This risk may continue even after you stop using the medicine. Eastern time
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pronounced as (ess' troe jen) (pro jes' tin)
Combination hormone replacement therapy (estrogen and progestin) may increase the risk of heart attack, stroke, blood clots in the lungs and legs, and breast cancer.
Call your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine. Estrogen and progestin are two sex hormones. Talk with your doctor about this risk. But, you should know that using this medicine while you are pregnant could harm your unborn baby.
Call your pet's veterinarian if your pet starts to have nipple or breast enlargement, swelling of the vulva, or any signs of illness. Ask your pharmacist for a list of the ingredients.
Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor). Bring this list with you each time you visit a doctor or if you are admitted to the hospital. If you still have your uterus (womb), ask your doctor if you should also use a progestin medicine. Place the medication in a safe location – one that is up and away and out of their sight and reach.
If the patch falls off, try to reapply it in the same place immediately. Your doctor may tell you not to use estrogen and progestin patches.
Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking.
Check with your doctor immediately if severe headache or sudden loss of vision or any other change in vision occurs while you are using this medicine. This medicine may also affect the results of certain medical tests.
Pelvic exam, breast exam, and mammogram (breast x-ray) may be needed to check for unwanted effects, unless your doctor tells you otherwise.
It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and does not cause unwanted effects.
Your child may have been exposed to this medicine. Tell your doctor if you smoke and if you have or have ever had a breast lump; breast cancer; a heart attack; a stroke; blood clots or blood clotting problems; high blood pressure; high blood levels of cholesterol or fats; lupus (an autoimmune disease in which the immune system attacks healthy parts of the body such as joints, skin, blood vessels, and organs); or diabetes.
Progestin is added to estrogen in hormone replacement therapy to reduce the risk of uterine cancer when the uterus is still present.
Transdermal estrogen and progestin come as a patch to apply to the skin. to 5 p.m. Certain patients may also be told to only apply the patch during the last two weeks of their cycle. You should carry the list with you in case of emergencies.
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Do not drink grapefruit juice while taking this medication.
Unless your doctor tells you otherwise, continue your normal diet.
Apply the missed dose as soon as you remember it.
Do not take other medicines or drink grapefruit juice unless you discuss it with your doctor. Central time
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7 a.m. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
John's wort. Remove the protective liner as directed, being careful to not touch the adhesive part of the patch with your fingers.
Keep this medication in the container it came in, tightly closed, and out of reach of children.
Carefully fold each patch in half so that it sticks together and dispose of it so that it is out of the reach of children and pets.
Using this medicine may increase your risk for gallbladder disease. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal (eg, St. John's wort) or vitamin supplements.
Rotate the areas used with an interval of at least a week for use of the same site.
If you are having surgery or will be on bedrest, talk to your doctor about stopping estrogen and progestin at least 4 to 6 weeks before the surgery or bedrest.
If you experience any of the following symptoms, call your doctor immediately or get emergency medical treatment: sudden, severe headache; sudden, severe vomiting; sudden partial or complete loss of vision; speech problems; dizziness or faintness; weakness or numbness of an arm or a leg; a lump in your breast; crushing chest pain or chest heaviness; coughing up blood; sudden shortness of breath; or calf pain.
Combination hormone replacement therapy also may increase the risk of dementia (decrease in thinking, remembering, and reasoning).
Talk to your doctor about the risk(s) and benefits of taking estrogen and progestin.
Estrogen and progestin transdermal patches are used to treat certain symptoms of menopause.
Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor).
Do not take other medicines or drink grapefruit juice unless you discuss it with your doctor.