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Estriol Eye Cream
Skin

Estriol Eye Cream

A prescription topical estriol treatment for the delicate under-eye area, designed to support hydration, smoother-looking texture, and the appearance of fine lines associated with hormonal changes.

Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx Required.
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Estriol eye cream uses
  • Designed to support under-eye hydration, smoother texture, and the appearance of fine lines.
  • Formulated for the delicate skin around the eyes.
  • Personalized and prescribed after a clinician reviews your history.
Good to know
  • Volume. 15 mL.
  • Formulation. Compounded estriol 0.1% with palmitoyl pentapeptide and acetyl hexapeptide; prescription-only, prescribed off-label.
  • Estrogen-class precaution. Estriol is an estrogen; estrogen products carry class risks (including blood clots, stroke, and breast/endometrial cancer). Your clinician screens your history first.
  • Not in pregnancy. Not for use in pregnancy, breastfeeding, or while trying to conceive.
  • Made fresh. Use within about 35 days (see the beyond-use date on your label). Keep it out of the eye — rinse with water if it gets in — and wash your hands after applying.
  • Medication guide. Read the medication guide (PDF).

Prescription care for the under-eye area

Focused care for the delicate skin around your eyes.

Why estriol

The skin around your eyes changes first

The skin around your eyes is thin and delicate, and it often shows dryness, crepey texture, and fine lines earlier than the rest of your face. Estriol Eye Cream offers a prescription approach designed specifically for this area.

  • Made for the under-eye. Formulated for the delicate skin around the eyes.
  • Hydration. Supports more hydrated-looking under-eye skin.
  • Texture and fine lines. Designed to support smoother-looking skin and the appearance of fine lines.
  • Personalized prescription care. A clinician reviews your health history and determines whether topical estriol is appropriate for you.
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How it’s different

Eye care, with a hormonal lens

Over-the-counter eye creams work on the surface. Estriol Eye Cream is a prescription option for patients whose under-eye changes may be connected to hormonal shifts, and who want a clinician-guided approach for this delicate area.

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What’s in it

More than estriol alone

A compounded prescription formula that pairs low-dose topical estriol with two cosmetic peptides, in a base made for the delicate under-eye area.

  • Estriol 0.1%. A form of estrogen used topically and off-label in this prescription formula.
  • Palmitoyl pentapeptide and acetyl hexapeptide. Two cosmetic peptides included to complement the formula’s skincare approach.
  • Under-eye base. Compounded for the delicate skin around the eyes — 15 mL, a 30-day supply.

Compounded to order by a licensed pharmacy; your full ingredient list is on your medication guide.

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What to expect

Designed for consistent care, not an overnight fix

  • Getting started. Your skin may need time to adjust — mild dryness, warmth, or brief stinging can occur.
  • With consistent use. Changes in hydration, texture, and the appearance of fine lines can develop gradually.
  • Over time. Continue using it as prescribed, and check in with your clinician if your skin needs change.
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Read your medication guide

Review the full medication guide for additional product and safety information.

Access to compounded meds in 3 easy steps

Fill out a Questionnaire

1
Tell us about your under-eye concerns. Complete a short online intake about your skin concerns, health history, hormones, and current medications.
2
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We review your request

A clinician reviews your case. A licensed clinician determines whether Estriol Eye Cream is appropriate for you.
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Your RX delivered

Your prescription ships to you. If prescribed, your personalized cream is compounded by a licensed pharmacy and delivered directly to your door.
3

Your treatment doesn't stop here

We will check in with you to make sure you are doing great on your new RX and making sure you are still eligible for it

Fill out the questionnaire to confirm your eligibility

get started
1

Fill out a questionnaire

Tell us about your under-eye concerns. Complete a short online intake about your skin concerns, health history, hormones, and current medications.
2
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We review your answers

A clinician reviews your case. A licensed clinician determines whether Estriol Eye Cream is appropriate for you.
3
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Your RX delivered

Your prescription ships to you. If prescribed, your personalized cream is compounded by a licensed pharmacy and delivered directly to your door.

Your treatment doesn't end here

We will check in with you to make sure you are doing great on your new RX and making sure you are still eligible for it

Frequently asked questions

How does estriol eye cream work?

Estriol is a form of estrogen. When used topically around the under-eye area, it may help support hydration, skin texture, and visible signs of aging in some patients. Response varies, and benefits are not guaranteed.

Is estriol eye cream FDA-approved for under-eye aging or wrinkles?

No. Estriol Eye Cream is a compounded prescription medication used off-label. A licensed clinician will review your online intake to determine whether it is appropriate for you.

How long does it take to see results?

Skin changes take time. Some patients may notice changes in hydration or texture after several weeks, but visible changes may take longer. Results vary from patient to patient.

Can I use it on my eyelids?

No. This product should not be applied directly to the eyelids, into the eyes, or near the tear ducts. Apply only as directed to the under-eye area and avoid direct eye contact.

Can I use it with other eye creams or skincare products?

Possibly. Avoid combining it with irritating products, retinoids, exfoliating acids, or strong actives near the eye area unless directed. Sunscreen and gentle moisturizers may be used as part of your routine.

Can I use it if I am on hormone therapy?

Tell us about any hormone therapy you are using, including estrogen, progesterone, testosterone, DHEA, or vaginal estrogen, so the reviewing clinician can determine whether this treatment is appropriate.

What should I do if it gets in my eye?

Rinse the eye gently with water. Stop using the product and contact Paloma if you develop persistent eye irritation, redness, pain, swelling, or vision changes.

How does the process work?

Complete an online health questionnaire about your medical history, current medications, and treatment goals. A licensed clinician reviews your information and determines whether treatment is appropriate. If prescribed, you’ll receive treatment instructions and can complete checkout for medication delivery.

Do I need a video appointment?

Eligible patients can receive care through an online questionnaire and messaging, without scheduling a video call. Your clinician may recommend a live or in-person visit if additional evaluation is needed.

Which states are eligible for online questionnaire-based visits?

Our asynchronous visits are currently available in:

Arizona, California, Colorado, Florida, Illinois, Iowa, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, and Wyoming.

Availability is confirmed during intake. Eligibility also depends on your medical history and the medication requested. If your state isn’t listed, asynchronous care is not currently available there.

Is a prescription guaranteed?

No. A prescription is issued only when a licensed clinician determines that treatment is appropriate for you. Completing the questionnaire does not guarantee a prescription.

What is a compounded medication?

A compounded medication is prepared by a pharmacy according to a prescription to meet an individual patient’s needs. Compounded medications are not FDA-approved, and the FDA does not review their safety, effectiveness, or quality before they are marketed.

How will I receive my medication?

After your prescription is approved and payment is completed, our licensed partner pharmacy processes your order and ships it to the address confirmed at checkout. You’ll receive tracking information by text or email once it ships. Preparation and delivery times can vary.

Can I use insurance for my medication?

Medication costs and prescription coordination fees are self-pay and are not billed to insurance. You’ll see a breakdown of these costs before confirming payment.

How do refills work?

Refills require a valid prescription and remaining authorized refills. Depending on your medication, you may need to complete a health check-in before a refill can proceed. When your prescription expires or you run out of authorized refills, a new clinical evaluation may be required.

Can I change or cancel automatic refills?

Yes. Use the “Manage refills” link in your refill notification or patient portal to manage upcoming refills, update shipping or payment details, or cancel automatic refills. Make changes before the scheduled charge date.

Who can I contact with questions?

Contact your Paloma care team with questions about your treatment or prescription. For help with orders, shipping, or refills, email contact@palomahealth.com.

Important safety information

Estriol Eye Cream is compounded and used off-label. It is not FDA-approved for under-eye aging, wrinkles, skin thinning, dryness, collagen support, dark circles, puffiness, or cosmetic use.

Do not use if you are pregnant, trying to become pregnant, or breastfeeding unless specifically approved by the reviewing clinician. Tell your clinician if you have a history of breast cancer, uterine cancer, ovarian cancer, unexplained vaginal bleeding, blood clots, stroke, liver disease, or if you are using other hormone therapies.

Apply only as directed to the under-eye area. Avoid direct contact with the eyes, eyelids, tear ducts, mouth, and mucous membranes. Do not apply to broken, irritated, or infected skin. Wash hands after use. Stop use and contact Paloma if you develop significant irritation, rash, swelling, eye irritation, vision changes, breast tenderness, vaginal bleeding, or any concerning symptoms.

Active ingredients

  • Estriol 0.1%
  • Palmitoyl Pentapeptide
  • Acetyl Hexapeptide

Inactive ingredients

  • Compounded under-eye cream base, as prepared by the pharmacy
  • Skin irritation, redness, or sensitivity
  • Temporary stinging or burning at the application site
  • Dryness or peeling
  • Watery eyes or mild eye irritation if applied too close to the eye
  • Breakouts or clogged pores
  • Hormone-related side effects, such as breast tenderness or spotting, may occur in some patients

Store at room temperature, away from heat, moisture, and direct sunlight. Keep the container tightly closed when not in use.

Estriol Eye Cream is for external use only. Do not apply directly into the eyes, on the eyelids, or near the tear ducts. Do not use during pregnancy, while trying to become pregnant, or while breastfeeding unless specifically approved by the reviewing clinician. Do not use if you have a history of estrogen-sensitive cancer, unexplained vaginal bleeding, blood clots, stroke, or liver disease unless your clinician determines it is appropriate. Keep out of reach of children and pets.

Read your medication guide

Review the full medication guide for additional product and safety information.

Find out if Paloma is right for you. Schedule a free call with one of our health care advisors.

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