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Skin Care
Compounded, not FDA approved

Stella

Compounded topical cream with GHK-Cu, estriol, tretinoin, and niacinamide

A compounded topical cream prepared by Strive Pharmacy and prescribed after a provider evaluation. It is not FDA approved.

Compounded drugs are not FDA approved. FDA does not review compounded drugs for safety, effectiveness, or quality before marketing.

Prescription medication. Medication availability, formulation, packaging and pharmacy fulfillment vary based on the patient's prescription and location.
Stella
At a glance
Dosing and schedule are set by your provider
Form and route
Topical cream
Frequency
As directed by your prescriber
Storage
As directed on your pharmacy label
Category
Skin Care
Gallery

See it before your first visit

Photographs of the medication as dispensed.

Overview

What it is

Stella is a compounded topical cream that combines GHK-Cu 3%, estriol 0.3%, and tretinoin 0.01% with niacinamide. It comes in a 30 gm pump bottle and is prepared by Strive Pharmacy.

It is a compounded medication. It is not FDA approved, and the FDA has not evaluated it for safety, effectiveness, or quality. A licensed provider decides whether it is appropriate for you.

Mechanism

How it works

Each ingredient is a separate active component applied to the skin. Tretinoin is a retinoid, estriol is a form of estrogen, GHK-Cu is a copper-binding peptide, and niacinamide is a form of vitamin B3. Human evidence for topical GHK-Cu is limited. Your provider will explain where and how much to apply.

Because this is a custom formulation, your provider can adjust the prescription based on how your skin responds.

The program

What to expect

Your provider will tell you how and when to apply the cream and how long to use it before a follow-up. Topical retinoids commonly cause dryness, redness, and peeling in the first weeks, and your provider may start you on a lower frequency. Results vary from person to person, and no outcome is guaranteed.

Your prescription is filled by the compounding pharmacy and shipped to you with directions on the label.

Candidacy

Who it is for

Stella is prescribed by a licensed provider after an evaluation. It is not appropriate for everyone. It should not be used during pregnancy or while trying to become pregnant. Tell your provider about your full medical history, including any history of hormone-sensitive cancer, blood clots, liver disease, or a copper-related condition such as Wilson disease.

Tolerability

Side effects

Common side effects of topical retinoids include skin dryness, redness, peeling, burning, stinging, and increased sensitivity to sunlight. Estrogen absorbed through the skin may cause breast tenderness, headache, or spotting. Allergic reactions are possible.

Stop use and contact your provider if you develop a rash, swelling, severe irritation, or any unusual symptoms.

Safety information and disclosures

Read this before you start

Compounded, not FDA approved
Prescription only
Provider supervision required

Compounded drugs are not FDA approved. FDA does not review compounded drugs for safety, effectiveness, or quality before marketing.

Medication availability, formulation, packaging and pharmacy fulfillment vary based on the patient's prescription and location.

Compounded medication. Stella is compounded by a pharmacy for an individual patient. It is not FDA approved, and the FDA has not evaluated it for safety, effectiveness, or quality.

Pregnancy and breastfeeding. Do not use if you are pregnant, may become pregnant, or are breastfeeding. Tretinoin carries risks to a developing fetus.

Estrogen. Estrogen products can carry risks, including blood clots and certain cancers. Tell your provider if you have a history of breast or uterine cancer, blood clots, stroke, or unexplained vaginal bleeding.

Sun exposure. Tretinoin can increase sun sensitivity. Use sunscreen and limit sun exposure while using this cream.

Use as directed. For external use only. Do not apply to broken, sunburned, or irritated skin, and keep away from eyes, mouth, and mucous membranes. Do not combine with other retinoid or exfoliating products unless your provider tells you to.

Limited evidence. Human evidence for topical GHK-Cu is limited.

Tell your provider about any allergies and all medications and skin products you use, including hormones.

This page is for general information and is not medical advice.

If you are having a medical emergency, call 911. The information on this page is general and educational. It does not establish a provider relationship, does not replace a consultation, and should not be used to diagnose or treat any condition.
Questions

Common questions

Is Stella FDA approved?

No. It is a compounded medication. The FDA has not evaluated it for safety, effectiveness, or quality.

What is in Stella?

GHK-Cu 3%, estriol 0.3%, and tretinoin 0.01% with niacinamide, in a topical cream.

Who prepares it?

Strive Pharmacy compounds it for each patient after a provider writes the prescription.

What size does it come in?

It comes in a 30 gm pump bottle.

Can I use it if I am pregnant or breastfeeding?

No. Do not use it if you are pregnant, may become pregnant, or are breastfeeding. Talk to your provider.