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Medicines > classes : Classic Psychedelic or [[:Category:Estrogens|Estrogen]] & routes: Oral

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generic:
Estradiol (17β-estradiol) (1) · LSD (1)
brand:
Delysid (historical, Sandoz, withdrawn 1965) (1) · Estrace, Vivelle-Dot, Climara, Divigel, Evamist, Estring, Estraderm, Premarin (CEE, not strictly estradiol) (1)
classes: (Click arrow to add another value)
mechanism:
None (1) · 5-HT2A partial agonist (1)
uses:
None (1) · '"`UNIQ--vote-000003B5-QINU`"', '"`UNIQ--vote-000003B6-QINU`"', '"`UNIQ--vote-000003B7-QINU`"', '"`UNIQ--vote-000003B8-QINU`"', '"`UNIQ--vote-000003B9-QINU`"' (1)
starting dose:
None (1) · Oral 1-2 mg daily; transdermal patch 0.025-0.05 mg/d twice weekly; transdermal gel 0.5-1 g/d; vaginal 10 mcg tablet twice weekly for GSM. Always combine with a progestogen in patients with an intact uterus. (1)
preparations:
None (1) · Oral 0.5, 1, 2 mg tablets; transdermal patches (twice-weekly and once-weekly); 0.06% gel; 1.53 mg/spray topical; vaginal ring (Estring); vaginal tablet (Vagifem/Yuvafem); vaginal cream (1)
fda max:
None (1) · Indication-specific; lowest effective dose for shortest duration is the WHI-era standard (1)
routes: (Click arrow to add another value)
onset:
30–60 minutes (1) · Vasomotor relief 2-4 weeks; bone density gains over months (1)
duration:
8–12 hours (1) · Route- and formulation-dependent (1)
halflife:
3–5 hours (1) · ~13-20 hours (oral); transdermal pharmacokinetics buffer the peaks/troughs of oral dosing'"`UNIQ--ref-000003BA-QINU`"' (1)
bioavailability:
70–90% (oral) (1) · Oral ~5% (extensive first-pass to estrone and conjugates); transdermal bypasses first-pass, giving more physiologic estradiol:estrone ratio'"`UNIQ--ref-000003BB-QINU`"' (1)
pregnancy:
Contraindicated in pregnancy (use is not appropriate during gestation; class label X). Lactation considerations vary by indication.<sup class="pcp-cn" title="This claim needs a citation.">&#91;[[Pharmacopedia:Citation needed|citation&nbsp;needed]]&#93;</sup> (1) · Not established (1)
legal:
Schedule I (United States) (1) · [[USLegal:Prescription only|Rx-only]] in US (1)

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