*Prescription Needed*

Medications and Dosage

Anti Androgens

Two anti-androgen options seem to be more widely used than others. These are:

  • Cyproterone Acetate at 100mg – 150mg daily, taken orally. This one seems to carry an increased risk of depressive symptoms, and should this side effect occur, the medication is often changed.
  • Spironolactone – 100mg- 200mg daily, taken orally. This one might be a good option if you have high blood pressure or are concerned about blood clots or venous thromboembolism as it is a potassium-sparing diuretic.

Other options include:

  • Medroxyprogesterone – 5mg – 10mg daily, taken orally, or 150mg monthly via intramuscular injection.
  • Nilutamide – 300mg daily, taken orally. This one can cause androgen production in rare cases, so it is usually not the first choice.
  • Flutamide – 250mg three times daily, taken orally. This one can also potentially cause androgen production, so it is not the first choice.

Estrogen Treatment

  • Ethinyl Estradiol – 100 micrograms daily, taken orally. Most effective and easy to come by. It can be in the form of an oral contraceptive pill.
  • Conjugated Equine Estrogens – 5mg t- 10mg daily, taken orally. This one is usually not advised as it increases the risk of thrombosis.
  • 17ß Estradiol – 2mg – 8mg daily, taken orally, or 200mg monthly intramuscular injection, or 50 – 100 micrograms transdermally. This is a synthetic hormone therapy. This option appears to be the most expensive.
  • Estriol – 4mg – 6mg daily, taken orally. High doses are necessary for gender-affirming hormone therapy.

PRODUCT

INFO

Price

Generic Name:
Spironolactone


Manufacturer:
RPG Life Science, India

US$ 0.13 per pill in boxes of 30, 60, and 90 tablets.

Generic Name:
Spironolactone


Manufacturer:
RPG Life Science, India

US$ 0.46 per pill in boxes of 30, 60, and 90 tablets.

Generic Name:
Cyproterone Acetate


Manufacturer:
Bayer Schering, Turkey

Price not availablke due to product being constanly sold out.

Generic Name:
Cyproterone Acetate


Manufacturer:
Bayer Schering, Turkey

Price not availablke due to product being constanly sold out.

Generic Name:
Estradiol


Manufacturer:
Zydus Healthcare, India

US$ 0.29 per pill in boxes of 28, 56, and 84 tablets.

Generic Name:
Estradiol


Manufacturer:
Zydus Healthcare, India

US$ 0.39 per pill in boxes of 28, 56, and 84 tablets.

Generic Name:
Estradiol


Manufacturer:
Bayer Schering Pharma

Price not availablke due to product being constanly sold out.

Generic Name:
Cyproterone Acetate+ Ethyl Estradiol


Manufacturer:
Bayers Pharma Limited

US$ 0.60 per pill in boxes of 21, 42, and 84 tablets.

Generic Name:
Progesterone


Manufacturer:
Sun Pharmaceutical

US$ 0.55 per pill in boxes of 30, 60, and 90 tablets.

Generic Name:
Progesterone


Manufacturer:
Sun Pharmaceutical

US$ 1.10 per pill in boxes of 30, 60, and 90 tablets.

Generic Name:
Progesterone


Manufacturer:
Sun Pharmaceutical

US$ 7.88 per ampoule in boxes of 5, 10, and 15 ampoules.

Generic Name:
Progesterone


Manufacturer:
Sun Pharmaceutical

US$ 5.63 per tube in boxes of 1, 3, and 5 tubes.

Generic Name:
Natural Micronized progestrone


Manufacturer:
German remedies

US$ 0.56 per pill in boxes of 30, 60, and 90 tablets.

Generic Name:
Natural Micronized progestrone


Manufacturer:
German remedies

US$ 1.03 per pill in boxes of 30, 60, and 90 tablets.