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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 should be considered before medications that are taken by mouth, absorbed through skin, or injected.
Specific estrogen services and products may also be used by women after menopause to avoid bone tissue loss (weakening of bones). However, there are more medications (such as for instance 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 may also be used by men and women to treat cancers (certain types of prostate cancer, breast cancer that has spread to the rest of the body) and by ladies who aren't able to produce enough estrogen (for example, due to hypogonadism, primary 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 questions, ask your doctor or pharmacist.
Simply take this medication by mouth with or without meals as directed by the doctor. You might take it with food or right after a meal to prevent 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 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.
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The dosage is founded on your condition that is medical and to treatment.
Just take this medication regularly to get 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 routine carefully. Don't increase your dose and take this medication more often or for a bit longer than directed.
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Tell your physician in case your condition does not improve or if it worsens.
See section that is also warning.
Stomach upset, nausea/vomiting, bloating, breast tenderness, frustration, or fat changes may occur. If any of these results persist or aggravate, tell your doctor or pharmacist promptly.
Inform your doctor promptly if you see the tablet in your stool.
Remember that your medical professional 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 serious side effects.
Inform your physician straight away when you have any side that is serious, 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, serious stomach/abdominal discomfort, persistent nausea/vomiting, yellowing eyes/skin, dark urine, inflammation hands/ankles/feet, increased thirst/urination.
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This medication may rarely cause serious problems from blood clots (such as heart attacks, shots, deep vein thrombosis, pulmonary embolism). Get medical help immediately if you have got any serious unwanted effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe hassle, weakness on one side of this body, confusion, slurred speech, sudden vision changes (such as partial/complete loss of sight), pain/redness/swelling of legs, tingling/weakness/numbness in the arms/legs, difficulty breathing, coughing up bloodstream, sudden dizziness/fainting.
An extremely serious allergic reaction to this product is rare. However, get help that is medical away if you notice any outward indications of a serious allergic 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 pharmacist or doctor.
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Call your physician for medical advice about side-effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor 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 physician or pharmacist if you have any other allergies if you are allergic to it; or. This product may contain ingredients that are inactive which can cause allergic reactions or other dilemmas. Speak to 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).
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Never smoke or make use of tobacco. Estrogens along with smoking further increases your risk of stroke, blood clots, high blood pressure, and heart attack, especially in women older than 35.
Tell your physician 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 an estrogen is being taken by you product. You may want to stop this medication for a time or take precautions that are special.
This medication might cause blotchy, dark regions of the epidermis 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.
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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.
Kids may be much more responsive to the relative side effects of this drug. It might influence their growth/development. Discuss the feasible ramifications of this medication with the doctor, and monitor your son or daughter's growth periodically.
This medicine ought not to 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 might reduce the quality and amount of breast milk produced. Consult your doctor before breast-feeding.
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