Evalon Vaginal Cream

• For the treatment of symptoms of vaginal atrophy in postmenopausal women.
• Before or after vaginal surgery to help in wound healing.

• If you are allergic to estriol or any ingredient of Evalon cream.
• If you had or have breast cancer or you are suspected to have breast cancer.
• If you have cancer of the uterus (womb) or suspected to have.
• If you have unexplained vaginal bleeding.
• If you have a condition called endometrial hyperplasia (abnormal thickening of the wall of the womb).
• If you have or ever had blood clotting disorder such as deep vein thrombosis or pulmonary embolism.
• If you have certain conditions related to blood clot formation such as a stroke, heart attack, angina.
• If you have or ever have had liver disease or a history of a rare blood problem called 'porphyria'.

• Irritation or itching around the vagina.
• Increased vaginal discharge, bleeding or spotting.
• Pain in the breast or breast tenderness.

Other General Warnings

• You have fibroids inside your womb (uterus).
• You have a condition related to your womb (uterus) such as endometriosis or endometrial hyperplasia.
• You have an increased risk of getting estrogen-sensitive cancer (family history of breast cancer).
• You have high blood pressure, diabetes, gallstones, migraine, epilepsy or asthma.
• You have a liver disorder, such as a benign liver tumour and kidney problem (fluid retention).
• You have a disease of the immune system that affects many organs of the body systemic lupus erythematosus (SLE).

• Use Evalon cream as directed by your doctor.
• This medicine comes with an applicator that is to be used for the application.
• Preferably apply it before going to bed.
• Wash your hands before and after using this cream.
• Do not apply more or less of it or apply it more often than prescribed by your doctor.
• In case your eyes come in contact with this cream rinse your eyes with clean water immediately.

• Do not store Evalon cream above 25°C. Do not freeze.
• Keep it out of the reach and sight of children and pets.

• A good time to use this cream is before going to bed. Follow the instructions to use this vaginal cream as given by your doctor or pharmacist.
• It is contraindicated to use if you have breast or uterus cancer or a blood clotting problem. Inform your doctor if allergic to any medicine, about all your other medicines and your complete medical history.
• An increase in vaginal discharge, bleeding or spotting, itching or irritation surrounding the vagina, and pain, or tenderness in the breast can occur as side effects of this medicine. Consult your doctor if the side effects do not resolve.

Overdose

Missed a Dose

How Does It Work?

• After a woman reaches menopause (which is a point in time 12 months after a woman's last period) there is a natural decline in levels of female hormones, estrogen in the body. This can make the vaginal wall to become thin and dry.
• Evalon cream contains estriol which is a man-made form of the natural hormone estrogen. It supplies sufficient hormone levels to the vagina and eases dryness or irritation and inflammation in the vagina.

Interactions with other medicines

• Evalon cream is to be used externally on the vagina, thus it is less likely to interact with other medicines taken orally.
• However, you should always consult your doctor if you are taking or using any other medicines for treating other health conditions.
• In particular, if you are taking anti-infectives, steroids, medicines for the treatment of epilepsy. Also, inform your doctor if you have hepatitis C or any kind of vaginal infection.

Interactions with food items