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Estradiol Valerate

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Molecule Summary

Uses
Hormone replacement therapy (HRT), reducing the risk of osteoporosis and fractures
Therapy
Hormone Replacement Therapy
Side Effects
Headache, migraine, altered mood, altered weight, increased appetite, visual disturbance, dizziness, fatigue, skin rash, palpitations
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Molecule Description

Estradiol Valerate contains estradiol as its active ingredient, a semi-synthetic form of the female hormone estrogen. This medicine is primarily used as Hormone Replacement Therapy (HRT) to manage estrogen deficiency in women who are peri- or postmenopausal. Replenishing the reduced estrogen levels in the body helps alleviate associated symptoms. It is also prescribed to reduce the risk of osteoporosis and fractures in postmenopausal women who are susceptible to these conditions. It works by binding to estrogen receptors, which has a beneficial effect on bone density and helps to inhibit bone degradation associated with osteoporosis. It is crucial that you take Estradiol Valerate exactly as directed by your doctor, for the full prescribed duration, and never stop taking it on your own, even if you begin to feel better, as this could lead to treatment failure. You can take this medicine with or without food, but it is advised to avoid grapefruit juice, as it may interfere with the medicine's metabolism and increase the risk of side effects. Before starting this treatment, you must inform your doctor about your complete medical history, especially if you have had a history of breast cancer, undiagnosed abnormal vaginal bleeding, severe liver or kidney problems, blood clotting disorders, or certain heart-related conditions, as these are contraindications for its use. Estradiol Valerate should not be used if you are pregnant, think you may be pregnant, are planning a pregnancy, or are breastfeeding. If pregnancy is detected while you are on this medicine, you should stop taking it immediately and inform your doctor. You should avoid smoking while taking Estradiol Valerate as it can cause serious effects. Do not consume alcohol with this medicine, as it may alter its effectiveness. If you consume alcohol often, you should discuss this with your doctor. Some medicines, including those for fits like phenytoin, anti-infective medicines like rifampicin, and even herbal products like St. John's wort, can decrease the effect of Estradiol Valerate, while anti-fungal medicines like fluconazole may increase the risk of side effects. While generally well-tolerated, some common, usually mild side effects you may experience include headache, migraine, altered mood, dizziness, fatigue, skin rash, or palpitations. If you experience severe side effects or symptoms of an overdose, such as nausea and vomiting, you should contact your doctor immediately. If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed one and continue your regular schedule; do not double the dose. You should also be aware that this medicine may increase the risk of certain health problems like blood clots, stroke, and breast cancer. Talk to your doctor about your individual risk factors before starting this medicine.

Uses

  • Estradiol Valerate is used to treat oestrogen deficiency in peri and postmenopausal women as a hormone replacement therapy (HRT).
  • It is also used to reduce the risk of osteoporosis and fractures.

Contraindications

When should one not use Estradiol Valerate

  • If you are allergic to estradiol or any of the other ingredients of Estradiol Valerate.
  • If you had a history of or have breast cancer.
  • If you have undiagnosed abnormal vaginal bleeding.
  • If you had a history of or are suspected to have oestrogen-dependent tumours such as endometrial cancer.
  • If you have untreated thickening of the endometrial lining.
  • If you have or had a severe liver or renal problem.
  • If you had or have any blood clotting disorder of veins such as venous thromboembolism.
  • If you have any heart-related conditions such as chest pain due to blockage in arteries (myocardial infarction, angina).
  • If you have blood-related disorders such as porphyria, protein C, and protein S deficiency.

Side effects

Common side effects of this drug are:

  • Headache
  • Migraine
  • Altered mood
  • Increased or decreased weight
  • Increased appetite
  • Visual disturbance
  • Dizziness
  • Fatigue
  • Skin rash
  • Palpitations

Precautions and Warnings

Pregnancy

Pregnancy

Estradiol Valerate should not be used during pregnancy. When pregnancy is detected, this medicine should be discontinued immediately. Inform your doctor if you are pregnant or think you may be or are planning for a baby before starting this medicine.

Breast Feeding

Breast Feeding

Estradiol Valerate should not be used while breastfeeding. Inform your doctor if you are a breastfeeding mother.

Driving

Driving

If you experience dizziness, headache after taking Estradiol Valerate, then avoid driving or operating machines.

Alcohol

Alcohol

Do not consume alcohol with Estradiol Valerate as it may alter the effectiveness of this medicine. Talk to your doctor if you consume it often.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You experience or have a thickening of the endometrium.
  • You have liver, kidney, thyroid or heart-related problems.
  • You have bleeding or clotting disorder.
  • You have high blood pressure, diabetes, asthma, fits, and thickening of ear tissue.
  • You have a risk of cancer such as the breast or the endometrium.
  • You have autoimmune conditions such as systemic lupus erythematosus (SLE).
  • You have a severe headache or migraine.
  • You had or have decreased blood supply to the brain (stroke).
  • You experience fluid retention in the body.
  • You have a high lipid level in the body.

Mode of Action

How Does It Work?

Estradiol Valerate is a semi-synthetic version of the hormone estrogen present in the body of females. Its action is identical to biological estrogen. It binds to the estrogen receptors and shows a beneficial effect on bone density and inhibits bone resorption associated with osteoporosis in menopausal women.

Interactions

Interactions with other medicines

  • Some medicines may alter the effect of Estradiol Valerate, or this medicine may alter the effect of other medicines.
  • Concomitant use of Estradiol Valerate and anti-epileptic medicines like phenytoin, primidone, anti-infective medicines like rifampicin, rifabutin, and herbal products like St. John's wort can decrease the effect of Estradiol Valerate.
  • Anti-HIV medicines like saquinavir, indinavir, etc, when used with Estradiol Valerate, can interfere with the effect of this medicine.
  • Anti-fungal medicines like fluconazole and itraconazole may increase the effect of Estradiol Valerate and increase the risk of side effects.

Interactions with food items

Estradiol Valerate can be taken with or without food. It is advised to avoid grapefruit juice while taking Estradiol Valerate, as it can interfere with the metabolism of the medication and potentially increase the risk of side effects.

Dosage

Overdose

Symptoms of overdose are nausea and vomiting. If you experience any of the symptoms or think you have taken too much of Estradiol Valerate, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

Missing a dose of Estradiol Valerate may reduce the effectiveness of the treatment. If you missed any dose of medicine, take it as soon as you remember. If it's time for your next dose, then skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to make up for a missed dose.

Frequently Asked Questions (FAQs)

No, you should never stop taking Estradiol Valerate until advised by the doctor, even if you are feeling good. If you stop taking this medicine, it may lead to treatment failure.

You should avoid smoking while taking Estradiol Valerate, as it may cause some serious effects.

Estradiol Valerate is used to treat oestrogen deficiency in peri and postmenopausal women as a hormone replacement therapy (HRT). It is also used to reduce the risk of osteoporosis and fractures.

Estradiol Valerate contains estradiol as its active component which is a semi-synthetic version of the hormone estrogen present in the body of females. Its action is identical to biological estrogen. It binds to the estrogen receptors and shows a beneficial effect on bone density and inhibits bone resorption associated with osteoporosis in menopausal women.

Do not consume alcohol with Estradiol Valerate as it may alter the effectiveness of this medicine. Talk to your doctor if you consume it often.

Headache, migraine, altered mood, increased or decreased weight, increased appetite, visual disturbance are a few side effects of Estradiol Valerate. Some side effects can be serious, so contact your doctor if you notice any severe or persistent symptoms. Also, not everyone experiences the same side effects.

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