This medication is a female hormone. It is employed by women to help reduce symptoms of menopause (such as for example hot flashes, genital dryness). These symptoms are brought on by the physical body making less estrogen. If you are using this medication to deal with symptoms only in and around the vagina, products applied directly inadverse the vagina is highly recommended before medications that are taken by mouth, absorbed through your skin, or injected.
Particular estrogen items may be used by also women after menopause to avoid bone tissue loss (osteoporosis). However, there are more medications (such as 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 can also be used by men and ladies to treat cancers (certain types of prostate cancer, breast cancer that has spread to other parts associated with the body) and also by women 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 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 the physician. You might 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 side effects. Also, do not split extended-release tablets you to do so unless they have a score line and your doctor or pharmacist tells. Swallow the whole or tablet that is split crushing or chewing.
The dosage is founded on your condition that is medical and to therapy.
Take this medication regularly to get 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. Don't increase your dose or take this medication more often or for a significantly longer time than directed.
Inform your medical professional should your 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 effects persist or worsen, inform your doctor or pharmacist promptly.
Inform your doctor promptly if the tablet is seen by you in your stool.
Understand that your physician has recommended 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 if you have any side that is serious, including: mental/mood changes (such as for instance depression, memory loss), breast lumps, unusual vaginal bleeding (such as for example 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, 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 right away if you have any serious unwanted effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe headache, weakness on one adverse regarding the body, confusion, slurred speech, sudden vision changes (such as partial/complete blindness), pain/redness/swelling of legs, tingling/weakness/numbness in the arms/legs, trouble breathing, coughing up blood, sudden dizziness/fainting.
A really serious allergic reaction to this product is rare. However, get medical help right 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 list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your physician for medical advice about unwanted effects. You may report adverse effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about adverse effects. You'll 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 inactive ingredients, that may cause allergic reactions or other dilemmas. 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.
Do not smoke or use tobacco. Estrogens combined with smoking further increases your risk of stroke, bloodstream clots, high blood stress, and heart attack, especially in women older than 35.
Tell your doctor 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 you are taking an estrogen product. You may want to stop this medication for some time or take special precautions.
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 clothing that is protective 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 become more sensitive to the relative side effects of this drug. It might influence their growth/development. Discuss the possible 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 could reduce the amount and quality 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.