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Estrogen

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Molecule Summary

Uses
Hormone Replacement Therapy (HRT)
Therapy
Hormone Replacement Therapy
Side Effects
Hairfall, depression, muscle cramps, weight variation, abnormal bleeding
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Molecule Description

Estrogen (conjugated oestrogens) is a type of medicine known as Hormone Replacement Therapy. It is used to treat menopausal symptoms such as hot flushes, sleep problems, irritability and depression in postmenopausal women. It can also be used to treat osteoporosis (bone loss and fragility) in postmenopausal women who are prone to fractures. Estrogen works by imitating the actions of the natural hormone and is used to manage the symptoms of menstrual & gynaecological disorders due to imbalance in the hormonal levels. Estrogen should be taken as directed by the doctor and in doses and duration as prescribed. Inform your doctor if you are pregnant, planning a pregnancy or are breastfeeding and about all the medicines and supplements you take and all the conditions or diseases you suffer from, before starting this medicine. Do not self-medicate with Estrogen and it is recommended to follow all the instructions given by your doctor before taking this medicine.

Uses

  • Estrogen is used to treat menopausal symptoms such as hot flushes and sleep problems in postmenopausal women.
  • Estrogen is used in the treatment of menstrual & gynaecological disorders due to hormonal imbalance.
  • It is also used in preventing bone problems like osteoporosis during the post-menopausal stage.

Contraindications

When should one not use Estrogen

  • If you are allergic to conjugated oestrogens or any other ingredient of this medicine.
  • If you have or have had breast cancer, a blood clotting disorder, or a heart or liver-related problem.
  • If you have a known history of womb cancer and womb related problems.
  • If you have a known history of vaginal bleeding (unexplained).
  • If you ever had a history of a blood clot in any of the organs or legs.
  • If you are pregnant or breastfeeding.

Side effects

Common side effects of this drug are:

  • Hair fall
  • Depression
  • Muscle cramps
  • Abnormal bleeding
  • Variation in weight

Precautions and Warnings

Pregnancy

Pregnancy

Estrogen should not be used during pregnancy. In case you become pregnant during the treatment, discontinue immediately and consult your doctor.

Breast Feeding

Breast Feeding

Estrogen is not recommended during breastfeeding.

Driving

Driving

There is limited information available on the effect of the medicine on the driving ability of an individual. However, if you experience side effects like dizziness, you should avoid driving or using machines.

Alcohol

Alcohol

There is no known interaction between alcohol and this medicine. However, it is important to consult your physician if you drink often.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You have any kind of pre-existing health condition such as a history of blood clots, diabetes, gall stones, fits, hypertension, heart-related problem, liver or kidney disorder, weak immunity, headache or migraine, respiratory problem, hearing problem, etc.
  • You have higher levels of fat in your blood. If you are unsure, discuss this with your doctor.
  • You have a history or currently having low levels of calcium in the blood.

Mode of Action

How Does It Work?

Estrogen in this medicine acts similarly to the naturally present estrogen that works in normal conditions and helps in regulating the normal functions of the uterus. Thus, it helps in preventing the symptoms during the menopause stage like hot flushes, mood swings, etc.

Interactions

Interactions with other medicines

  • Certain medicines may affect the way Estrogen works or this medicine itself can affect the action of other medicines taken at the same time.
  • Inform your doctor about any other medicines, herbal preparations and supplements you are currently taking or might take to avoid any interaction with this combination of medicine.
  • Especially, if you are taking medicines for treating fits, bacterial and fungal infections, Cushing syndrome, stomach ulcers, Anti-tuberculosis medicines, anti-HIV medicines, St. John's wort (herbal medicine for brain disorder), etc.
  • Concomitant use of steroid medicines like dexamethasone with Estrogen should be avoided.

Interactions with food items

It is recommended to avoid grapefruit juice during the treatment with this medicine.

Dosage

Overdose

An overdose of Estrogen may lead to signs and symptoms of nausea, vomiting, dizziness, abdominal pain, drowsiness/ fatigue and withdrawal bleeding, etc. Seek urgent medical help if you experience any such symptoms or feel that you have taken too much of this medicine.

Missed a Dose

If you have missed taking a dose of Estrogen, then take it as soon as you remember. If it is almost time for your next dose, then skip the missed dose. Do not take a double dose to compensate for the missed one.

Frequently Asked Questions (FAQs)

You should never stop taking this medicine suddenly without talking to your doctor. Your doctor will instruct you how to take this medicine and when to stop taking this medicine based on your clinical condition. Hence, it is recommended not to stop any medicine abruptly without your doctor asking you to.

This medicine can increase the risk of breast cancer. Hence, inform the doctor if you or anyone in your family ever had breast cancer. Check your breast regularly for changes in the nipple, any lumps, unusual dimpling of the skin. If you notice any of these, immediately inform your doctor. This medicine can also increase the risk of heart disease, immediately notify your doctor if you experience pain in the chest or pain in the legs and inability to walk.

You may experience variations in weight after taking this medicine. However, it depends on the physiological condition of an individual and varies among different individuals.

You should take this medicine as prescribed by your doctor and for the prescribed duration. Do not increase or decrease the dose of this medicine on your own.

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