| Ogen is an estrogen hormone used to provide female hormone when the body no longer produces enough. It is used to help prevent osteoporosis (weakened bones) and to treat other conditions as determined by your doctor
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Why is Estropipate prescribed?
Estropipate and Ortho-Est are estrogen replacement drugs. The tablets are used to reduce symptoms of menopause, including feelings of warmth in face, neck, and chest, and the sudden intense episodes of heat and sweating known as "hot flashes." They also may be prescribed for teenagers who fail to mature at the usual rate. In addition, either the tablets or Estropipate vaginal cream can be used for other conditions caused by lack of estrogen, such as dry, itchy external genitals and vaginal irritation. Along with diet, calcium supplements, and exercise, Estropipate and Ortho-Est tablets are also prescribed to prevent osteoporosis, a condition in which the bones become brittle and easily broken.
Some doctors also prescribe these drugs to treat breast cancer and cancer of the prostate.
Most important fact about Estropipate
Because estrogens have been linked with increased risk of endometrial cancer (cancer in the lining of the uterus) in women who have had their menopause, it is essential to have regular check-ups and to report any unusual vaginal bleeding to your doctor immediately.
How should you take Estropipate?
Be careful to follow the cycle of administration your doctor establishes for you. Take the medication exactly as prescribed. When using Estropipate Vaginal Cream, follow the instructions printed on the carton. It is for short-term use only. Remove the cap from the tube and make sure the plunger of the applicator is all the way into the barrel. Screw the nozzle of the applicator onto the tube and squeeze the cream into the applicator. The number on the plunger, which indicates the dose you should take, should be level with the top of the barrel. Unscrew the applicator and replace the cap on the tube. Insert the applicator into the vagina and push the plunger all the way down. Between uses, take the plunger out of the barrel and wash the applicator with warm, soapy water. Never use hot or boiling water. --If you miss a dose...Take the forgotten dose as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. Never try to "catch up" by doubling the dose. --Storage instructions...
Store Estropipate at room temperature.
What Estropipate side effects may occur?
Estropipate Side effects cannot be anticipated. If any develop or change in intensity, notify your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking estrogen.
Estropipate Side effects may include:
Abdominal cramps, bloating, breakthrough bleeding, breast enlargement, breast tenderness and secretions, change in amount of cervical secretion, changes in sex drive, changes in vaginal bleeding patterns, chorea (irregular, rapid, jerky movements, usually affecting the face and limbs), depression, dizziness, enlargement of benign tumors (fibroids), excessive hairiness, fluid retention, hair loss, headache, inability to use contact lenses, menstrual changes, migraine, nausea, reduced ability to tolerate carbohydrates, spotting, spotty darkening of the skin, especially around the face, skin eruptions (especially on the legs and arms) with bleeding, skin irritation, skin redness and scaling, vaginal yeast infection, vision problems, vomiting, weight gain or loss, yellow eyes and skin
Possible food and drug interactions when taking Estropipate
If Estropipate is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Estropipate with the following:
Barbiturates such as phenobarbital
Blood thinners such as Coumadin
Epilepsy drugs (Tegretol, Dilantin, others)
Insulin
Tricyclic antidepressants (Elavil, Tofranil, others)
Rifampin (Rifadin)
Special Estropipate information if you are pregnant or breastfeeding
Estrogens should not be used during pregnancy. If you are pregnant or plan to become pregnant, notify your doctor immediately. These drugs may appear in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.
Recommended Estropipate dosage
HOT FLASHES AND NIGHT SWEATSEstropipate Tablets:The usual dose ranges from one .625 tablet to two 2.5 tablets per day. Tablets should be taken in cycles, according to your doctor's instructions. Ortho-Est Tablets:
The usual dose ranges from half a tablet to 4 tablets per day of Ortho-Est 1.25 or 1 to 8 tablets of Ortho-Est .625. Tablets should be taken in cycles, according to your doctor's instructions. Return to top
VAGINAL INFLAMMATION AND DRYNESSEstropipate Tablets:The usual dose ranges from one .625 tablet to two 2.5 tablets per day. Tablets should be taken in cycles, according to your doctor's instructions. Ortho-Est Tablets:The usual dose ranges from half a tablet to 4 tablets per day of Ortho-Est 1.25 or 1 to 8 tablets of Ortho-Est .625. Tablets should be taken in cycles, according to your doctor's instructions. Estropipate Vaginal Cream:
The usual dose is 2 to 4 grams daily. Cream should be used in cycles, and only for limited periods of time. Return to top
ESTROGEN HORMONE DEFICIENCYEstropipate Tablets:The usual dose ranges from one 1.25 tablet to three 2.5 tablets per day, taken for 3 weeks, followed by a rest period of 8 to 10 days. Ortho-Est Tablets:
The usual dose ranges from 1 to 6 tablets per day of Ortho-Est 1.25 or 2 to 12 tablets of Ortho-Est .625, given for 3 weeks, followed by a rest period of 8 to 10 days.
OVARIAN FAILUREEstropipate Tablets:The usual dose ranges from one 1.25 tablet to three 2.5 tablets per day for 3 weeks, followed by a rest period of 8 to 10 days. Your doctor may increase or decrease your dosage according to your response. Ortho-Est Tablets:
The usual dose ranges from 1 to 6 tablets per day of Ortho-Est 1.25 or 2 to 12 tablets of Ortho-Est .625 for 3 weeks, followed by a rest period of 8 to 10 days. Your doctor may increase or decrease your dosage according to your response.
PREVENTION OF OSTEOPOROSIS Estropipate and Ortho-Est Tablets:
The usual dose is one .625 tablet per day for 25 days of a 31-day monthly cycle.
Estropipate Overdosage
Any medication taken in excess can have serious consequences. If you suspect an overdose, seek emergency medical treatment immediately.
Symptoms of Estropipate overdose may include:
Nausea, vomiting, withdrawal bleeding
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