This medication is a female hormone. It can be used by women to reduce symptoms of menopause (such as for example hot flashes, vaginal dryness). These symptoms are brought on by the physical body making less estrogen. If you are using this medication to take care of symptoms only close to the vagina, items applied directly in the vagina should be thought about before medications that are taken by lips, absorbed through your skin, or injected.
Particular estrogen services and products may be used by also ladies after menopause to prevent bone loss (weakening of bones). Nevertheless, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be thought about for use before estrogen treatment.
Specific estrogen products may also be utilized by men and women to treat cancers (certain types of prostate cancer, breast cancer that has spread to other parts regarding the body) and by ladies who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure).
Read the Patient Information Leaflet if available from your pharmacist before you start using this medication and each time you get a refill. If you have any relevant questions, pose a question to your physician or pharmacist.
Take this medication by mouth with or without meals as directed by the doctor. You usually takes it with food or right after a meal to avoid stomach upset.
If you are taking the extended-release tablets, do not crush, chew, or dissolve them. Doing so can release all of the drug at once, increasing the risk of adverse effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Ingest the whole or tablet that is split crushing or chewing.
The dosage is based on your condition that is medical and to therapy.
Take this medication regularly to have the most benefit from it. To help you remember, take it at the same time(s) each day as directed. Follow your dosing routine carefully. Don't raise your dose or take this medication more frequently or for a longer time than directed.
Tell your physician if your condition does not improve or if it worsens.
See section that is also warning.
Stomach upset, nausea/vomiting, bloating, breast tenderness, hassle, or weight changes may happen. If some of these effects persist or aggravate, inform your pharmacist or doctor promptly.
Inform your medical practitioner promptly if you see the tablet in your stool.
Understand that your doctor has prescribed this medication she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have adverse that is serious.
Inform your physician straight away if you have any serious adverse effects, including: mental/mood changes (such as for instance despair, memory loss), breast lumps, unusual vaginal bleeding (such as for example spotting, breakthrough bleeding, prolonged/recurrent bleeding), increased or new vaginal irritation/itching/odor/discharge, serious stomach/abdominal pain, persistent nausea/vomiting, yellowing eyes/skin, dark urine, swelling hands/ankles/feet, increased thirst/urination.
This medication may rarely cause serious problems from blood clots (such as heart attacks, strokes, deep vein thrombosis, pulmonary embolism). Get medical help immediately if you have got any serious negative effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe frustration, weakness on one side of this body, confusion, slurred speech, sudden vision changes (such as partial/complete blindness), pain/redness/swelling of legs, tingling/weakness/numbness in the arms/legs, difficulty breathing, coughing up bloodstream, sudden dizziness/fainting.
A very serious allergic reaction to this product is rare. However, get medical help right away if you notice any symptoms of a severe hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble breathing.
This is not a complete list of possible adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Call your physician for medical advice about negative effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You might report effects that are side Health Canada at 1-866-234-2345.
Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergies or other problems. Speak to your pharmacist for additional information.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: vaginal bleeding of unknown cause, certain cancers (such as breast cancer, cancer of the uterus/ovaries), blood clots, stroke, heart disease (such as heart attack), liver disease, kidney disease, family medical history (especially breast lumps, cancer, blood clots, angioedema), blood clotting disorders (such as protein C or protein S deficiency), high blood pressure, diabetes, high cholesterol/triglyceride levels, obesity, lupus, underactive thyroid (hypothyroidism), mineral imbalance (low or high level of calcium in the blood), a certain hormone problem (hypoparathyroidism), uterus problems (such as fibroids, endometriosis), gallbladder disease, asthma, seizures, migraine headaches, a certain blood disorder (porphyria), mental/mood disorders (such as dementia, depression).
Usually do not smoke or utilize tobacco. Estrogens combined with smoking further increases your risk of stroke, blood clots, high blood pressure, and heart attack, especially in women older than 35.
Tell your medical professional if you will be confined to a chair or bed for a long time (such as a long plane flight) if you just had or will be having surgery, or. These conditions increase your risk of getting blood clots, especially if an estrogen is being taken by you product. You may have to stop this medication for a while or take precautions that are special.
This medication could cause blotchy, dark regions of the skin on the real face(melasma). Sunlight may worsen this effect. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.
If you are nearsighted or wear contact lenses, you may develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these nagging problems occur.
Kiddies may be more responsive to the relative side effects of this drug. It may influence their growth/development. Discuss the feasible ramifications of this medication with the doctor, and monitor your kid's development periodically.
This medication ought not to be used during maternity. If you become pregnant or think you may be pregnant, tell your doctor right away.
This medication passes into breast milk. It would likely reduce the quality and amount of breast milk produced. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Trackable Courier Service takes 5 - 9 days, Airmail service takes 14 - 21 days.