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Premarin (Estrogens)

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Premarin (Conjugated Estrogens) is a female hormone and is usually given to women who no longer produce the proper amount. It is used to reduce menopause symptoms (e.g. hot flashes vaginal dryness) to prevent bone loss (osteoporosis) in people at high risk or to treat certain cancers in men and women (e.g. certain types of metastatic breast cancer). It may be used to treat other conditions as determined by your doctor. If you are only being treated for vaginal menopause symptoms products applied locally such as vaginal creams tablets or rings should be considered before products taken by mouth or absorbed through the skin. There are several medicines (e.g. raloxifene or bisphosphonates) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen therapy for osteoporosis. If you have other medical conditions as well and are prescribed estrogens for more than one condition consult your doctor about your treatment plan and its options. Estrogen-containing products should not be used to prevent heart disease.

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About Premarin (Estrogens):

Product Type: Women's Health

Brand name: Premarin Generic name: Estrogens What is the most important information I should know about Premarin? • Premarin increase the risk of developing a condition (endometrial hyperplasia) that may lead to cancer of the lining of the uterus. Taking progestins another hormone drug with Premarin lowers the risk of developing this condition. Therefore if your uterus has not been removed your doctor may prescribe a progestin for you to take together with the Premarin. Visit your doctor regularly and report any unusual vaginal bleeding right away. • Treatment with Premarin may increase the risk of heart attack stroke breast cancer and blood clots in the lungs or legs. Because of these risks Premarin should be prescribed at the lowest effective dose for the shortest amount of time necessary. • Have yearly physical exams and examine your breasts for lumps on a monthly basis while taking Premarin. • Do not take Premarin if you are pregnant. What are Premarin? • Premarin is a female sex hormone necessary for many processes in the body. • Premarin are used to treat symptoms of menopause; deficiency in ovary function (including underdevelopment of female sexual characteristics and some types of infertility); some types of breast cancer in men and in postmenopausal women; degeneration of the vagina; and urethra and prostate cancer. In addition Premarin are used to prevent osteoporosis. • Premarin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Premarin? • Do not take Premarin without first talking to your doctor if you have a circulation bleeding or blood-clotting disorder; undiagnosed abnormal vaginal bleeding; or any type of breast uterine or hormone-dependent cancer. • Taking Premarin may be dangerous in some cases if you have any of the conditions listed above. • Before taking Premarin tell your doctor if you have high blood pressure angina or heart disease; high levels of cholesterol or triglycerides in the blood; liver disease; kidney disease; asthma; epilepsy; migraines; diabetes; depression; gallbladder disease; uterine fibroids; or had a hysterectomy (uterus removed). • You may not be able to take Premarin or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Premarin are in the FDA pregnancy category X. This means that Premarin are known to cause birth defects in an unborn baby. Do not take this medication if you are pregnant or could become pregnant during treatment. • Premarin may decrease milk flow and have other effects on milk composition. Do not use this medication without first talking to your doctor if you are breast-feeding a baby. How should I take Premarin? • Take this medication exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Take Premarin with food or milk to lessen stomach upset. Try to take doses at the same time daily. • Have yearly physical exams and examine your breasts for lumps on a monthly basis while taking Premarin. • It is important to take Premarin regularly to get the most benefit. • Your doctor may want you to have blood tests or other medical evaluations during treatment with Premarin to monitor progress and side effects. • Store Premarin at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember then return to your regular dosing schedule. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • An overdose of this medication is unlikely to threaten life. Consult an emergency room or poison control left for advice. • Symptoms of an overdose of Premarin include nausea vomiting and vaginal bleeding in females. What should I avoid while taking Premarin? • There are no restrictions on food beverages or activity while taking Premarin unless your doctor directs otherwise. What are the possible side effects of Premarin? • Premarin increase the risk of developing a condition (endometrial hyperplasia) that may lead to cancer of the lining of the uterus. Taking progestins another hormone drug with Premarin lowers the risk of developing this condition. Therefore if your uterus has not been removed your doctor may prescribe a progestin for you to take together with the Premarin. Visit your doctor regularly and report any unusual vaginal bleeding right away. • Treatment with Premarin may increase the risk of heart attack stroke breast cancer and blood clots in the lungs or legs. Because of these risks Premarin should be prescribed at the lowest effective dose for the shortest amount of time necessary. • If you experience any of the following serious side effects stop taking Premarin and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); shortness or breath or pain in the chest; a painful red or swollen leg; abnormal vaginal bleeding; pain swelling or tenderness in the abdomen; severe headache or vomiting dizziness faintness or changes in vision or speech; yellowing of the skin or eyes; or a lump in a breast. • Other less serious side effects may be more likely to occur. Continue to take Premarin and talk to your doctor if you experience decreased appetite nausea or vomiting; swollen or tender breasts; acne or skin color changes; decreased sex drive; migraine headaches or dizziness; water retention (swollen hands feet or ankles); problems with wearing contact lenses; depression; or changes in menstrual cycle or breakthrough bleeding. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Premarin? • Before taking Premarin tell your doctor if you are taking any of the following medicines: an anticoagulant (blood thinner) such as warfarin (Coumadin); a thyroid medication such as levothyroxine (Synthroid Levoxyl Levothroid and others); insulin or an oral diabetes medicine such as glipizide (Glucotrol) or glyburide (Diabeta Micronase); tamoxifen (Nolvadex); didanosine (Videx); phenytoin (Dilantin) or ethotoin (Peganone); carbamazepine (Tegretol); phenobarbital (Solfoton Luminal); primidone (Mysoline); or rifampin (Rifadin). • A dosage adjustment or special monitoring may be required during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Premarin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including herbal products.

Brand Premarin (Estrogens)

Conjugate Conjurin Espauz Conestoral Evex Hyhorin Morestin Premphase Prempro

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Women's Health: Aygestin (Norethindrone Acetate) Aygestin (Norethindrone Acetate) is a progestin used to treat endometriosis a disorder of the lining of the uterus. It may also be used to treat menstrual disorders and to treat other conditions as determined by your doctor. Buy Aygestin (Norethindrone Acetate) and other Women's Health products online at Medstore. About Aygestin (Norethindrone Acetate): Product Type: Women's Health Brand name: Aygestin Generic name: Norethindrone Acetate What is the most important information I should know about Aygestin? • Using Aygestin while you are pregnant can cause harm to the unborn baby. Do not use Aygestin if you are pregnant. Stop using the medication and tell your doctor if you become pregnant during treatment. • Avoid smoking cigarettes while taking Aygestin. Smoking increases your risk of developing a heart attack stroke or blood clot. • Aygestin does not protect you from sexually transmitted diseases — including HIV and AIDS. Using a condom is the only way to help protect yourself from these diseases. What is Aygestin? • Aygestin is a form of progesterone a female hormone. • Aygestin is used for birth control (contraception) to prevent pregnancy. Aygestin is also used to treat menstrual disorders endometriosis or abnormal vaginal bleeding caused by a hormone imbalance. • Aygestin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before using Aygestin? • Aygestin is in the FDA pregnancy category X. This means that using the medication while you are pregnant can cause birth defects in the baby. Do not take Aygestin if you are pregnant. Stop taking the medication and tell your doctor if you become pregnant. If you plan to become pregnant after you stop taking Aygestin ask your doctor how long you should wait before trying to get pregnant. • You should not take Aygestin if you have: a history of stroke or blood clots; liver disease; a history of stroke or blood clots; cancer of the breast of ovary; unusual vaginal bleeding that a doctor has not diagnosed; or complications from a recent miscarriage or abortion. • Taking Aygestin may be dangerous if you have any of the conditions listed above. • Before taking Aygestin tell your doctor if you have: high blood pressure angina or heart disease; a bleeding disorder such as hemophilia; diabetes; high cholesterol; migraines; a history of depression or mental illness; asthma; or seizures or epilepsy. • If you have any of the conditions listed above you may not be able to use Aygestin or you may require a dosage adjustment or special monitoring during treatment. • This medication can pass into breast milk and may harm a nursing baby. Do not use Aygestin without telling your doctor if you are breast-feeding. • Taking Aygestin can cause you to have unusual results to certain medical tests. Tell any doctor who treats you that you are using Aygestin. How should I take Aygestin? • The dose schedule for Aygestin may be different for birth control than for treating other conditions. To best treat your condition Aygestin should be used exactly as your doctor has prescribed it for you. Do not use more of the medication than recommended. Do not take Aygestin for longer than your doctor has prescribed. • Take the medication at the same time each dose day. Taking a pill late or missing a pill can increase your chances of having breakthrough bleeding or getting pregnant. • For birth control start a new pack of pills the day after your last pack is finished. There is no break between packs. • If you vomit soon after taking Aygestin use a backup method of birth control (such as a condom and/ or spermicide) for 48 hours. • You may have some light bleeding or spotting between periods. Continue taking Aygestin even if this occurs. • If your menstrual period is late you may be pregnant. If it has been more than 45 says since the start of your last period call your doctor or use a home pregnancy test. • You will need to have yearly physical exams and Pap smears while you are using Aygestin. Examine your breasts at home every month to check for lumps. It is important that you not miss any scheduled visits to your doctor. • After you stop using Aygestin you may start bleeding within a few days. • Store Aygestin at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. Then take the next dose at your regularly scheduled time. Do not take extra medicine to make up the missed dose. • If you were more than 3 hours late in taking your dose use a backup method of birth control (such as a condom and/ or spermicide). Keep using the backup method for at least 48 hours to ensure protection from pregnancy. • If you are not sure what to do about a missed dose keep taking Aygestin and use a backup method of birth control until you can talk to your doctor. What happens if I overdose? • An overdose of Aygestin is not likely to cause serious overdose symptoms. Call your doctor if you think you have used too much of this medicine. • Symptoms of a Aygestin overdose have not been reported. What should I avoid while taking Aygestin? • Women who use hormone medication should not smoke. Smoking will increase your risk of having a serious side effect from Aygestin such as heart attack stroke or a blood clot. • Aygestin does not protect you from sexually transmitted diseases — including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases. What are the possible side effects of Aygestin? • Stop using Aygestin and call your doctor at once if you have any of these serious side effects: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); abnormal vaginal bleeding; late or missed menstrual period; a partial or complete loss of vision blurred vision double vision or a sudden onset of bulging eyes; sudden and severe headache pain behind your eyes dizziness or fainting; speech problems; vomiting or jaundice (yellowing of the skin or eyes); or sudden or severe pain in your lower stomach. • Other less serious side effects may be more likely to occur. Continue to take Aygestin and talk to your doctor if you experience: nausea; swollen or tender breasts; sleep problems (insomnia); depression mood swings; acne freckles or darkened skin areas; increased hair growth; weight gain or loss; or changes in your menstrual cycle or vaginal discharge. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Aygestin? • Before taking Aygestin tell your doctor if you are taking any of the following medicines: rifampin (Rifadin); phenytoin (Dilantin); carbamazepine (Tegretol); or a barbiturate such as amobarbital (Amytal) butabarbital (Butisol) mephobarbital (Mebaral) secobarbital (Seconal) or phenobarbital (Luminal Solfoton). • If you are using any of these drugs Aygestin may not work as well and you may get pregnant. You may need to use a second form of birth control if you are taking any of the medicines listed above. • There may be other drugs not listed that can affect Aygestin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. 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