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 you are using this medication to take care of symptoms only close to the vagina, items applied directly in the vagina is highly recommended before medications that are taken by mouth, absorbed through the skin, or injected.
Certain estrogen items may be used by also females after menopause to avoid bone tissue loss (weakening of bones). But, there are some other medications (such as raloxifene, bisphosphonates including alendronate) that are effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment.
Certain estrogen products can also be utilized by men and ladies to treat cancers (certain types of prostate cancer, breast cancer that has spread to other parts regarding the body) and by women who aren't able to produce enough estrogen (for instance, 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 concerns, pose a question to your medical practitioner or pharmacist.
Simply take this medication by mouth with or without meals as directed by your doctor. You can take it with right or food 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 based on your medical condition and response to treatment.
Take this medication regularly to have the most benefit from it. To help you remember, take it at the time( that is same) each day as directed. Follow your dosing routine carefully. Never raise your dose or take this medication more usually or for a bit longer than directed.
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Tell your doctor if your condition does not enhance or if it worsens.
See section that is also warning.
Stomach upset, nausea/vomiting, bloating, breast tenderness, headache, or fat changes may happen. If some of these results persist or aggravate, inform your pharmacist or doctor promptly.
Inform your physician promptly if the tablet is seen by you in your stool.
Keep in mind 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 side that is serious.
Tell your physician immediately when you yourself 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, severe stomach/abdominal discomfort, 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, shots, 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 headache, weakness on one adverse of this body, confusion, slurred speech, unexpected vision changes (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.
A very serious reaction that is allergic this product is rare. However, get help that is medical away if you notice any outward indications of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble breathing.
This is not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
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In the US -
Call your medical professional for medical advice about side-effects. You may report adverse 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 may possibly report adverse effects to wellness Canada at 1-866-234-2345.
Before taking this medicine, tell your doctor or pharmacist if you have any other allergies if you are allergic to it; or. This product may contain ingredients that are inactive that may cause allergic reactions or other dilemmas. Speak to 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.
Usually do not smoke or utilize tobacco. Estrogens along with smoking further increases your risk of stroke, bloodstream clots, high blood pressure, and heart attack, especially in females older than 35.
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Tell your physician in the event that 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 you are taking an estrogen product. You may need to stop this medication for a while or take special precautions.
This medication may 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 clothing that is protective outdoors.
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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.
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Kids may be more responsive to the relative side effects of this drug. It may affect their growth/development. Discuss the possible ramifications of this medicine with the doctor, and monitor your child's development periodically.
This medicine ought not to be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away.
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This medication passes into breast milk. It would likely reduce the amount and quality of breast milk produced. Consult your doctor before breast-feeding.
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