The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use (2020)

Chapter: Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products

Previous Chapter: Appendix G: Compounded Bioidentical Hormone Therapy Formulations with Two or More Active Ingredients
Suggested Citation: "Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products." National Academies of Sciences, Engineering, and Medicine. 2020. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press. doi: 10.17226/25791.

Appendix H

Boxed Warnings on U.S. Food and Drug Administration–Approved Estrogen and Testosterone Products

All U.S. Food and Drug Administration (FDA)-approved estrogen-containing products (Stefanick, 2005) and topical testosterone products (FDA, 2015) must contain a boxed warning that provides the prescriber and patient with safety warnings for the most serious adverse events associated with the use of these products. See Figures H-1 and H-2 for the boxed warning for FDA-approved estrogen-containing and topical testosterone products, respectively.

Suggested Citation: "Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products." National Academies of Sciences, Engineering, and Medicine. 2020. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press. doi: 10.17226/25791.
Suggested Citation: "Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products." National Academies of Sciences, Engineering, and Medicine. 2020. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press. doi: 10.17226/25791.

REFERENCES

FDA (U.S. Food and Drug Administration). 2015. Testosterone information. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosteroneinformation (accessed December 20, 2019).

NLM (National Library of Medicine). 2020a. Alora drug label information, warning: Endometrial cancer, cardiovascular disorders, probable dementia and breast cancer. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=a0d4f0b8-5dcc-4ffe-9590-0203e869622f&audience=consumer (accessed May 14, 2020).

NLM. 2020b. Androgel 1% drug label information, warning: Secondary exposure to testosterone. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c506aaa3-04f8-4eb1-8dc4-e964cdd08e7f&audience=consumer (accessed May 14, 2020).

Stefanick, M. L. 2005. Estrogens and progestins: Background and history, trends in use, and guidelines and regimens approved by the U.S. Food and Drug Administration. American Journal of Medicine 118(Suppl 12B):64–73.

Suggested Citation: "Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products." National Academies of Sciences, Engineering, and Medicine. 2020. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press. doi: 10.17226/25791.

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Suggested Citation: "Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products." National Academies of Sciences, Engineering, and Medicine. 2020. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press. doi: 10.17226/25791.
Page 309
Suggested Citation: "Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products." National Academies of Sciences, Engineering, and Medicine. 2020. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press. doi: 10.17226/25791.
Page 310
Suggested Citation: "Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products." National Academies of Sciences, Engineering, and Medicine. 2020. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press. doi: 10.17226/25791.
Page 311
Suggested Citation: "Appendix H: Boxed Warnings on U.S. Food and Drug AdministrationApproved Estrogen and Testosterone Products." National Academies of Sciences, Engineering, and Medicine. 2020. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press. doi: 10.17226/25791.
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