This medication is a female hormone. It is employed by women to help reduce symptoms of menopause (such as hot flashes, genital dryness). These symptoms are caused by the physical body making less estrogen. If this medication is being used by you to treat symptoms only in and around the vagina, products applied directly within the vagina is highly recommended before medications that are taken by mouth, absorbed through your skin, or injected.
Certain estrogen items may also be used by women after menopause to prevent bone tissue loss (weakening of bones). But, there are various other medications (such as raloxifene, bisphosphonates including alendronate) that are effective in preventing bone loss and may be safer. These medications is highly recommended for use before estrogen treatment.
Particular estrogen products can 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 the body) and by women 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 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.
Simply take this medication by mouth with or without food as directed by the physician. You might take 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 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. Swallow the whole or tablet that is split crushing or chewing.
The dosage is based on your medical condition and response to therapy.
Just take this medication regularly to obtain 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. Never increase your dose or take this medication more often or for a bit longer than directed.
Inform your doctor in the event your condition does not improve or if it worsens.
See also Warning section.
Stomach upset, nausea/vomiting, bloating, breast tenderness, hassle, or fat changes may occur. If any of these effects persist or aggravate, tell your doctor or pharmacist promptly.
Inform your physician promptly if you see the tablet in your stool.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have side that is serious.
Inform your physician right away when you 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, inflammation 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 right away if you have got any serious negative effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe headache, weakness on one adverse of this body, confusion, slurred speech, sudden eyesight modifications (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 help that is medical away if you notice any signs and symptoms of a serious hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing.
This is not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the usa -
Call your physician for medical advice about adverse effects. You may report adverse effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about side effects. You could report adverse effects to wellness Canada at 1-866-234-2345.
Before taking this medication, tell your medical practitioner or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain ingredients that are inactive which could cause allergies 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 coupled with smoking further increases your risk of stroke, blood clots, high blood pressure, and heart attack, especially in females older than 35.
Tell your physician 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 time or simply take precautions that are special.
This drug could cause blotchy, dark areas 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.
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.
Young ones may be more sensitive to the relative side effects of this drug. It might impact their growth/development. Discuss the feasible effects of this medicine with the doctor, and monitor your kid's development periodically.
This medication must 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 might probably 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.