{"id":52837,"date":"2023-09-20T09:39:06","date_gmt":"2023-09-20T09:39:06","guid":{"rendered":"https:\/\/medsname.com\/oestrogel-gel\/"},"modified":"2026-04-30T10:25:15","modified_gmt":"2026-04-30T10:25:15","slug":"oestrogel-gel","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/oestrogel-gel\/","title":{"rendered":"Gel Oestrogel"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 R\u0103spuns rapid<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Gel Oestrogel<\/strong> este <strong>estradiol transdermal 0,06% w\/w<\/strong> \u2014 estradiol bioidentic 17\u03b2 absorbit prin piele pentru terapia hormonal\u0103 de substitu\u021bie la menopauz\u0103. Administrarea transdermal\u0103 <strong>evit\u0103 metabolismul hepatic de prim trecere<\/strong>, reduc\u00e2nd riscul de tromboz\u0103 venoas\u0103 \u0219i accident vascular cerebral comparativ cu estrogenul oral. Se aplic\u0103 o dat\u0103 pe zi pe pielea bra\u021belor, umerilor sau coapselor. Femeile cu uter trebuie s\u0103 asocieze un progestin (Susten \/ Endogest \/ Naturogest \/ Meprate) pentru protec\u021bia endometrului.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.95em;\">\n<strong>\ud83d\udd12 Ce beneficia\u021bi cu MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret simplu (f\u0103r\u0103 denumirea medicamentului pe exterior) \u00b7 Livrare worldwide \u00b7 Citeste-ne <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">Peste 1.400 de recenzii ale clien\u021bilor<\/a>\n<\/div>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Fiecare comand\u0103 MedsBase este expediat\u0103 de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj simplu, complet discret \u2014 nimic pe exterior nu identific\u0103 con\u021binutul sau farmacia. Pl\u0103\u021bile cu cardul sunt procesate printr-un on-ramp crypto reglementat; descriptorul din extrasul de cont este numele procesatorului (un procesator de pl\u0103\u021bi cu card reglementat) \u2014 niciodat\u0103 \u201cMedsBase\u201d sau orice legat de farmacie. Pl\u0103\u021bile crypto prin Plisio r\u0103m\u00e2n complet anonime. Fiecare colet este acoperit de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.<\/p>\n<h2>Ce este gelul Oestrogel?<\/h2>\n<p>Gelul Oestrogel con\u021bine <strong>17\u03b2-estradiol<\/strong> (estrogenul bioidentic produs de ovare) \u00eentr-o baz\u0103 de gel hidroalcoolic transparent, 0,06% w\/w. Fiecare pomp\u0103 sau band\u0103 pre-doza\u021b\u0103 elibereaz\u0103 o doz\u0103 calibrat\u0103 de estradiol care se absoarbe prin piele \u00een circula\u021bia sistemic\u0103. Principiul activ este identic cu estradiolul endogen \u2014 nu un analog sintetic, nu estrogeni conjuga\u021bi de origine equin\u0103 (Premarin) \u0219i nu estriol sau estron.<\/p>\n<h2>Indica\u021bii<\/h2>\n<ul>\n<li><strong>Simptome vasomotorii ale menopauzei<\/strong> \u2014 transpira\u021bii nocturne, valuri de c\u0103ldur\u0103 \u2014 indica\u021bia cu cea mai puternic\u0103 sus\u021binere \u0219tiin\u021bific\u0103.<\/li>\n<li><strong>Sindromul genitourinar al menopauzei<\/strong> \u2014 usc\u0103ciune vaginal\u0103, dispareunie (adesea asociat\u0103 cu estrogen vaginal local pentru simptome rezistente).<\/li>\n<li><strong>Prevenirea osteoporozei postmenopauzale<\/strong> \u2014 sus\u021binut de dovezi, \u00een special atunci c\u00e2nd este ini\u021biat devreme dup\u0103 menopauz\u0103.<\/li>\n<li><strong>Insuficien\u021b\u0103 ovarian\u0103 prematur\u0103 \/ menopauz\u0103 chirurgical\u0103<\/strong> \u2014 \u00eenlocuire fiziologic\u0103 p\u00e2n\u0103 la v\u00e2rsta natural\u0103 de menopauz\u0103 (~51 ani).<\/li>\n<li><strong>Simptome de dispozi\u021bie \u0219i cognitive<\/strong> \u00een menopauza timpurie (studiul KEEPS sus\u021bine un beneficiu \u00een fereastra de oportunitate).<\/li>\n<\/ul>\n<h2>De ce Transdermal \u2014 Comparativ cu Estrogenul Oral<\/h2>\n<p>Estrogenul oral trece mai \u00eent\u00e2i prin ficat, unde cre\u0219te factorii de coagulare, globulina de legare a hormonilor sexuali \u0219i PCR. Estradiolul transdermal evit\u0103 acest pasaj hepatic ini\u021bial, cu urm\u0103toarele consecin\u021be m\u0103surabile:<\/p>\n<ul>\n<li><strong>Risc mai mic de TEV<\/strong> \u2014 studiile ESTHER \u0219i meta-analizele observa\u021bionale arat\u0103 c\u0103 administrarea transdermal\u0103 nu cre\u0219te semnificativ riscul de TEV, \u00een timp ce cea oral\u0103 \u00eel dubleaz\u0103 aproximativ.<\/li>\n<li><strong>Risc mai mic de accident vascular cerebral<\/strong> la doze standard.<\/li>\n<li><strong>Impact mai mic asupra trigliceridelor \u0219i CRP<\/strong>.<\/li>\n<li><strong>Modificare mai mic\u0103 a globulinei de legare a hormonilor tiroidieni<\/strong> \u2014 util la femeile hipotiroidiene care iau levotiroxin\u0103.<\/li>\n<\/ul>\n<p>Din aceste motive, administrarea transdermal\u0103 este preferat\u0103 la femele cu factori de risc pentru tromboembolism venos (obezitate, antecedente familiale, antecedente de fumat, v\u00e2rst\u0103 &gt; 60 ani), boli ale veziculei biliare, hipertrigliceridemie, migren\u0103 cu aur\u0103 sau hipotiroidism. Ghidurile moderne din Marea Britanie \u0219i Europa recomand\u0103 administrarea transdermal\u0103 ca tratament de prim\u0103 inten\u021bie pentru majoritatea cazurilor.<\/p>\n<h2>Cum se aplic\u0103 Oestrogel<\/h2>\n<ol>\n<li><strong>Doza:<\/strong> doza ini\u021bial\u0103 tipic\u0103 este de una sau dou\u0103 pompe pe zi (0,75\u20131,5 mg de estradiol\/zi). Doza se ajusteaz\u0103 \u00een func\u021bie de simptome pe o perioad\u0103 de 2\u20134 s\u0103pt\u0103m\u00e2ni; unele femei pot avea nevoie de trei pompe.<\/li>\n<li><strong>Aplica\u021bi pe:<\/strong> o zon\u0103 curat\u0103, uscat\u0103 \u0219i intact\u0103 a pielii pe bra\u021be (de la um\u0103r la \u00eencheietur\u0103), umeri, partea superioar\u0103 a spatelui sau coapse \u2014 aproximativ l\u0103\u021bimea unei m\u00e2ini.<\/li>\n<li><strong>NU aplica\u021bi pe:<\/strong> s\u00e2ni, vulv\u0103, piele deteriorat\u0103 sau iritat\u0103, sau piele tratat\u0103 cu produse cosmetice.<\/li>\n<li><strong>L\u0103sa\u021bi s\u0103 se usuce<\/strong> timp de 2\u20135 minute \u00eenainte de a v\u0103 \u00eembr\u0103ca; nu sp\u0103la\u021bi zona timp de cel pu\u021bin 1 or\u0103. Nu aplica\u021bi crem\u0103 hidratant\u0103, protec\u021bie solar\u0103 sau parfum pe acela\u0219i loc.<\/li>\n<li><strong>Evita\u021bi transferul piele-pe-piele<\/strong> \u2014 nu l\u0103sa\u021bi copiii, femeile \u00eens\u0103rcinate sau b\u0103rba\u021bii s\u0103 ating\u0103 zona de aplicare timp de 1 or\u0103. Estradiolul poate fi absorbit transdermal de oricine afl\u00e2ndu-se \u00een contact str\u00e2ns.<\/li>\n<li><strong>Ad\u0103uga\u021bi un progestin<\/strong> dac\u0103 ave\u021bi uter \u2014 Susten \/ Endogest \/ Naturogest 100 mg zilnic continuu, sau 200 mg ciclic timp de 12\u201314 zile\/lun\u0103. F\u0103r\u0103 opozi\u021bie de progestin, estrogenul singur provoac\u0103 hiperplazie endometrial\u0103 \u0219i cancer.<\/li>\n<\/ol>\n<h2>Efecte Secundare<\/h2>\n<p><strong>Frecvente:<\/strong> tendin\u021b\u0103 mamar\u0103, dureri de cap, crampe la picioare, grea\u021b\u0103 u\u0219oar\u0103, s\u00e2nger\u0103ri break-through (mai ales \u00een primele 6 luni), irita\u021bii cutanate locale, modific\u0103ri de stare.<\/p>\n<p><strong>Mai pu\u021bin frecvente:<\/strong> melasma, modific\u0103ri de greutate, simptome de vezic\u0103 biliar\u0103 (mai pu\u021bin dec\u00e2t formele orale), modific\u0103ri ale libidoului.<\/p>\n<p><strong>Grave (c\u0103uta\u021bi \u00eengrijire urgent\u0103):<\/strong> dureri de cap severe \u0219i bru\u0219te, modific\u0103ri ale vederii, dureri sau umfl\u0103turi la gamb\u0103, dureri toracice, icter, nodul la s\u00e2n, s\u00e2nger\u0103ri postmenopauzale care dureaz\u0103 mai mult de 6 luni de la \u00eenceput.<\/p>\n<h2>Contraindica\u021bii<\/h2>\n<ul>\n<li>Cancer mamar activ sau \u00een trecut sau alte cancere dependente de estrogen<\/li>\n<li>S\u00e2ngerare vaginal\u0103 nediagnosticat\u0103<\/li>\n<li>Tromboembolism venos (VTE) \/ embolie pulmonar\u0103 \/ accident vascular cerebral \/ infarct miocardic activ sau \u00een trecut<\/li>\n<li>Boal\u0103 hepatic\u0103 sever\u0103, adenom hepatic activ<\/li>\n<li>Sarcin\u0103<\/li>\n<li>Migren\u0103 cu aur\u0103 (relativ \u2014 forma transdermal\u0103 este preferat\u0103 fa\u021b\u0103 de cea oral\u0103 dac\u0103 este necesar\u0103 terapia hormonal\u0103 de substitu\u021bie)<\/li>\n<li>Trombofilie cunoscut\u0103 (Factor V Leiden, muta\u021bie a genei protrombinei)<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<p>Inductorii CYP3A4 (rifampicin\u0103, carbamazepin\u0103, fenitoin\u0103, fenobarbital, iarba Sf\u00e2ntului Ioan) reduc nivelurile de estradiol \u0219i pot agrava simptomele menopauzale. Calea transdermal\u0103 este mai pu\u021bin afectat\u0103 de CYP dec\u00e2t cea oral\u0103, dar interac\u021biunile \u00eenc\u0103 apar. Doza de levotiroxin\u0103 poate necesita re-titrare dup\u0103 \u00eenceperea sau oprirea THS \u2014 verifica\u021bi TSH la 6\u20138 s\u0103pt\u0103m\u00e2ni.<\/p>\n<h2>Sarcin\u0103 &amp; Al\u0103ptare<\/h2>\n<p>Contraindicate \u00een sarcin\u0103 \u0219i al\u0103ptare.<\/p>\n<h2>Depozitare<\/h2>\n<p>P\u0103stra\u021bi la sub 25 \u00b0C cu capacul \u00eenchis ferm (gelul este pe baz\u0103 de alcool \u0219i se evapor\u0103 dac\u0103 este l\u0103sat deschis). P\u0103stra\u021bi \u00een pozi\u021bie vertical\u0103. P\u0103stra\u021bi departe de copii \u2014 estradiolul transdermal poate fi absorbit prin pielea copiilor \u00een cantit\u0103\u021bi semnificative clinic.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>Am nevoie de un progestin cu Oestrogel?<\/h3>\n<p>Dac\u0103 ai uter, <strong>da<\/strong> \u2014 estrogenul singur cauzeaz\u0103 hiperplazie endometrial\u0103 \u0219i cancer. Folose\u0219te Susten \/ Endogest \/ Naturogest (progesteron micronizat, preferat) sau Meprate (MPA). Dac\u0103 ai avut histerectomie, nu este nevoie de progestin.<\/p>\n<h3>C\u00e2t dureaz\u0103 p\u00e2n\u0103 observ ameliorarea simptomelor?<\/h3>\n<p>Vasele de c\u0103ldur\u0103 \u00eencep s\u0103 se \u00eembun\u0103t\u0103\u021beasc\u0103 de obicei \u00een 2\u20134 s\u0103pt\u0103m\u00e2ni; beneficiul complet se ob\u021bine \u00een 8\u201312 s\u0103pt\u0103m\u00e2ni. Dac\u0103 simptomele persist\u0103, clinicianul t\u0103u poate ad\u0103uga o pomp\u0103 sau trece la un plasture cu doz\u0103 mai mare.<\/p>\n<h3>Este estrogenul transdermal mai sigur dec\u00e2t cel oral?<\/h3>\n<p>Pentru riscul de TEV, accident vascular cerebral, biliard \u0219i trigliceride \u2014 da, dovezile sunt clare. Riscul de cancer de s\u00e2n este similar \u00eentre rute. Beneficiul pentru calitatea vie\u021bii este similar.<\/p>\n<h3>Pot aplica Oestrogel pe s\u00e2nii mei?<\/h3>\n<p>Nu. Aplicarea pe s\u00e2ni cre\u0219te expunerea local\u0103 a \u021besutului mamar la estrogen \u0219i este asociat\u0103 cu sensibilitate mam\u0103 \u0219i preocup\u0103ri teoretice. Aplic\u0103 pe bra\u021be, umeri, partea superioar\u0103 a spatelui sau coapse.<\/p>\n<h3>Partenerul meu \/ copiii mei vor absorba estradiol dac\u0103 ating locul de aplicare?<\/h3>\n<p>Da \u2014 acesta este real. L\u0103sa\u021bi gelul s\u0103 se usuce complet (5 minute) \u0219i evita\u021bi contactul pielii cu pielea \u00een zona respectiv\u0103 timp de cel pu\u021bin 1 or\u0103. Copiii expu\u0219i la estradiol aplicat au dezvoltat semne de pubertate precoce.<\/p>\n<h3>Pot s\u0103 fac du\u0219 sau s\u0103 \u00eenot dup\u0103 aplicare?<\/h3>\n<p>A\u0219tepta\u021bi cel pu\u021bin 1 or\u0103 dup\u0103 aplicare \u00eenainte de a face du\u0219 sau de a \u00eenota. Aplica\u021bi la un moment care se potrive\u0219te cu rutina dumneavoastr\u0103 (de obicei diminea\u021ba).<\/p>\n<h3>Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Aplica\u021bi de \u00eendat\u0103 ce v\u0103 aminti\u021bi. Dac\u0103 este aproape de urm\u0103toarea doz\u0103 programat\u0103, omite\u021bi cea ratat\u0103 \u2014 nu dubla\u021bi doza. Zilele ratate pot provoca simptome de breakthrough.<\/p>\n<h3>Pot s\u0103 folosesc Oestrogel dup\u0103 cancerul de s\u00e2n?<\/h3>\n<p>\u00cen general contraindivat. Discuta\u021bi cu oncologul dumneavoastr\u0103; op\u021biunile non-hormonale (SSRI, gabapentin\u0103, clonidin\u0103, CBT) sunt de obicei preferate pentru simptomele vasomotorii dup\u0103 cancerul de s\u00e2n.<\/p>\n<h3>Cum difer\u0103 Oestrogel de Premarin?<\/h3>\n<p>Oestrogel este 17\u03b2-estradiol bioidentic aplicat transdermal. Premarin este estrogeni conjuga\u021bi de origine equin\u0103 (un amestec de compu\u0219i estrogenici deriva\u021bi din urina de iap\u0103 gravid\u0103) administra\u021bi oral. Forma transdermal\u0103 bioidentic\u0103 este punctul de plecare modern preferat; Premarin este \u00eenc\u0103 eficient dar are profilul de trecere hepatic\u0103 specific administr\u0103rii orale.<\/p>\n<h3>Oestrogel va ajuta la usc\u0103ciunea vaginal\u0103?<\/h3>\n<p>Ajut\u0103 sistemic \u2014 multe femei \u00ee\u0219i \u00eembun\u0103t\u0103\u021besc starea. Pentru simptome locale rezistente sau severe, ad\u0103uga\u021bi Premarin Cream (estrogeni conjuga\u021bi vaginali) sau un alt estrogen vaginal local al\u0103turi de Oestrogel. Estrogenii vaginali locali nu necesit\u0103 opozi\u021bie cu progestin.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte Medicamente Hormonale \u0219i pentru S\u0103n\u0103tatea Femeii<\/h2>\n<p>Alte produse din <strong>Terapia Hormonal\u0103 de \u00cenlocuire \u0219i S\u0103n\u0103tatea Femeii<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/progynova\/\">Progynova (Estradiol Valerat Oral)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/premarin\/\">Premarin (Estrogeni Conjuga\u021bi Orali)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/premarin-cream\/\">Premarin Crem\u0103 (Estrogen vaginal)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/susten-capsule\/\">Capsule Susten (Progesteron Micronizat)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/endogest\/\">Endogest (Progesteron micronizat)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>\u26a0\ufe0f Disclaimer medical<\/strong><\/p>\n<p style=\"margin:0;font-size:0.95em;\">Terapia hormonal\u0103 implic\u0103 beneficii \u0219i riscuri individuale care variaz\u0103 \u00een func\u021bie de v\u00e2rst\u0103, timpul de la menopauz\u0103, istoricul personal \u0219i familial, \u0219i afec\u021biuni concomitente. Discuta\u021bi \u00eentregul istoric medical cu un clinician \u00eenainte de a \u00eencepe, schimba sau \u00eentrerupe terapia hormonal\u0103 de \u00eenlocuire (HRT), terapia cu progestin sau estrogen vaginal. \u00centrerupe\u021bi \u0219i c\u0103uta\u021bi \u00eengrijire urgent\u0103 pentru s\u00e2nger\u0103ri vaginale neexplicate, dureri de cap severe \u0219i bru\u0219te, modific\u0103ri ale vederii, dureri sau umfl\u0103turi la nivelul gambei, dureri \u00een piept sau noduli mamari.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Gel Oestrogel (estradiol transdermal 0,06% w\/w) \u2014 17\u03b2-estradiol bioidentic absorbit prin piele pentru terapia hormonal\u0103 de menopauz\u0103. Ocole\u0219te metabolismul hepatic de prim\u0103 trecere pentru un risc mai mic de TEV \u0219i accident vascular cerebral dec\u00e2t estrogenul oral.<\/p>","protected":false},"featured_media":52838,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3519,3502],"product_tag":[3527,3528],"class_list":{"0":"post-52837","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-hormone-replacement-therapy-hrt-medication-for-menopause","8":"product_cat-womens-health","9":"product_tag-estradiol","10":"product_tag-oestrogel","12":"first","13":"outofstock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/52837","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=52837"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/52838"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=52837"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=52837"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=52837"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=52837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}