Susan's Place Transgender Resources

Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: OrderOfOriah on October 29, 2011, 05:07:37 PM

Title: Drug use and Hormone replacement for Male to female
Post by: OrderOfOriah on October 29, 2011, 05:07:37 PM
I am heavily considering hormone replacement to feminize my body, but I would like to gather more information in regards to what can and cannot be taken with hormones.

I know alcohol is greatly advised against, which isn't much of an issue as I don't enjoy the effects of ethanol, but what about other less harmful natural drugs such as marijuana and psilocibin mushrooms, and perhaps opiates?

Yes, I am aware that any psychoactive chemical/chemical containing plants can be overused or used as a crutch or coping mechanism.  I'm not here to argue that point.  I merely wish to know about the interactions of commonly used psychoactives and hormones, as I am a responsible adult with the right to make informed decisions to consume substances which alter consciousness occasionally for personal and spiritual reasons.

Please don't give me the typical "Drugs r bad and illegal, so don't do em mmkay?" rap.  I grew up with parents and DARE for long enough.  Echoing their one sided and often uninformed angles isn't going to change my opinion at this point.

All I want is some good information from scholarly sources, or personal accounts of interactions of estrogenic drugs used in hormone replacement regarding male to female cases.

Of course I am willing to cease all use of chemicals while transitioning, but I also wouldn't mind if I didn't have to cease altogether. 

anyone got good information?
Title: Re: Drug use and Hormone replacement for Male to female
Post by: eli77 on October 29, 2011, 06:02:01 PM
I'm on Percocet, and neither of the two HRT doctors I've had, nor my family doctor were particularly bothered. So opiates seem okay, and I haven't noticed any difference in effect.

I also wasn't warned against alcohol, so I'm not sure where you got that from. The painkillers come with big orange "NO ALCOHOL, IDIOT" stickers on them, and none of the HRT drugs I'm taking or have taken had them: estradiol acetate, estradiol valerate, prometrium, spironolactone, androcur. Drinking has pretty much the same effect on me it always did.

No idea about weed or mushrooms. But even if I did, I'm not allowed to answer here due to the TOS for Susan's Place. Speaking of, I'd just like to point out that the Percocet is legally prescribed - please don't hurt me, mods.
Title: Re: Drug use and Hormone replacement for Male to female
Post by: kelly_aus on October 29, 2011, 06:12:15 PM
I'd suggest leaving them behind.. Your doctors may view your usage as a crutch or other 'self medicating'.. And as such may be disinclined to prescribe you hormones..
Title: Re: Drug use and Hormone replacement for Male to female
Post by: mimpi on October 29, 2011, 06:30:51 PM
Quote from: OrderOfOriah on October 29, 2011, 05:07:37 PM
I am heavily considering hormone replacement to feminize my body, but I would like to gather more information in regards to what can and cannot be taken with hormones.

I know alcohol is greatly advised against, which isn't much of an issue as I don't enjoy the effects of ethanol, but what about other less harmful natural drugs such as marijuana and psilocibin mushrooms, and perhaps opiates?

Yes, I am aware that any psychoactive chemical/chemical containing plants can be overused or used as a crutch or coping mechanism.  I'm not here to argue that point.  I merely wish to know about the interactions of commonly used psychoactives and hormones, as I am a responsible adult with the right to make informed decisions to consume substances which alter consciousness occasionally for personal and spiritual reasons.

Please don't give me the typical "Drugs r bad and illegal, so don't do em mmkay?" rap.  I grew up with parents and DARE for long enough.  Echoing their one sided and often uninformed angles isn't going to change my opinion at this point.

All I want is some good information from scholarly sources, or personal accounts of interactions of estrogenic drugs used in hormone replacement regarding male to female cases.

Of course I am willing to cease all use of chemicals while transitioning, but I also wouldn't mind if I didn't have to cease altogether. 

anyone got good information?

Well, as you know we are not allowed to reply directly but I'm reliably informed by a "friend" there is/was no interaction...
Title: Re: Drug use and Hormone replacement for Male to female
Post by: OrderOfOriah on October 29, 2011, 06:39:01 PM
for biological males marijuana lowers testosterone levels, so I could always say i'm taking it as an antiandrogen.  Maybe I'll even get my medical card.  (My state allows perscription ganja)

Sounds like a decent idea.  One stop shopping
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Flan on October 29, 2011, 07:39:51 PM
don't count on it (alleged testosterone reducing effects of cannabis)
and rules aside, the "one stop shopping" doesn't, to me, seem like a very healthy attitude towards recreational drugs.
QuoteThe plasma testosterone levels of 66 male Pakistani who for years had smoked cannabis daily or drank cannabis regularly where measured after chronic and acute intake of the drug and compared with a material of 41 normal controls, i.e. persons who did not use cannabis. An evaluation of the results showed that there were no significant differences between the two groups. No influence of long-term cannabis usage on plasma testosterone levels was found.
Title: Re: Drug use and Hormone replacement for Male to female
Post by: OrderOfOriah on October 29, 2011, 07:42:53 PM
umm one stop shopping was speaking of perscriptions, not recreational drugs, as in getting perscription hormones and medical marijuana from a doctor.

And my past use of marijuana has been far from recreational.

Also, I can't trust any "scientific" information that's posted if no source(s) are cited
Title: Re: Drug use and Hormone replacement for Male to female
Post by: kelly_aus on October 29, 2011, 07:59:33 PM
http://www.ncbi.nlm.nih.gov/pubmed/2241844 (http://www.ncbi.nlm.nih.gov/pubmed/2241844) Is the article you are looking for..

Also this one:
The effects of 9-ene-tetrahydrocannabinol on hormone release and immune function.

Dax EM, Pilotte NS, Adler WH, Nagel JE, Lange WR.

Addiction Research Center, National Institute on Drug Abuse, Baltimore, MD 21224.

We investigated effects of 9-ene-tetrahydrocannabinol (THC) on endocrine and immunological function. Seventeen male volunteers entered into a double blind, randomized study to receive oral THC (10 mg t.i.d. for 3 days and on the morning of the fourth day) or placebo, after at least 2 weeks of abstinence. Plasma prolactin, ACTH, cortisol, luteinizing hormone and testosterone were not altered during or after THC, compared with baseline concentrations. Tests of lymphocyte function showed no differences compared to baseline between THC and placebo groups. As the relatively low dosing regimen of THC (10 mg t.i.d.) resulted in no alterations, another group of 6 men were administered higher doses of THC by inhalation (18 mg/marijuana cigarette) following the same dosing regimen. No endocrine or immunological alterations were observed. When the subjects were grouped according to their history of THC use prior to admission, heavy THC users had lower prolactin concentrations than light users. No differences were observed in concentrations of other hormones or in tests of immune function.

Title: Re: Drug use and Hormone replacement for Male to female
Post by: OrderOfOriah on October 29, 2011, 08:06:55 PM
well, the size of the study isn't that large, but I will admit that there are many studies that deny that testosterone levels of men are effected, as well as many citing that they are.

But regardless, doctors will perscribe marijuana for just about anything from anxiety to a skinned up knee.  at least in cali they do....
Title: Re: Drug use and Hormone replacement for Male to female
Post by: kelly_aus on October 29, 2011, 08:11:53 PM
I'll also add in my personal experience.. I was a heavy, daily user until just after my first bloodwork was done just prior to starting HRT.. Guess what? My hormone levels were pretty much 'normal' for a person 'born male'..

Title: Re: Drug use and Hormone replacement for Male to female
Post by: OrderOfOriah on October 29, 2011, 08:24:31 PM
perhaps the results are different for those who arent frequent heavy users.

typically I don't use more than once every few weeks.

Regardless, does anyone have any information on how marijuana may interact with hormone replacement therapy for an m2f?
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Devlyn on October 29, 2011, 08:48:40 PM
Sorry I'm late, I was..Oww! I just skinned my knee something awful! Any recommendations?
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Karen 007 on October 29, 2011, 09:16:11 PM
Wvogkduill hormones help me grow breasts and make my but and hips stick out?
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Karen 007 on October 29, 2011, 09:17:32 PM
didn't see the cat jump up
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Karen 007 on October 29, 2011, 09:19:13 PM
It should read would hormones help me
Title: Re: Drug use and Hormone replacement for Male to female
Post by: OrderOfOriah on October 29, 2011, 10:10:33 PM
depends which ones you take
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Alainaluvsu on November 03, 2011, 11:04:53 PM
It's known that smoking nicotine will increase your chances of blood clots significantly while on estrogen. I'm not too sure if it's the nicotine or the smoking part that increasesd the risk, but I'm willing to bet if you tell your endo that you smoke ANYTHING, they will prescribe you less estrogen and monitor your circulatory system more carefully than if you do not tell them anything.

In fact, my endo really stressed the question when she asked me, whether I smoke at all.

But again, I'm not sure whether it's the act of smoking, or simply it's the nicotine that would cause clots.

However, a therapist is going to try to break, your "dependency" on drugs. If i'm not mistaken (correct me if I'm wrong), a key factor in getting "the letter" is that either you show no drug "dependency" or you are showing a track that you are moving away from drugs.
Title: Re: Drug use and Hormone replacement for Male to female
Post by: OrderOfOriah on November 04, 2011, 12:35:30 AM
goo advice.  I'll remember not to tell them ;D
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Cen on November 04, 2011, 04:34:36 AM
Quote from: mimpi on October 29, 2011, 06:30:51 PM
Well, as you know we are not allowed to reply directly but I'm reliably informed by a "friend" there is/was no interaction...

Seconded, though alternative methods to smoking might be safer.
Title: Re: Drug use and Hormone replacement for Male to female
Post by: OrderOfOriah on November 04, 2011, 04:36:45 AM
Quote from: Cori on November 04, 2011, 04:34:36 AM
Seconded, though alternative methods to smoking might be safer.
That's fine.  Transdermal has always been my preferred route of administration anyway.  thanks for the input guys!
Title: Re: Drug use and Hormone replacement for Male to female
Post by: starbright on November 04, 2011, 05:03:59 PM
Does second-hand smoke have an effect on us doing HRT?? Is it as dangerous as outright smoking?
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Catherine Sarah on November 05, 2011, 11:08:05 AM
Hi starbright,

From the health studies carried out by the Aust. Federal health authorities, passive (second hand)smoke is just as toxic as the mainstream smoke from the cigarette. These studies did not single out HRT users, but was a study based on those non smokers who may be exposed to a smoking environment.

So from a general health point of view, passive smoking will have some effect on you, according to the study.

Hope this helps. in the meantime be safe, well and happy
Lotsa luv
Catherine
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Jennifer_Lynn on November 05, 2011, 01:03:31 PM
I take heavy duty pain meds do to an injury I received in the military. I'm in the process of backing myself off slowly under doctors supervision. I was switched from morphine to methadone a few years ago because I was taking hideous amount of morphine do to building up a tolerance. Methadone is better because the side effects are less and you don't build a tolerance. Actually one side effect is partial feminizing mainly my breasts which was fine because I want breasts in the first place. That's a side effect from pain meds. Very normal my doc says. I also take meds for PTSD depression. There's no interaction that I know of and my doc or pharmaceutic would know if there was. I don't drink, smoke or do any "recreational" drugs so I can't comment on any of those.

Isabella
Title: Re: Drug use and Hormone replacement for Male to female
Post by: Asfsd4214 on November 05, 2011, 08:23:57 PM
I can all but completely assure you that none of the substances you mentioned would have any significant effect on HRT.

But you need to understand, finding studies to this affect would not be easy. For one, i doubt there's a huge number of studies on any given drug and its relationship to endocrine functioning. And for two, you're not looking for that, you're looking for ones on HRT functioning, which would likely be all but nonexistent.

But if it helps, just think through how those drugs work (affinity to opioid receptors, cannabinoid receptors, 5-HT receptors). None of them directly affect anything to do with sex hormone levels. And if they do to any degree, it would only be to the hormones your body itself produces, which you are already offsetting by HRT.

There are dangers associated with drug use, but I don't think hindering HRT is one of them.

Hope this helps in some way. Take care.
Title: Re: Drug use and Hormone replacement for Male to female
Post by: starbright on November 05, 2011, 09:25:33 PM
Quote from: CatherineSarah on November 05, 2011, 11:08:05 AM
Hi starbright,

From the health studies carried out by the Aust. Federal health authorities, passive (second hand)smoke is just as toxic as the mainstream smoke from the cigarette. These studies did not single out HRT users, but was a study based on those non smokers who may be exposed to a smoking environment.

So from a general health point of view, passive smoking will have some effect on you, according to the study.

Hope this helps. in the meantime be safe, well and happy
Lotsa luv
Catherine

Thanks so much Catherine for that post. :) You are such a sweet-heart. Have a great one.
DEV
Title: Re: Drug use and Hormone replacement for Male to female
Post by: elliekins on November 12, 2011, 12:28:39 PM
Hopefully this may set a few things straight. This is by no means intended to be a shopping list, but knowledge is power, and this info doesn't seem to be around much. Somebody I know (who is most definitely not me) has experimented a fair amount with illicit psychoactives both before and after they started HRT, and based on personal experience, she can attest to the fact that there's no visible interaction between HRT and the following (except for a noticeable drop in tolerance):

Cannabis
Mushrooms
LSD
AMT
2C-I
4-AcO-DMT
Ketamine
MDMA (Ecstasy)
Methylone
Mephedrone
Ethcathinone
Ephedrine
MDPV
Methamphetamine
Amphetamines (Pharmaceutical Adderall)


And based on personal experience, she suspects there is the potential for interaction with the following substances:

Dextromethorphan (Hypersensitivity/Strong negative reaction)
Alcohol (Significantly lowered tolerance, risk of alcohol poisoning with heavy drinking, heavy liver strain)
Tobacco (Increased risk of serious health complications including thrombosis)


As for why she does all those drugs, I guess she's young and stupid still.  ::) And I blame those damn raver friends of hers. :P
Title: Re: Drug use and Hormone replacement for Male to female
Post by: JessicaR904 on April 05, 2016, 06:44:26 AM
Quote from: OrderOfOriah on October 29, 2011, 05:07:37 PM
I am heavily considering hormone replacement to feminize my body, but I would like to gather more information in regards to what can and cannot be taken with hormones.

I know alcohol is greatly advised against, which isn't much of an issue as I don't enjoy the effects of ethanol, but what about other less harmful natural drugs such as marijuana and psilocibin mushrooms, and perhaps opiates?

Yes, I am aware that any psychoactive chemical/chemical containing plants can be overused or used as a crutch or coping mechanism.  I'm not here to argue that point.  I merely wish to know about the interactions of commonly used psychoactives and hormones, as I am a responsible adult with the right to make informed decisions to consume substances which alter consciousness occasionally for personal and spiritual reasons.

Please don't give me the typical "Drugs r bad and illegal, so don't do em mmkay?" rap.  I grew up with parents and DARE for long enough.  Echoing their one sided and often uninformed angles isn't going to change my opinion at this point.

All I want is some good information from scholarly sources, or personal accounts of interactions of estrogenic drugs used in hormone replacement regarding male to female cases.

Of course I am willing to cease all use of chemicals while transitioning, but I also wouldn't mind if I didn't have to cease altogether. 

anyone got good information?



I don't use drugs but MMJ (herb)  saved me from cancer. Also it helped me with my HRT. It inceased my metabolic rate which in return helped me absorbed the hrt better. PHD in Astrophysics FYI. Studied this herb for a long time in many labs. Good luck! 

{According to the United States Department of Health and Human Services, ... Marijuana or marihuana (herbal cannabis) is now class as a herb not a drug. Federal Law still holds for now though. Some states are learning to pass though.}
Title: Re: Drug use and Hormone replacement for Male to female
Post by: FrancisAnn on April 05, 2016, 07:06:36 AM
Kind of hard to believe you are just considering hormones. I got all the birth control pills I could get from girl friends when I was in my teens. If it's important you will stop any other bad drugs....