*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:
| US$ 0.13 per pill in boxes of 30, 60, and 90 tablets. |
 | Generic Name:
| US$ 0.46 per pill in boxes of 30, 60, and 90 tablets. |
 | Generic Name:
| Price not availablke due to product being constanly sold out. |
 | Generic Name:
| Price not availablke due to product being constanly sold out. |
 | Generic Name:
| US$ 0.29 per pill in boxes of 28, 56, and 84 tablets. |
 | Generic Name:
| US$ 0.39 per pill in boxes of 28, 56, and 84 tablets. |
 | Generic Name:
| Price not availablke due to product being constanly sold out. |
 | Generic Name:
| US$ 0.60 per pill in boxes of 21, 42, and 84 tablets. |
 | Generic Name:
| US$ 0.55 per pill in boxes of 30, 60, and 90 tablets. |
 | Generic Name:
| US$ 1.10 per pill in boxes of 30, 60, and 90 tablets. |
 | Generic Name:
| US$ 7.88 per ampoule in boxes of 5, 10, and 15 ampoules. |
 | Generic Name:
| US$ 5.63 per tube in boxes of 1, 3, and 5 tubes. |
 | Generic Name:
| US$ 0.56 per pill in boxes of 30, 60, and 90 tablets. |
 | Generic Name:
| US$ 1.03 per pill in boxes of 30, 60, and 90 tablets. |
