how to switch women from oral to topical estrogens

November 2009

We get lots of questions about how to switch women from oral to topical estrogens.

Equivalent doses vary...depending on how a woman absorbs, metabolizes, or responds to different formulations.

Follow some general rules of thumb.

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Table of Contents

meds adjusted due to bariatric surgery
Influenza giving acetaminophen to children before vaccinations MIGHT reduce immunity
Influenza Compounded Tamiflu suspension and Relenza are leading to problems
Cardiology whether proton pump inhibitors decrease the efficacy of clopidogrel (Plavix)
Women's Health how to switch women from oral to topical estrogens
Women's Health whether ginger is safe during pregnancy
Anticoagulants whether dosage changes are needed for the new, LOWER-potency unfractionated heparin
Dermatology new injectable biologic for moderate to severe plaque psoriasis called Stelara (stel-AR-a)
Neurology & Pain new IV version of ibuprofen, Caldolor
Pediatrics Intuniv (in-TOO-niv), a new extended-release guanfacine for ADHD
Infectious Diseases new IV antibiotic for methicillin-resistant Staph aureus (MRSA) infections, Vibativ (vy-BA-tiv)
supplements for colds and flu
Diabetes new warnings about reports of acute pancreatitis with sitagliptin (Januvia, Janumet)