Which dosage form do I use?

Your doctor will prescribe the most appropriate dosage form for you. The types of dosage forms available include:

Transdermal Cream

Hormones are compounded in a cream or gel to be applied to hormone sensitive areas on the skin for absorption via adipose tissue. The areas for application are breasts, tummy, inner part of the arms or legs. This allows the hormone to reach the target tissue (similar to hormone patches) avoiding rapid breakdown by the liver allowing a much lower strength to be used. It is a good idea to apply the cream on various areas of the skin, or rotate daily to avoid overload of the receptor sites. Please ensure that the hands are washed before and after application.

Troches

Troches are sublingual lozenges made to dissolve in the mouth and absorbed by the salivary mucus, avoiding first pass liver metabolism. Troches are probably the most favorable dosage form particularly if more than one hormone is deficient.

Place your recommended dosage ( a whole or half troche ) between gum & cheek or under the tongue to allow for slow absorption via the saliva so that the active hormone will be absorbed straight into the blood stream. Avoid sucking the troche quickly as you would want maximum absorption into your body.

Capsules

Capsules are a convenient method of administration. Natural hormones are micronised and can be compounded with slow release ingredients to prevent rapid liver metabolism.

Pessaries

Pessaries are useful where high doses of hormone are required intra-vaginally for a short duration e.g. triest pessaries for dry vagina. Take the pessary or suppository (for rectal use) out of the wrapping before insertion with your finger. The best time to use a pessary or supposi-tory is whilst lying down.

As every woman is unique, our approach is for the patient, pharmacist, and doctor to work together to customise hormone replacement therapy.

What is compounding?

Compounding is the preparation of medicine by a pharmacist for an individual patient according to a doctor’s prescription. The practice predates the manufacture by mass production of drugs.

In every field of medicine, there are some patients who don’t respond to traditional methods of treatment.

Sometimes they need medicine at strengths that are not manufactured by drug companies. Sometimes they simply need a different method of ingesting a medication.

Ask your doctor or pharmacist today about customised compounding, tailoring your hormone needs for you.

Most compounding medicine can be covered by your private medical insurance, depending on the type of cover you have.

"By studying the organic patterns of heaven and earth a fool can become a sage. So by watching the times and seasons of natural phenomena, we can become true philosophers” ( Li Chu’uan 735 A.D.)

Ref. International Jnl of Pharmaceutical Compounding

“What Your Doctor May Not Tell You About Menopause”
by John R. Lee M.D.