This medication is a female hormone. It can be used by women to reduce symptoms of menopause (such as for instance hot flashes, genital dryness). These symptoms are caused by the physical body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by lips, absorbed through the skin, or injected.
Specific estrogen services and products may also be used by women after menopause to avoid bone loss (osteoporosis). Nonetheless, 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 females to treat cancers (certain types of prostate cancer, breast cancer that has spread to other areas associated with body) and by ladies who aren't able to produce enough estrogen (for instance, due to hypogonadism, main 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 concerns, pose a question to your doctor or pharmacist.
Just take this medication by mouth with or without meals as directed by the physician. You may take it with right or food after a meal to prevent stomach upset.
If the extended-release is being taken by you 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 split tablet without crushing or chewing.
The dosage is based on your medical condition and response to treatment.
Just take this medication regularly getting the benefit that is most from it. To help you remember, take it at the same time(s) each day as directed. Follow your dosing schedule carefully. Never raise your dose or take this medication more usually or for a bit longer than directed.
Tell your doctor if the condition does not enhance or if it worsens.
See also Warning section.
Stomach upset, nausea/vomiting, bloating, breast tenderness, headache, or fat changes may take place. If any of these results persist or aggravate, inform your pharmacist or doctor promptly.
Tell your physician promptly if you see the tablet in your stool.
Remember that your physician has recommended 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 serious side effects.
Tell your doctor immediately if you have any adverse that is serious, including: mental/mood changes (such as for instance despair, memory loss), breast lumps, unusual vaginal bleeding (such as for instance spotting, breakthrough bleeding, prolonged/recurrent bleeding), increased or new vaginal irritation/itching/odor/discharge, severe stomach/abdominal pain, persistent nausea/vomiting, yellowing eyes/skin, dark urine, inflammation hands/ankles/feet, increased thirst/urination.
This medication may rarely cause serious problems from blood clots (such as heart attacks, shots, deep vein thrombosis, pulmonary embolism). Get medical help immediately if you have got any serious unwanted effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe frustration, weakness on one side of the body, confusion, slurred speech, unexpected vision modifications (such as partial/complete loss of sight), pain/redness/swelling of legs, tingling/weakness/numbness in the arms/legs, trouble breathing, coughing up blood, sudden dizziness/fainting.
An extremely serious allergic reaction to this product is rare. However, get help that is medical away if you notice any apparent symptoms of a severe hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, difficulty respiration.
This is not a complete list of possible adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your medical professional for medical advice about adverse effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical professional for medical advice about side effects. You could report effects that are side wellness Canada at 1-866-234-2345.
Before taking this medicine, tell your medical practitioner or pharmacist if you have any other allergies if you are allergic to it; or. This product may contain ingredients that are inactive which could cause allergic reactions or other problems. Confer with your pharmacist for more 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 force, and heart attack, especially in women older than 35.
Tell your medical professional if you just had or will be having surgery, or if you will be confined to a chair or bed for a long time (such as a long plane flight). These conditions increase your risk of getting blood clots, especially if an estrogen is being taken by you product. You may want to stop this medication for some time or just take precautions that are special.
This medication may 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.
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.
Kiddies may be more responsive to the relative adverse effects of this drug. It may affect their growth/development. Discuss the feasible aftereffects of this medicine with the doctor, and monitor your kid's growth periodically.
This medication must not be used during maternity. You may be pregnant, tell your doctor right away if you become pregnant or think.
This medication passes into breast milk. It might 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.