This medication is a female hormone. It is employed by women to lessen symptoms of menopause (such as for instance hot flashes, vaginal dryness). These symptoms are due to the physical body making less estrogen. If this medication is being used by you to treat symptoms only in and around the vagina, items applied directly in the vagina should be thought about before medications that are taken by lips, absorbed through the skin, or injected.
Particular estrogen services and products may also be used by females after menopause to avoid bone tissue loss (weakening of bones). Nevertheless, there are various other medications (such as for example raloxifene, bisphosphonates including alendronate) that may also be effective in preventing bone loss and may be safer. These medications should be thought about for use before estrogen treatment.
Specific estrogen products are often used by men and women to treat cancers (certain types of prostate cancer, breast cancer that has spread to the rest regarding the body) and also by ladies who aren't able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure).
Read the Patient Information Leaflet if available from your pharmacist you get a refill before you start using this medication and each time. If you have any relevant questions, pose a question to your doctor or pharmacist.
Simply take this medication by mouth with or without food as directed by the medical practitioner. You might take it with right or food 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 side 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 dependant on your medical condition and response to therapy.
Just take this medication regularly to get the benefit that is most from it. To help you remember, take it at the time( that is same) each day as directed. Follow your dosing schedule carefully. Do not raise your dose and take this medication more often or for a bit longer than directed.
Tell your medical professional in the event your condition does not enhance or if it worsens.
See also Warning section.
Stomach upset, nausea/vomiting, bloating, breast tenderness, frustration, or fat changes may happen. If some of these results persist or worsen, inform your doctor or pharmacist promptly.
Inform your physician promptly if the tablet is seen by you in your stool.
Understand that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious adverse effects.
Tell your physician immediately when you have any adverse that is serious, including: mental/mood changes (such as for example depression, memory loss), breast lumps, unusual vaginal bleeding (such as 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 cardiac arrest, strokes, deep vein thrombosis, pulmonary embolism). Get medical help immediately if you've got any serious negative effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe frustration, weakness on one side associated with body, confusion, slurred speech, unexpected eyesight modifications (such as partial/complete loss of sight), pain/redness/swelling of legs, tingling/weakness/numbness in the arms/legs, difficulty breathing, coughing up bloodstream, sudden dizziness/fainting.
An extremely serious reaction that is allergic this product is rare. However, get medical help right away if you notice any signs and symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble respiration.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the usa -
Call your medical professional 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 may report side effects to wellness Canada at 1-866-234-2345.
Before taking this medicine, tell your physician or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain ingredients that are inactive that may cause allergic reactions or other problems. Talk to your pharmacist for additional information.
A certain blood disorder (porphyria), mental/mood disorders (such as dementia, depression) 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.
Never smoke or make use of tobacco. Estrogens combined with smoking further increases your risk of stroke, blood clots, high blood stress, 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 you are taking an estrogen product. You may want to stop this medication for a time or simply take special precautions.
This medication could cause blotchy, dark regions of the epidermis on the face (melasma). Sunlight may worsen this effect. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.
You may develop vision problems or trouble wearing your contact lenses if you are nearsighted or wear contact lenses. Contact your eye doctor if these nagging problems occur.
Young ones may be much more responsive to the relative adverse effects of this drug. It may influence their growth/development. Discuss the possible aftereffects of this medication with the doctor, and monitor your child's development periodically.
This medicine should not 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 amount and quality of breast milk produced. Consult your doctor before breast-feeding.
Airmail: 2-3 weeks, EMS: 3-8 business days.