This medication is a female hormone. It can be used by women to reduce symptoms of menopause (such as for instance hot flashes, vaginal 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 inadverse the vagina should be considered before medications that are taken by mouth, absorbed through skin, or injected.
Particular estrogen services and products may also be used by ladies after menopause to stop bone tissue loss (weakening of bones). However, there are other medications (such as 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.
Particular estrogen products may 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, 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, ask your medical practitioner or pharmacist.
Simply 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 prevent 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 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. Swallow the whole or tablet that is split crushing or chewing.
The dosage is dependant on your medical condition and response to treatment.
Take this medication regularly getting the benefit that is most from it. To help you remember, take it at the time( that is same) each day as directed. Follow your dosing routine carefully. Never increase your dose and take this medication more usually or for a bit longer than directed.
Tell your doctor when your condition does not improve or if it worsens.
See section that is also warning.
Stomach upset, nausea/vomiting, bloating, breast tenderness, headache, or fat changes may occur. If any of these effects persist or aggravate, tell 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 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 right away if you have any adverse that is serious, including: mental/mood changes (such as for example despair, memory loss), breast lumps, unusual vaginal bleeding (such as spotting, breakthrough bleeding, prolonged/recurrent bleeding), increased or new vaginal irritation/itching/odor/discharge, serious 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 cardiac arrest, shots, deep vein thrombosis, pulmonary embolism). Get medical help right away if you have got any serious unwanted effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe hassle, weakness on one side associated with the body, confusion, slurred speech, unexpected vision modifications (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 tremendously serious reaction that is allergic this product is rare. However, get help that is medical away if you notice any apparent symptoms of a serious allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty respiration.
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 america -
Call your doctor for medical advice about unwanted effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about side effects. You may possibly report side 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 inactive ingredients, which could cause allergy symptoms or other problems. Confer with 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, bloodstream clots, high blood pressure, and heart attack, especially in women older than 35.
Tell your doctor 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 time or take special precautions.
This drug could cause blotchy, dark areas 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.
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.
Children may become more sensitive to the relative adverse effects of this drug. It might impact their growth/development. Discuss the possible effects of this medicine with the doctor, and monitor your child's development periodically.
This medicine 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 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.