Without a Prescription
As a general rule, you should have an examination at least once a year while using this product.
As estrogen levels decline during menopause, vaginal tissues tend to shrink and lose their elasticity--sometimes producing a condition known as atrophic vaginitis.
Because estrogen replacement therapy is not advisable if you are in any danger of developing cancer, your doctor should take a complete medical and family history--and do a complete physical exam--before prescribing Vagifem.
Inserted in the vagina on a regular basis, Vagifem tablets provide a local source of estrogen replacement without passing through the rest of the system.
This helps relieve such symptoms of atrophic vaginitis as vaginal dryness, soreness, and itching.
Estrace side effects that you should report to your health care professional or doctor as soon as possible:
More common side effects may include:
- Yeast infection;
- Vaginal spotting or discharge;
- Upper respiratory infection;
- Skin rash;
- Genital itching;
- Back pain;
- Allergic reactions;
- Abdominal pain;
Estrace is contraindicated if you have any of the following conditions:
- If estrogen products have given you clotting problems in the past;
- If it causes an allergic reaction;
- If there is a possibility that you are pregnant;
- If there is any chance that you have breast cancer or any other cancer stimulated by estrogen;
- If you currently have phlebitis or other clotting disorders;
- If you have unexplained genital bleeding or the metabolic disorder known as porphyria;
Because of these possibilities, get in touch with your doctor right away if you develop any of the following:
- Yellowing of the skin or eyes;
- Weakness or numbness of an arm or leg;
- Vision changes;
- Sudden shortness of breath;
- Severe headache or vomiting;
- Pain in your chest or calves;
- Dizziness or fainting;
- Difficulty with speech;
- Coughing up blood;
- Breast lumps;
- Abnormal bleeding from the vagina;
- Abdominal pain, tenderness, or swelling;
Do not take Estrace with any of the following drugs:
There is no information on interactions with Vagifem.
Every 3 to 6 months, the doctor will see if the dosage can be reduced or discontinued.
The usual dosage is 1 tablet a day for the first 2 weeks, then 1 tablet twice weekly.
Symptoms of estrogen overdose may include:
- Vaginal bleeding;