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Estradiol Norethindrone Acetate
Estradiol Norethindrone Acetate
Item #: PD000386
Category: Prescription Drugs
Price: $55.99
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PrescriptionGaint
1-0.5mg 28 Tablets   $55.99
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28 Tablets Disp Pack
Chemical Name: ESTRADIOL (es-tra-DYE-ole) and NORETHINDRONE (nor-eth-IN-drone) ACETATE

Common uses
This medicine is an estrogen and progestin combination used to reduce menopausal symptoms. It is also used to prevent osteoporosis. This medicine may also be used to treat other conditions as determined by your doctor. There are several medications (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/progestin HRT for osteoporosis. If you have other medical conditions as well and are prescribed estrogen/progestin HRT for more than one condition, consult your doctor about your treatment plan and its options.

Before using
WARNING: Two-drug combination hormone replacement therapy (estrogen and progestin menopause HRT) can infrequently cause breast cancer, heart disease (CHD/MI), stroke, dementia, or blood clots in the lung (PE) if used for a long period of time (greater than one year). Therefore, the risks of use of HRT for a long period of time (more than one year) must be discussed with your doctor. Use of two-drug HRT for short periods of time (less than one year) to relieve menopause symptoms may be considered. Discuss the risks and benefits with your doctor. Blood clots may be more likely to form during very long periods of sitting or if you are bedridden, as well as with certain types of surgery. If this applies to you, ask your doctor whether you should temporarily stop your medication. Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. Inform your doctor of any other medical conditions including heart disease or circulation problems (e.g., stroke or heart attack), asthma, migraine headaches, any previous cancers, blood disorders (e.g., blood clots), gallbladder disease, history of depression, diabetes, seizure disorders, undiagnosed abnormal vaginal bleeding, any allergies, pregnancy, or breast-feeding. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking carvedilol, corticosteroids, metoprolol, rifampin, theophylline, troleandomycin, or medicine for seizures. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have had a hysterectomy, liver disease, or a history of pulmonary embolism. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. THIS MEDICINE COMES with a patient information leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have before using this medicine. This medicine should be used for the shortest possible length of time so you obtain the benefits and minimize the chance of serious side effects from long-term therapy. Consult your doctor for more details. TRY TO TAKE THIS MEDICINE at the same time every day. STORE THIS MEDICINE at room temperature between 59 and 86 degrees F (15 and 30 degrees C), away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. DO NOT take 2 doses at once.

Cautions
KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine. YOU SHOULD PERFORM REGULAR self-examinations of your breasts. If you have any questions about how to do this, ask your doctor, nurse, or pharmacist. SMOKING WHILE USING THIS MEDICINE may increase your risk of stroke, heart attack, blood clots, high blood pressure, or other diseases of the heart and blood vessels. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. IF YOU WEAR CONTACT LENSES and you develop problems with them, contact your doctor. THIS MEDICINE MAY CAUSE dark skin patches on your face. Exposure to the sun may make these patches darker. If patches develop, use a sunscreen or protective clothing when exposed to the sun, sunlamps, or tanning booths. DO NOT USE THIS MEDICINE if you are pregnant. IF YOU SUSPECT THAT YOU COULD BE PREGNANT, contact your doctor immediately. THIS MEDICINE IS EXCRETED IN BREAST MILK. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby. IF YOU HAVE DIABETES, this medicine may affect your blood sugar. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.

Possible side effects
SIDE EFFECTS that may go away during treatment, include dizziness, lightheadedness, nausea, stomach upset, or bloating. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience mental/mood changes (e.g., severe depression); breast tenderness; weight change; or swelling of your fingers or ankles. CONTACT YOUR DOCTOR IMMEDIATELY if you experience calf/leg pain or swelling; trouble breathing or shortness of breath; chest pain; one-sided weakness; slurred speech; lumps in the breast; sudden severe headache, dizziness, or fainting; yellowing of the skin or eyes; dark urine; abnormal vaginal bleeding; or abdominal pain, swelling, or tenderness; vomiting; vision problems; or coughing up blood. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe nausea and vomiting, and excessive vaginal bleeding.

Additional information
If you are taking this medicine to prevent osteoporosis, it is important to have enough calcium and vitamin D in your diet. Ask your doctor, nurse, or pharmacist if you have questions about your diet or about taking dietary supplements such as calcium or vitamin D. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

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