How is your hormone cream being dispensed?
The application of gels, ointments and creams have a track record for being messy, inaccurate, and not travel friendly. These days, many individuals (including myself) are so busy that when it comes to applying topical medications, I need it to be easy to use, fast, and convenient to keep up with my hectic lifestyle.
With topical compounded hormones, one can only use the ancient and inaccurate jar and spoon method for so long until our clothes get stained, and the majority of the medication gets lost or transferred to our pets and children. Syringes often get air trapped inside, the markings are hard to read, and the plunger may get stuck on the barrel, creating the formula for a disaster and inaccurate dosing. Two new types of topical applicators are now available and being regularly used today: TICKER and Topi-CLICK. I’ve personally used both applicators; and, while both are easy-to-use, there are very important differences to keep in mind when choosing the applicator that best fits your lifestyle.
TICKER by BiosRx is the latest metered delivery system in the anti-aging and compounding market. The company has basically taken the functionality of a topical syringe, and transformed it into a metered, click-to-piston delivery system. Understandably, it is referred to as the syringe that clicks! It has a numbered dial that turns clockwise in 1/20th gram increments. The company states, TICKER delivers the highest level of accuracy and precision on the planet with regards to topical medications. These attributes may not only have to do with its micro-dosing ability (very small doses can be delivered), but with the fact the device was designed primarily for hormone therapy and other market sectors where accuracy and precision are extremely important.
As for TICKER, one click delivers 50 mg (0.05g) of topical preparations, two clicks yield 100 mg (0.10g), three clicks deliver 150 mg (0.15g) and so forth. Therefore, volumetric doses can be administrated in smaller increments of 50 mg (0.05g) per click. This makes it easy to adjust my dosage up or down with just the turn of the dial, and it also gives me great control over my dosages. The clicks are crisp and firm – I know I can trust the reliability of this applicator.
Previously, when I used to use syringes I would often find it difficult to apply 1/10th of a milliliter using a 3 mL syringe, or even a 1 mL syringe. The line markings were so small, and I would often overshoot my dose accidentally. What I find most amazing with TICKER is that on the average, each click delivers 50 mg of cream or gel preparations with high accuracy and precision. This is an amazingly small dosage!
The TICKER topical dispenser traditionally comes in five classic colors: maroon, pink, violet, teal, and white. However, they recently added four new colors—“The Sun Shield Collection”—which also have UV-A and UV-B protective coatings: amber-mocha, amber-white, blue-blue, and blue-white. Especially with dermatology medications, this protection against light is absolutely necessary to preserve the full potency of the medication.
Topi-CLICK has been around the longest and appears to be very helpful with the elderly population since each click translates to ¼ gram of topical cream, and four clicks deliver one full gram. The only caveat to this applicator is that it’s a bit bulky to travel with. If you are going to travel, you must keep it in a plastic bag to prevent it from spilling. The Topi-CLICK is said to be designed for reducing spills and preventing the need to use one’s fingers to directly apply the medication. This applicator is generally offered in nine different colors: green, purple, red, silver, blue, pink, black, white, and gold. The variety in colors is helpful for avoiding confusion between different topical formulations. The turn-style rotator would also serve as beneficial for the visual or hearing impaired to get their proper dose.
While Topi-CLICK is convenient and generally accurate, the user has to watch for the visual indicator on the base and keep the node in its home position to prevent improper dosing, making it inconvenient to apply in a hurry. Furthermore, each click (1/4 turn) dispenses 250 mg (0.25 ml) and one full turn dispenses about 1000 mg (1 ml). Increments smaller than 250 mg (0.25 ml) cannot be accurately dispensed with the Topi-CLICK, limiting the dosage ranges and customization an individual might need. I’ve had physicians prescribe topical formulations dosages that were difficult to adjust upwards or downwards due to the 0.25 mL limitations. The applicator also lacks number markings that indicate the volume dispensed. Located near the top of the Topi-CLICK container is a refill reminder line that allows patients, such as myself, to recognize when it is time to order my next refill.
TICKER offers superior accuracy, amber and blue-tinted UV protective coatings, and greater capabilities for delivering both large and small doses. Additionally, the TICKER generally beats Topi-CLICK in price, which may ultimately translate to lower costs for your prescription medication. Both have turn-click rotating bases that dispense the medication at the top of the container, although the amount coming out of each dispenser is different.
I recommend the Topi-CLICK for topical pain medications prepared for the elderly, as it is a larger dispenser. However, a huge concern of mine with regards to Topi-CLICK is the fact that it does lack numerical reference markings. TICKER does have clearly marked dosing increments, highly improving patient compliance.
Both applicators allow for convenient and effortless application, and both brands are made in the USA, translating into superior quality. In theory, one click of the Topi-CLICK may be equivalent to five clicks of the TICKER, assuming the Topi-CLICK accurately delivers 250 mg (0.25 ml) per click. However, TICKER allows for more versatility in its dosages, delivering 1/20th gram (50 mg) in each click.
I personally love the ability the TICKER gives me to adjust the dose incrementally and as necessary to achieve the lowest effective dosage for my body’s needs. I strongly recommend requesting TICKER from your compounding pharmacy or physician due to its smaller size design, and the ability to customize and fine-tune the dosage when needed. There are also more options for light-sensitive (dermatology) medications for increased medication protection and longevity. The blue-white TICKER from the Sun Shield Collection is my personal favorite!
To learn more, both the TICKER (BiosRx) and Topi-CLICK (DoseLogix) offer videos on their websites demonstrating how to use their applicators.
Author: Mariam Pajouhi, Pharm.D, Pharmacist.