Susan's Place Transgender Resources

Hi :-)

I was wondering if anyone knows how i should come off of this?  I guess by doing 1/4 every week or 2 weeks?

I'm taking spirolatone + estrace pills daily.

I can work on the last half of my dose ( spirolatone +  estrace) since that's what I'm taking just x2.  I was gradually put on :).

I started 2 years ago almost (not at this dose).  Last week I tried just not taking the last spiro and estrace and it wasn't a good thing so now I'm currently at my full spiro plus 1 + 3/4 estrace :/

So should I just cut my last half of the dose spiro +  estrace) both down by 1/4 or should I do the estrace first? or the spiro?

Maybe cut down by spiro (1/8)? and(1/8?) estrace per week or two weeks?  At same time? 

Thank you so much !

Hi kara  :icon_wave:

Welcome to Susan's Place  :)  Glad to have you here, join on in the fun, but we don't allow dosages here

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Hugs

V M

I believe the recommended way to modify your or any meds is by consulting with your doctor then following their directions.

   Jeanette

I agree with Jeanette. Recommendations will depend on your doctor and surgeon. Some allow for continuation of a small dose of Estrace, others not. Some ask that Spiro be stopped a couple of days before the surgery, some earlier.

My personal stance is that if we take non-oral bio-identical estradiol, then we are getting estrogen much the same way as ciswomen are so that if ciswomen are allowed to go through with major surgery without being asked to remove their ovaries or stop their body's production of estrogen, then why should we? The concern is formation of clots. Studies have shown that non-oral bio-identical estradiol has a negligible effect on coagulation, at high and low doses, in young and older individuals, men and women. I take estradiol by injections, my levels range from 1,000-4,000 pg/ml. Clotting times remained normal, on the three occasions when they were analyzed. If no one ever brings this up with their surgeons and/or doctors, nothing will ever change. Until then though, we are obligated to follow directives. We need to arrive at a consensus with them. Doing things behind a doctor's back is wrong and strongly discouraged in this forum.

Spironolactone interferes with electrolytes and this is why, I think, it needs to be stopped.

My 2 cents.

Kara,

Add one to the see the doctor please. They would have the best answer as to how this should happen.

Are you prepping for surgery or de-transitioning? the only reason I ask is there is a category for de-transitioning that I could move this to.

I hope you find a smooth way to do this.