This medication is a female hormone. It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the physical body making less estrogen. If you are using this medication to treat symptoms only close to the vagina, items applied directly in the vagina should be thought about before medications that are taken by lips, absorbed through the skin, or injected.
Specific estrogen services and products may be used by also women after menopause to avoid bone loss (osteoporosis). 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 considered for use before estrogen treatment.
Certain estrogen products may also be used by men and women to treat cancers (certain types of prostate cancer, breast cancer that has spread to other areas for the body) and also by women who are not 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, ask your doctor or pharmacist.
Take this medication by mouth with or without food as directed by the medical practitioner. You usually takes it with food or right after a meal to avoid stomach upset.
If you are taking the extended-release 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. Ingest the whole or tablet that is split crushing or chewing.
The dosage is dependant on your medical condition and response to treatment.
Simply take this medication regularly to have the most benefit from it. To help you remember, take it at the time( that is same) every day as directed. Follow your dosing routine carefully. Do not raise your dose and take this medication more often 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 fat changes may take place. If some of these impacts persist or worsen, inform your pharmacist or doctor promptly.
Inform your physician promptly if you see the tablet in your stool.
Remember 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.
Tell your physician immediately when you have any serious side effects, including: mental/mood changes (such as despair, 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 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 heart attacks, shots, deep vein thrombosis, pulmonary embolism). Get medical help straight away if you have got any serious negative effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe frustration, weakness on one adverse of the 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 really serious allergic reaction to this product is rare. However, get help that is medical away if you notice any symptoms of a serious hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, difficulty breathing.
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 america -
Call your doctor 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 doctor for medical advice about side effects. You might report side effects to Health Canada at 1-866-234-2345.
Before taking this medication, tell your doctor or pharmacist if you have any other allergies if you are allergic to it; or. This product may contain inactive ingredients, which can cause allergic reactions or other dilemmas. Talk to your pharmacist for more details.
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.
Don't smoke or make use of tobacco. Estrogens combined with smoking further increases your risk of stroke, bloodstream clots, high blood force, and heart attack, especially in females older than 35.
Tell your medical professional 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 you are taking an estrogen product. You may want to stop this medication for some time or simply take special precautions.
This medication could potentially cause blotchy, dark regions 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.
Kids may become more responsive to the relative adverse effects of this drug. It might affect their growth/development. Discuss the possible aftereffects of this medication with the doctor, and monitor your kid's growth periodically.
This medication ought not to be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away.
This medication passes into breast milk. It may 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.
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