Step 1: You helped us reach out the the FDA

Step 2: Help us by contacting your legislators!


Here are the facts:

  • Recently, Congress passed the Drug Quality and Security Act.
  • This law may allow FDA to regulate interstate compounded medications.
  • Your prescription could be affected if it is filled in a state other than your own.
  • The FDA is restricting you from necessary compounded medications if you don't live in the same state as the pharmacy you have chosen.

Protect your right to choose where and when you fill

your prescription for compounded drugs. Go to

and send a message to your legislators.


A New Organ Has Been Identified!

Written by Carol Petersen, RPh, CNP - Women's International Pharmacy


That's right.  It has been there all along, but we are just now getting around to noticing it.  This organ weighs about 3 pounds and by weight, it is the largest organ in the human body.   The organ is a collection of microbes or single celled organisms that live on and in your body and it has been named the human microbiome.


Our bodies are made up of about 10 trillion cells, but we host approximately 100 trillion microbe cells. To put a trillion in perspective, if we were to live for one trillion seconds, our life span would exceed 32,000 years.  Based on the math, we are only 10% human!


It was surprising to the scientific community when the Human Genome Project was completely finished earlier than anyone predicted.  It turns out that human beings only have about 20 thousand genes.  We have significantly fewer genes than rice or corn!   However, we also carry and use two to twenty million genes from the vast number of microbes we host. If we compare the number of human genes to microbe genes rather than the number of human to microbe cells in our body, we are 99% microbe!


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Back to the Basics - Hormones for Hot Flashes

Written by Kathy Lynch, PharmD - Women's International Pharmacy


The FDA approved the first and only non-hormonal treatment for hot flashes in 2013.  Brisdelle (paroxetine) belongs to a class of drugs called selective serotonin reuptake inhibitors (SSRIs).  These medications are used primarily to treat depression. Before Brisdelle was approved, estrogens were the only FDA-indicated treatment for hot flashes.  

Pharmacist Corner


A new study highlights an increased risk for bone fractures in women taking SSRIs for non-psychiatric conditions like hot flashes.  Statistics from an insurance claims database indicate that female patients, aged 40 - 64 without mental illness who started SSRIs from 1998 - 2010, had an increased risk of breaking a bone compared to a similar group that started using proton pump inhibitors for stomach disorders. It may be time to reevaluate the use of SSRIs for the treatment of hot flashes.


Estradiol is FDA-approved for the treatment of hot flashes as well as for the prevention of osteoporosis. Misinterpretation of the Women's Health Initiative (WHI) Study has generated apprehension regarding the use of bioidentical hormone replacement therapy (BHRT) for hot flashes.


Dr Kent Holtorf has reviewed numerous published papers and concluded that BHRT is safer and more effective than conventional hormone replacement therapy. Individualizing therapy and balancing hormone benefits vs risks is the key to successful management of menopausal hot flashes. There is no need to substitute an SSRI for the real-deal. 


Read more on menopause in the Women's International Pharmacy Connections Newsletter on Menopause



"SSRI use and risk of fractures among perimenopausal women without mental disorders" by Y.H. Sheu, A. Lanteigne, T. Sturmer et al;inj Prev2015 Jun 25. doi: 10.1136/injuryprev-2014-041483. (Epub ahead of print)

"The Bioidentical Hormone Debate:  Are Bioidentical Hormones (Estradiol, Estriol, and Progesterone) Safer or More Efficacious than Commonly Used Synthetic Versions in Hormone Replacement Therapy?" by Kent Holtorf, MD.
Postgraduate Medicine; 2009 Jan; 121 (1): 1-13. 


Women's International Pharmacy 


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In This Issue
Your access to compounded medications is once again at risk
A New Organ Has Been Identified!
Back to the Basics - Hormones for Hot Flashes

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