Cenestin |
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What is Cenestin and why is it prescribed? Cenestin is an estrogen replacement drug. The tablets are used to reduce symptoms of menopause. In addition to the symptoms of menopause, Cenestin tablets are prescribed for teenagers who fail to mature at the usual rate, and to relieve the symptoms of certain types of cancer, including some forms of breast and prostate cancer. In addition, either the tablets or Cenestin vaginal cream can be used for other conditions caused by lack of estrogen, such as dry, itchy external genitals and vaginal irritation. Along with diet, calcium supplements, and exercise, Cenestin tablets are also prescribed to prevent osteoporosis, a condition in which the bones become brittle and easily broken. Because estrogens have been linked with increased risk of endometrial cancer, it is essential to have regular checkups and to report any unusual vaginal bleeding to your doctor immediately. How should you take Cenestin? Follow your doctors directions for taking Cenestin. Do not share it with anyone else. If you are taking calcium supplements as a part of the treatment to help prevent brittle bones, check with your doctor about how much to take. You should take a few moments to read the patient package insert provided with your prescription. If you are using Cenestin vaginal cream, apply it as follows: (1) Remove cap from tube, (2) Screw nozzle end of applicator onto tube, (3) Gently squeeze tube from the bottom to force sufficient cream into the barrel to provide the prescribed dose. Use the marked stopping points on the applicator as a guide, (4) Unscrew applicator from tube, and (5) Lie on back with knees drawn up. Gently insert applicator deeply into the vagina and press plunger downward to its original position. To cleanse the applicator, pull the plunger to remove it from the barrel, then wash with mild soap and warm water. Do not boil or use hot water. If you miss a dose take the forgotten dose as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. Never take two doses at once. Store Cenestin at room temperature. Are there any Cenestin side effects? Cenestin side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Cenestin side effects may include abdominal cramps, abnormal vaginal bleeding, allergic reactions, bloating, blood clots, breast swelling and tenderness, depression, dizziness, enlargement of benign tumors in the uterus, fluid retention, gallbladder disease, hair loss from the scalp, increased body hair, inflammation of the pancreas, intolerance to contact lenses, migraine headache, nausea, sex-drive changes, skin darkening, especially on the face, skin rash or redness, swelling of wrists and ankles, vaginal yeast infection, vomiting, weight gain or loss, and yellow eyes and skin. Other possible Cenestin side effects may include constipation, cough, diarrhea, gas, heavy bleeding during menstruation, increased heartbeat, increased muscle tone, indigestion, infection, joint pain, leg cramps, muscle pain, pain, painful menstruation, runny nose, skin tingling, sore throat, and weakness. What are the possible food and drug interactions when taking Cenestin? If Cenestin is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Be sure to inform your doctor of all the prescription and over the counter medications you are taking. It is especially important to check with your doctor before combining Cenestin with Barbiturates (such as phenobarbital), Blood thinners (such as Coumadin), Drugs used for epilepsy (such as Dilantin), Major tranquilizers (such as Thorazine), Oral diabetes drugs (such as Micronase), Rifampin (Rifadin), Steroid medications (such as Deltasone), Thyroid preparations (such as Synthroid), Tricyclic antidepressants (such as Elavil and Tofranil), or Vitamin C. Are there any special warnings about Cenestin? The risk of cancer of the uterus increases when estrogen is used for a long time or taken in large doses. Also, if you have endometriosis, estrogen therapy may make the condition worse. If you've ever had endometriosis, make sure the doctor is aware of it. Some studies have shown that women taking estrogen for prolonged periods of time face a slightly increased risk of breast cancer. Use combination products with special caution if you have a family history of breast cancer or have ever had an abnormal mammogram. Be sure to get an annual breast exam from your doctor, and do your own self-examination each month. Women who take Cenestin after menopause are more likely to develop gallbladder disease. Women taking Cenestin face an increased risk of blood clots. These clots can cause phlebitis, stroke, heart attack, a loss of blood supply to the lungs, a blockage in the blood vessels serving the eye, and other serious disorders. Recent studies have confirmed an increased rate of heart attack, stroke, and dangerous clots among women taking estrogen or an estrogen/progesterone combination. While taking Cenestin, get in touch with your doctor right away if you notice any of the following: Abdominal pain, tenderness, or swelling, Abnormal bleeding from the vagina, Breast lumps, Coughing up blood, Pain in your chest or calves, Severe headache, dizziness, or faintness, Sudden shortness of breath, Vision changes, or Yellowing of the skin. Estrogen therapy has also been known to cause an increase in blood pressure. Ask your doctor to check your blood pressure regularly. If you have high levels of fat in your blood, specifically a high triglyceride level, conjugated estrogens are likely to cause side effects in the pancreas. If you are using Cenestin vaginal cream, you should be aware that this product can weaken latex condoms, diaphragms, and cervical caps. |
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