Bio-Identical Hormone Replacement

TOPICAL RX PHARMACY OFFERS YOUR PATIENTS AN OPPORTUNITY FOR BALANCED THERAPY

Bio-Identical Hormone Replacement Therapy (BHRT) has improved the quality of life for millions of women who suffer from hormonal imbalance. The ideal process for achieving hormonal balance includes an assessment of hormone levels and complete evaluation of signs and symptoms, followed by replacement of the clients hormones in the most appropriate dose via the most effective route for each woman, and monitoring to¬ tune the therapy. Tailoring therapy to achieve the proper ratios of hormones for your patient, from estrogen, to progesterone, from testosterone to thyroid, is the goal of our pharmacy.

Working Together to Provide the Best Solution

At Topical RX Pharmacy our pharmacists can provide a hormone evaluation for your patient to fill out and can assist you in helping interpret the results of serum and saliva tests which measure a patient’s hormone levels. The results of these diagnostic tools can help determine a course of treatment that through compounding, gives your patient the exact amount of hormones their body needs. Once the therapy has begun our pharmacists will continue to work with you and your patient to make sure the BHRT is working correctly and can adjust the dosage as necessary. While women have benefitted from therapy with estrogens, progesterone, and androgens that are “chemically identical” to the hormones produced naturally by the human body, researchers and health care professionals realize that this is just the “tip of the iceberg” when it comes to achieving hormonal balance. Thyroid and adrenal function, as well as nutritional status, should also be evaluated and treated when indicated.

Women Prefer Natural Hormones

Mayo Clinic researchers surveyed 176 women taking natural micronized progesterone who had previously taken a synthetic progestin (medroxyprogesterone acetate, or MPA) to see if progesterone improved the women’s overall quality of life, menopausal symptoms, and satisfaction with HRT. After one to six months, the women reported an overall 34% increase in satisfaction on micronized progesterone compared to their previous HRT, reporting these improvements: 50% in hot flashes, 42% in depression, and 47% in anxiety. Micronized progesterone was also more effective in controlling breakthrough bleeding. In other studies, women using micronized progesterone had specific improvements in the areas of cognition, sleep, and menstrual problems.

Call Topical Rx Pharmacy today to see how we can work with you and your patients to provide optimum care!

Hormone Therapy for Women

Structural differences exist between human, synthetic and animal hormones. In order for a replacement hormone to fully replicate the function of hormones which were originally naturally produced and present in the human body, the chemical structure must exactly match the original. There are significant differences between hormones that are natural to humans and synthetic or horse preparations. Side chains can be added to a naturally-occurring hormone to create a synthetic drug that can be patented by a manufacturer. A patented drug can be profitable to mass produce, and therefore a drug company can afford to fund research as to the medication’s use and effectiveness. However, naturally-occurring substances can not be patented, so scientific studies are less numerous on natural hormones, because medical research is usually funded by drug companies.

Natural hormones include estrone (E1), estradiol (E2), progesterone, testosterone, dehydroepiandrosterone (DHEA), and pregnenolone. Our compounding pharmacists work with patients and practitioners to provide customized hormone therapy that provides the needed hormones in the most appropriate strength and dosage form to meet each woman’s specific needs. Hormone therapy should be initiated carefully after a woman’s medical and family history has been reviewed. Every woman is unique and will respond to therapy in her own way. Close monitoring and adjustments are essential.