This medication is a female hormone. It is used by women to help reduce symptoms of menopause (such as for instance hot flashes, genital dryness). These symptoms are caused by the physical body making less estrogen. If this medication is being used by you to take care of symptoms only close to the vagina, items applied directly inside the vagina is highly recommended before medications that are taken by mouth, absorbed through the skin, or injected.
Certain estrogen products may be used by also ladies after menopause to prevent bone tissue loss (weakening of bones). Nevertheless, there are various other medications (such as for example raloxifene, bisphosphonates including alendronate) that will 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 may also be utilized by men and ladies to treat cancers (certain types of prostate cancer, breast cancer that has spread to other areas for the body) and by women who are not able to produce enough estrogen (for example, 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 questions, ask 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 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 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 founded on your medical condition and response to therapy.
Just take this medication regularly to have 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. Usually do not raise your dose and take this medication more usually or for a significantly longer time than directed.
Inform your physician should your condition does not enhance or if it worsens.
See section that is also warning.
Stomach upset, nausea/vomiting, bloating, breast tenderness, hassle, or fat changes may occur. If some of these effects persist or worsen, inform your pharmacist or doctor promptly.
Inform your medical practitioner promptly if the tablet is seen by you 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 side effects because he or. Many people using this medication do not have side that is serious.
Inform your physician straight away for those who have any serious side effects, including: mental/mood changes (such as for instance depression, memory loss), breast lumps, unusual vaginal bleeding (such as 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, 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 straight away if you have got any serious side-effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe frustration, weakness on one side associated with the body, confusion, slurred speech, sudden eyesight modifications (such as partial/complete loss of sight), pain/redness/swelling of legs, tingling/weakness/numbness in the arms/legs, trouble breathing, coughing up bloodstream, sudden dizziness/fainting.
A very serious reaction that is allergic this product is rare. However, get help that is medical away if you notice any symptoms of a severe allergic attack, 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 doctor or pharmacist.
In america -
Call your physician for medical advice about negative effects. You may report side effects to 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 adverse effects to wellness Canada at 1-866-234-2345.
Before taking this medicine, tell your physician 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 allergies or other problems. Talk to your pharmacist for more 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).
Do not smoke or make use of tobacco. Estrogens along with smoking further increases your risk of stroke, bloodstream clots, high blood stress, and heart attack, especially in females older than 35.
Tell your medical professional in the event that 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 have to stop this medication for a while or take precautions that are special.
This drug may cause blotchy, dark aspects of the skin on the face (melasma). Sunlight may worsen this effect. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear clothing that is protective 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 adverse effects of this drug. It may influence their growth/development. Discuss the feasible aftereffects of this medication with the doctor, and monitor your son or daughter's growth periodically.
This medication ought not to 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.