring hormone replacement therapy, as it can help in managing symptoms associated with menopause, such as hot flashes, night sweats, and mood swings. Additionally, the controlled release of progesterone can be advantageous in the treatment of menstrual irregularities and certain fertility issues by providing a more stable hormonal environment.
It is important for both patients and prescribers to understand that the efficacy and safety of this formulation are contingent upon proper dosing and adherence to the prescribed regimen. The unique properties of Methocel E4M in this formulation require careful consideration when transitioning patients from other hormone therapies to ensure optimal therapeutic outcomes.
If you have any questions or require further information about the Pregnenolone 37.5 mg/Progesterone 100 mg Slow Release (MEM4) Oral Capsules, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the best possible care for our patients and prescribers.
This compounded formulation is designed to deliver a combination of hormones—pregnenolone and progesterone—in a controlled manner to help manage hormones levels in the body. It may be prescribed for hormone replacement therapy or to address certain hormonal imbalances.
Methocel E4M is a controlled-release polymer that forms a gel matrix within the capsule when ingested. This matrix slowly breaks down in the digestive system, allowing the active ingredients, pregnenolone and progesterone, to be released gradually over a prolonged period.
Controlled release ensures a more consistent supply of the hormones to the body over time, which can help maintain more stable hormone levels. This may reduce the peaks and troughs associated with immediate release formulations and may also improve overall efficacy and patient compliance.
The dosing frequency is determined by your healthcare provider based on your individual needs and health condition. Due to the controlled-release nature of these capsules, the dosing frequency may be less than that of immediate-release formulations.
No, you should not open, split, or crush the slow-release capsules, as doing so would interfere with the controlled-release mechanism, potentially releasing all of the medication at once and increasing the risk of side effects.
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.
As with any medication, there can be side effects. Common side effects may include dizziness, headache, bloating, or mood swings. If you experience any severe side effects or symptoms of an allergic reaction, contact your healthcare provider immediately.
Pregnenolone and progesterone can interact with other medications. It is important to inform your healthcare provider about all the medications, supplements, and herbs you are taking to avoid potential interactions.
Store the capsules at room temperature away from direct light, heat, and moisture. Keep them in their original packaging until it is time to take them, and keep them out of reach of children and pets.
Yes, these are compounded medications and require a prescription from a licensed healthcare provider. Always follow the prescribed instructions and consult your healthcare provider for any concerns or questions regarding the medication.
If you experience any adverse reactions, immediately contact your healthcare provider. They can provide guidance on whether you should discontinue the medication and offer instructions on what to do next based on your specific symptoms.
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.
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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