REMS
Absorption: Well absorbed after oral administration. Readily absorbed through skin and mucous membranes.
Distribution: Widely distributed to tissues.
Half-Life: Gel: 36 hr.
(estrogenic effects)
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
PO | unknown | unknown | unknown |
IM | unknown | unknown | unknown |
Transdermal | unknown | unknown | 34 days (Estraderm), 7 days (Climara) |
Topical | unknown | unknown | unknown |
Vaginal insert | unknown | unknown | 34 days |
Vaginal ring | unknown | unknown | 90 days |
Contraindicated in:
Use Cautiously in:
CV: edema, hypertension, MI, THROMBOEMBOLISM
Derm: oily skin, acne, pigmentation, urticaria
EENT: intolerance to contact lenses, worsening of myopia or astigmatism
Endo: gynecomastia (men), hyperglycemia
F and E: hypercalcemia, sodium and water retention
GI: nausea, weight changes, anorexia, jaundice, vomiting
GU:
women
amenorrhea, dysmenorrhea, breakthrough bleeding, cervical erosions, loss of libido, vaginal candidiasis;,men
erectile dysfunction, testicular atrophy.MS: leg cramps
Neuro: headache, dementia, dizziness, lethargy, STROKE
Misc: breast tenderness, MALIGNANCY (BREAST, ENDOMETRIAL, OVARIAN)
Drug-drug:
Symptoms of Menopause, Atrophic Vaginitis, Moderate to Severe Dyspareunia, Female Hypogonadism, Ovarian Failure/Osteoporosis
Gel
(Adults ): Apply contents of one packet (Divigel) or one actuation from pump (EstroGel, Elestrin) once daily.Spray EvaMist
(Adults ): 1 spray once daily, may be ↑ to 23 sprays once daily.Postmenopausal Breast Cancer
Prostate Cancer
Estradiol
Estradiol Cypionate
Estradiol Transdermal Preparations
Estradiol Vaginal Preparations
Estradiol Valerate
(Generic available)Lab Test Considerations:
ESTRADIOL:
estradiol cypionate: Depo-Estradiol,
estradiol tablets: Estrace,
estradiol transdermal gel: Divigel, Elestrin, EstroGel,
estradiol transdermal spray: EvaMist,
estradiol transdermal system : Alora, Climara, Dotti, Estraderm, Lyllana, Menostar, Minivelle, Vivelle-Dot,
estradiol vaginal cream: Estrace,
estradiol vaginal insert: Imvexxy,
estradiol vaginal ring: Estring, Femring,
estradiol vaginal tablet: Vagifem, Yuvafem,
estradiol valerate: Delestrogen
NDC Code