estradiol vaginal (local) (cont.)
IN THIS ARTICLE
What should I discuss with my healthcare provider before using estradiol vaginal (local) (Estrace Vaginal Cream, Estring, Vagifem)?
You should not use estradiol vaginal if you have:
To make sure you can safely use estradiol vaginal, tell your doctor if you have any of these other conditions:
Estradiol increases your risk of developing endometrial hyperplasia, a condition that may lead to cancer of the uterus. Taking progestins while using estradiol may lower this risk. If your uterus has not been removed, your doctor may prescribe a progestin for you to take while you are using estradiol vaginal.
Long-term estradiol treatment may increase your risk of stroke. Talk with your doctor about your individual risks before using estradiol long-term. Your doctor should check your progress on a regular basis (every 3 to 6 months) to determine whether you should continue this treatment.
FDA pregnancy category X. This medication can harm an unborn baby or cause birth defects. Do not use estradiol vaginal if you are pregnant. Tell your doctor right away if you become pregnant during treatment.
Estradiol may decrease breast milk flow and have other effects on milk composition. Do not use estradiol without first talking to your doctor if you are breast-feeding a baby.
How should I use estradiol vaginal (local) (Estrace Vaginal Cream, Estring, Vagifem)?
Some estradiol products placed directly into the vagina are used for "local" treatment of vaginal menopause symptoms involving the secretions and surrounding tissues of the vagina. Other vaginal estradiol products are used for treating menopause symptoms affecting the vagina as well as other parts of the body (such as hot flashes). This type of vaginal estradiol has "systemic" effects, meaning that it can affect parts of the body other than where the medicine is placed or applied.
The information in this leaflet is specific to estradiol vaginal products that are used for local treatment of symptoms.
Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
To use the estradiol vaginal ring:
To use the estradiol vaginal cream:
To use the estradiol vaginal tablets:
Have regular physical exams and self-examine your breasts for lumps on a monthly basis while using estradiol vaginal.
Store this medication at room temperature away from moisture and heat.
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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