Compounding

Hormone Replacement

Manufactured hormone products come in a handful of fixed strengths. When a patient sits between them, or needs two hormones in one application, or cannot tolerate a base, the prescription has to be made rather than picked off a shelf.

Download order form Send a prescription
Sample preparation for hormone replacement
Dosage forms

What we prepare.

Topical cream
Dispensed in a metered airless pump so every dose is the same size.
Troches
Dissolved between cheek and gum. Useful when skin transfer is a concern.
Capsules
Oral, including sustained release.
Vaginal inserts and creams
Suppositories, inserts, and applicator creams.
Sublingual drops
For small doses and easy titration.

Note Testosterone is a Schedule III controlled substance. Send it by EPCS or a written prescription with your DEA number.

Using it

How to take it.

  • Creams go on thin skin where they absorb well: inner forearm, inner thigh, behind the knee. Rotate the site so one patch of skin is not doing all the work.
  • Wash your hands after every application, and keep the treated skin covered until it dries. Hormone cream transfers to other people and to pets by touch.
  • Troches are dissolved, not chewed and not swallowed whole.
  • Apply at the same time each day. Consistency matters more with hormones than with most things we make.
Storing it

How to keep it.

  • Room temperature unless your label says otherwise.
  • Keep the pump upright. An airless pump loses its dose accuracy if it is stored on its side.
  • Out of reach of children and pets, always.

This page describes the preparations we make and how they are handled. It is not medical advice and it does not replace the label on your prescription or the instructions your prescriber gave you. Call us at 910-748-0243 with any question about your own medicine.

For prescribers

What to put on the prescription.

  • Every active with its strength per dose, not just per gram.
  • The base or vehicle you want, if you have a preference.
  • Total quantity, or a days supply and we will do the arithmetic.
  • A sig that states the amount per application, for example 0.5 mL, not just "apply as directed".

The order form has all of it.

Every field above is already on the hormone replacement order form. Fill it in, fax it to 910-748-0245, and there is nothing for us to call you back about.

Download order form

Or e-prescribe to Two Rivers Pharmacy, 101 Broadfoot Ave, Fayetteville NC 28305, with the formula in the free text field.

Also compounded here
Send a prescription

Send it and we will read it back to you.

Prescriber, patient, or facility. Tell us what you need and a pharmacist will call you back.

Phone910-748-0243
Fax910-748-0245
EmailTwoRiversRx@gmail.com RefillsRefill a prescription online TransferMove your prescriptions to us Visit101 Broadfoot Ave, Fayetteville, NC 28305
E-RxSend to Two Rivers Pharmacy, 101 Broadfoot Ave, Fayetteville NC 28305
HoursMonday to Friday, 9:00am to 5:30pm. Closed Saturday and Sunday.

This opens your own email app with the message ready to send. Please do not include a full medical history here.

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