Re: Inhaled corticosteroids do have systemic action - apology to Dr. Braun
From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 20 Nov 2002 19:27:25 -0600 (CST)
A little oral premarin or estrace would be a lot better than all that in
most cases.
At Wed, 20 Nov 2002, AMS wrote:
>
>At Wed, 20 Nov 2002, AMS wrote:
>>
>>See New Eng Journal of medicine Vol 345 No 13 Sept 27 2001 My rheumy put
>>me fosamax as a result of this and DEXA with osteopenia I get withdrawal
>>effects with just a 25% reduction of ICS. Testosterone cream for
>>libidoaccording to PDR 10% of topical is absorbed.
>>
>>Thanks for reply
>
>I apologize for both the curtness and the garbled nature of the above
>post - my 13 year old was jabbering at my elbow to get to Midrashah
>class and I should have waited until I had my whole brain to post.
>
>My gyn prescribed the cream for libido though her preference was for
>implanted pellets. Neither of us want me to take the oral because my
>lipids look so good with the vivelle dot. I am unwilling to try the
>implants until I know what kind of side effect I will experience. I am
>11 months post TAH/BSO with Burch suspension and ?plasty to my perineum
>for rectocele etc. For several months before the surgery she had me on
>a low dose birth control with an androgenic progestin that had a
>profound unexpected positive effect on my libido (husband stated "my old
>girl is back!") I use the villele.dot .05 with a tiny tab of estrace to
>the posterior introitus for comfort. What I'm really waiting for is for
>Proctor and Gamble female testosterone patch to come to market but I
>guess that will be another year or two. Since the PDR says that 10% of
>the androderm is absorbed systemically, I hope that will work. We'll
>see. (I'm guessing that without ovaries, and high ICS that my adrenals
>aren't supplying as much testosterone as they normally would. I already
>have buffalo hump and recurrant petechaie (sp?) on my forearm.)
>
>So, that's the answer to your reply and, again, I apologize for being
>scattered and curt before.
>
>--
>Amy
>
--
R.Daniel Braun, MD FACOG FOG
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