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8/9/2019 #5 Hormones and Menopause 3
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NON PRESCRIPTION OPTIONS
• PHYTOESTROGENS
• Naturally occurring estrogen-like substances found incertain foods
---Isoflavones found in soybeans, chickpeas
tofu, tempeh, miso, soy
---Lignans – found in flaxseed husks and isolated in oils
--- Coumestans – found in red clover, sunflower seeds, bean sprouts
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NON PRESCRIPTION
• Vitamin E
• Black Cohash
• Dong Quai• St. John’s Wort
• Licorice
• Chasteberry
• Evening primrose oil
• Velarian root
• Wild Mexican Yam
• Ginseng
• Liberty tea
• Estroven , promensil
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PRESCRIPTIONS
NON-HORMONAL:
• Anti-Depressants: Venlafaxine, paroxetine, fluoxetine, citalopram
• Blood Pressure Medication: clonidine
• Other: gabapentin, bellergal
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HORMONES
• Estrogens
• Progestins
• Androgens
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Hormones can be made from:
• Plant sources
•Animal sources
• Synthetic
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DELIVERY SYSTEMS• PILLS
• PATCH
• INJECTION
• CREAM / GEL
• IUD
• RING
Continuous
Sequential
Cyclic
Combined
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BIOIDENTICAL HORMONES
• Plant-derived
hormones chemically
similar or identical tothose in the body.
• Can be oral, absorbed
from under the tongue,
implants, injections, or
suppositories.
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COMPOUNDED HORMONES
• Agents prepared,
mixed, packaged or
labeled by a pharmacist, custom
made for a patient
according to a
physician’s or provider’s
specifications.
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Women’s Health InitiativeWomen’s Health Initiative
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Use through time
Treat symptoms:
Hot flashes and night sweats
Prevention:
Osteoporosis
cardiovascular
2002:WHI
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