This medication is a female hormone. It is employed by women to reduce symptoms of menopause (such as hot flashes, genital dryness). These symptoms are caused by the physical body making less estrogen. If you are using this medication to take care of 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 the skin, or injected.
Certain estrogen items may be used by also women after menopause to avoid bone loss (osteoporosis). Nonetheless, there are other medications (such as for example 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 utilized by men and ladies to treat cancers (certain types of prostate cancer, breast cancer that has spread to other areas regarding the body) and 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 you get a refill before you start using this medication and each time. If you have any relevant concerns, pose a question to your medical practitioner or pharmacist.
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Take this medication by mouth with or without meals as directed by your doctor. You may 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 you to do so unless they have a score line and your doctor or pharmacist tells. 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 to obtain the benefit that is most from it. To help you remember, take it at the same time(s) every day as directed. Follow your dosing schedule carefully. Usually do not raise your dose and take this medication more frequently or for a significantly longer time than directed.
Inform your medical professional when your condition does not enhance or if it worsens.
See also Warning section.
Stomach upset, nausea/vomiting, bloating, breast tenderness, headache, or weight changes may take place. If some of these results persist or worsen, tell your pharmacist or doctor promptly.
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Inform your doctor promptly if the tablet is seen by you in your stool.
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Keep in mind that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have side that is serious.
Tell your physician immediately if you have any side that is serious, including: mental/mood changes (such as despair, 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 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 body, confusion, slurred speech, unexpected eyesight changes (such as partial/complete loss of sight), pain/redness/swelling of legs, tingling/weakness/numbness in the arms/legs, difficulty 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 allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble respiration.
This is not a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the usa -
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Call your doctor for medical advice about unwanted 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 might report effects that are side wellness Canada at 1-866-234-2345.
Before taking this medication, tell your physician or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other dilemmas. Confer with your pharmacist for additional 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).
Don't smoke or use tobacco. Estrogens coupled with smoking further increases your risk of stroke, blood clots, high blood force, and heart attack, especially in females older than 35.
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Tell your physician 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 just take precautions that are special.
This drug may cause blotchy, dark aspects 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.
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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Young ones may be more sensitive to the relative side effects of this drug. It may influence their growth/development. Discuss the possible aftereffects of this medicine with the doctor, and monitor your son or daughter's development periodically.
This medicine must not be used during maternity. You may be pregnant, tell your doctor right away if you become pregnant or think.
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This medication passes into breast milk. It could 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.