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This medication is a female hormone. It can be used by women to help reduce symptoms of menopause (such as hot flashes, genital dryness). These symptoms are caused by the physical body making less estrogen. If this medication is being used by you to take care of symptoms only close to the vagina, items applied directly inadverse the vagina should be considered before medications that are taken by lips, absorbed through your skin, or injected.

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Particular estrogen services and products may also be used by females after menopause to prevent bone tissue loss (weakening of bones). Nonetheless, there are various other medications (such as for instance raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications is highly recommended for use before estrogen treatment.

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Certain 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 for the body) and also by ladies who aren't able to produce enough estrogen (for instance, due to hypogonadism, main ovarian failure).

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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 physician or pharmacist.

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Just take this medication by mouth with or without food as directed by your medical practitioner. You can take it with food or right after a meal to avoid stomach upset.

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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 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. Ingest the whole or tablet that is split crushing or chewing.

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The dosage is founded on your medical condition and response to therapy.

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Just take this medication regularly to obtain the most benefit from it. To help you remember, take it at the same time(s) each day as directed. Follow your dosing schedule carefully. Don't increase your dose and take this medication more often or for a bit longer than directed.

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Inform your doctor should your condition does not improve or if it worsens.

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Stomach upset, nausea/vomiting, bloating, breast tenderness, headache, or weight changes may happen. If some of these effects persist or worsen, tell your doctor or pharmacist promptly.

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Inform your medical practitioner promptly if the tablet is seen by you in your stool.

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Keep in mind that your medical professional has prescribed this medication she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have side that is serious.

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Inform your physician right away for those who have any adverse that is serious, including: mental/mood changes (such as for example 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, swelling 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 right away if you've got any serious negative effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe headache, weakness on one side associated with the 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 blood, sudden dizziness/fainting.

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An extremely serious reaction that is allergic 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), severe dizziness, difficulty breathing.

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This is not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.

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Call your medical professional for medical advice about negative effects. You may report effects that are side FDA at 1-800-FDA-1088 or at

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In Canada - Call your doctor for medical advice about adverse effects. You may report side effects to Health Canada at 1-866-234-2345.

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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, that may cause allergic reactions or other issues. Talk to your pharmacist for additional information.

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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.

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Usually do not smoke or make use of tobacco. Estrogens along with smoking further increases your risk of stroke, bloodstream clots, high blood stress, and heart attack, especially in females older than 35.

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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 an estrogen is being taken by you product. You may have to stop this medication for some time or simply take special precautions.

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This drug could potentially cause blotchy, dark areas 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 protective clothing when outdoors.

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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.

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Children may be much more responsive to the relative side effects of this drug. It may influence their growth/development. Discuss the feasible effects of this medication with the doctor, and monitor your kid's development periodically.

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This medicine should not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor right away.

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This medication passes into breast milk. It could reduce the amount and quality of breast milk produced. Consult your doctor before breast-feeding.

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