
Clinical Information
Apply one pump of cream to clean, dry skin once daily, rotating application sites between the inner thighs or arms. If you miss a dose, apply as soon as you remember unless it's close to the next dose. Do not double doses.
Bi-Est Cream supplements two estrogens that decrease during menopause. Estradiol and estriol bind to estrogen receptors in the body, helping to restore hormonal balance. Patients may notice reduced hot flashes and improved vaginal moisture within weeks.
Do not use if you have a history of breast cancer, estrogen-dependent tumors, or blood clot disorders. Not for use during pregnancy or breastfeeding, as it can harm the baby. Avoid if allergic to any ingredients in the cream.
Estrogen creams may interact with thyroid medications, blood thinners like warfarin, and certain epilepsy treatments. Inform your doctor of all substances you ingest. Alcohol may increase side effects, so use in moderation.
Common side effects (may affect 1-10 people out of 100): skin irritation at the application site, headache, nausea. Rare but serious: blood clots, breast tenderness, or unusual vaginal bleeding. Contact your doctor if side effects become severe or troublesome.
Store at room temperature (68-77°F, 20-25°C) in its original container. Protect from excessive heat and light. Do not refrigerate or freeze. Keep out of reach of children and pets. Dispose of responsibly through pharmacy take-back programs.
Frequently Asked Questions
Q:How do I apply Bi-Est Cream?
A:Apply the cream to clean, dry skin on the inner thighs or arms, rotating sites to avoid irritation. Use one pump per day unless directed otherwise by your doctor.
Q:What should I do if I miss a dose?
A:If you miss a dose, apply it as soon as you remember unless it's almost time for your next application. Do not double up doses to make up for a missed one.
Q:Are there any foods or drinks I should avoid?
A:While using this cream, you can continue your regular diet, but try to limit excessive alcohol consumption as it may worsen side effects.
Q:Can I use this cream while pregnant or breastfeeding?
A:No, it's not safe to use Bi-Est Cream if you're pregnant or breastfeeding, as it may harm the baby. Consult your doctor for safer alternatives.
Q:When will I start seeing results from using Bi-Est Cream?
A:Many patients notice improvement in menopause symptoms like hot flashes and vaginal dryness within a few weeks of regular use.
Related Products

Bi-Est (80/20) Rapid Dissolving Tablet (RDT)
Biest Rapid Dissolving Tablet combines estradiol and estriol in an 80/20 ratio for hormone replacement therapy to manage symptoms of menopause such as hot flashes and vaginal dryness.

Estradiol Cream
Estradiol Cream Topiclick is a topical cream formulated for hormone replacement therapy in women. It utilizes the Ellage Base delivery system for consistent application.

Estradiol Rapid Dissolve Tablets
Estradiol Rapid Dissolve Tablets are used to relieve symptoms of menopause such as hot flashes, night sweats, and vaginal dryness. This medicine contains the female hormone estrogen.

Progesterone Cream
Progesterone cream helps manage symptoms related to hormone imbalance. Often used in Women's Health to support fertility treatments and manage symptoms of menopause.