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premarin
conjugated estrogens (CON jew gay ted ESS troe jenz)
Cenestin, Premarin

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 premarin. Taking progestins, anotherhormone drug, with Premarin lowers the risk of developing this condition premarin. Therefore,if your uterus has not been removed, your doctor may prescribe a progestin foryou to take together with the estrogen premarin. Visit your doctor regularly and reportany unusual vaginal bleeding right away premarin.
• Treatment with Premarin may increase the risk of heart attack, stroke,breast cancer, and blood clots in the lungs or legs premarin. Because of these risks,Premarin should be prescribed at the lowest effective dose, for the shortestamount of time necessary premarin.
• Have yearly physical exams and examine your breasts for lumps on a monthlybasis while taking Premarin premarin.
• Do not take Premarin if you are pregnant premarin.


What are conjugated estrogens?
• Estrogen is a female sex hormone necessary for many processes in thebody premarin.
• Premarin is used to treat symptoms of menopause; deficiency in ovaryfunction (including underdevelopment of female sexual characteristics and sometypes of infertility); some types of breast cancer in men and in postmenopausalwomen; degeneration of the vagina; and urethra and prostate cancer premarin. In addition,conjugated estrogens are used to prevent osteoporosis premarin.
• Conjugated estrogens may also be used for purposes other than those listedin this medication guide premarin.


What should I discuss with my healthcare provider before taking conjugated estrogens?
• Do not take conjugated estrogens without first talking to your doctorif you have
· a circulation, bleeding, or blood-clotting disorder;
· undiagnosed, abnormal vaginal bleeding; or
· any type of breast, uterine, or hormone-dependent cancer premarin.
• Taking conjugated estrogens may be dangerous in some cases if you haveany of the conditions listed above premarin.
• Before taking conjugated estrogens, 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) premarin.
• You may not be able to take Premarin, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove premarin.
• Premarin is in the FDA pregnancy category X premarin. This means that Premarinis known to cause birth defects in an unborn baby premarin. Do not take this medicationif you are pregnant or could become pregnant during treatment premarin.
• Premarin may decrease milk flow and have other effects on milk composition premarin. Do not use this medication without first talking to your doctor if you are breast-feedinga baby premarin.


How should I take Premarin?
• Take this medication exactly as directed by your doctor premarin. If you do notunderstand these directions, ask your pharmacist, nurse, or doctor to explainthem to you premarin.
• Take each dose with a full glass of water premarin.
• Take Premarin with food or milk to lessen stomach upset premarin. Try to takedoses at the same time daily premarin.
• Have yearly physical exams and examine your breasts for lumps on a monthlybasis while taking Premarin premarin.
• It is important to take Premarin regularly to get the most benefit premarin.
• Your doctor may want you to have blood tests or other medical evaluationsduring treatment with Premarin to monitor progress and side effects premarin.
• Store Premarin at room temperature away from moisture and heat premarin.


What happens if I miss a dose?
• Take the missed dose as soon as you remember then return to your regulardosing schedule premarin. Do not take a double dose of this medication unless otherwisedirected by your doctor premarin.


What happens if I overdose?
• An overdose of this medication is unlikely to threaten life premarin. Consultan emergency room or poison control center for advice premarin.
• Symptoms of an overdose of Premarin include nausea, vomiting, and vaginalbleeding in females premarin.


What should I avoid while taking Premarin?
• There are no restrictions on food, beverages, or activity while takingPremarin unless your doctor directs otherwise premarin.


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 premarin. Taking progestins, anotherhormone drug, with Premarin lowers the risk of developing this condition premarin. Therefore,if your uterus has not been removed, your doctor may prescribe a progestin foryou to take together with the estrogen premarin. Visit your doctor regularly and reportany unusual vaginal bleeding right away premarin.
• Treatment with Premarin may increase the risk of heart attack, stroke,breast cancer, and blood clots in the lungs or legs premarin. Because of these risks,Premarin should be prescribed at the lowest effective dose, for the shortestamount of time necessary premarin.
• If you experience any of the following serious side effects, stop takingPremarin 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 visionor speech;
· yellowing of the skin or eyes; or
· a lump in a breast premarin.
• Other, less serious side effects may be more likely to occur premarin. Continueto 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 premarin.
• Side effects other than those listed here may also occur premarin. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome premarin.


What other drugs will affect Premarin?
• Before taking Premarin, tell your doctor if you are taking any of thefollowing 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) premarin.
• A dosage adjustment or special monitoring may be required during treatmentif you are taking any of the medicines listed above premarin.
• Drugs other than those listed here may also interact with Premarin premarin. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products premarin.


Where can I get more information?
• Your pharmacist has additional information about Premarin written forhealth professionals that you may read premarin.



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