Premarin Vaginal Cream
conjugated estrogens vaginal cream
In this drug factsheet:DIN (Drug Identification Number)
|02043440 ||PREMARIN VAGINAL CREAM|
How does this medication work? What will it do for me?
Conjugated estrogens vaginal cream belongs to the class of medications known as estrogen replacement therapy. Conjugated estrogens vaginal cream is used to manage vaginal and urinary menopausal symptoms such as itching, burning, dryness in or around the vagina, difficulty or burning during urination, and painful sexual intercourse.
Estrogen is a hormone that is produced by the ovaries. Once menopause is reached, the ovaries produce less estrogen and symptoms of menopause can occur. Conjugated estrogens vaginal cream works by providing locally-acting estrogen.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are being given this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.
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How should I use this medication?
The dose of this medication is individualized to the person using the cream. The lowest dose that will treat the symptoms should be used.
The recommended adult dose of conjugated estrogens vaginal cream ranges from 0.5 g to 2 g of cream daily. Depending on how severe the symptoms are, the cream may be inserted into the vagina using the applicator provided, applied to the outside areas of the vagina, or both. The cream should be used on a regular cycle, with 3 weeks of use followed by 1 week off.
To use the applicator, remove the cap of the tube of cream and screw the nozzle end of the applicator onto the tube. Squeeze the cream until it reaches the mark that indicates the dose prescribed by your doctor. Unscrew the applicator from the tube, place it into the opening of the vagina, and gently press the plunger to release the medication. Clean the applicator by pulling the plunger out from the barrel and washing it with mild soap and warm water.
Women who also take oral conjugated estrogens tablets may need to have the dose of their tablets adjusted when they start using the cream. Women who have not had their uterus removed should also take a progestin (such as medroxyprogesterone acetate). Talk with your doctor or pharmacist about which dosing schedule would work best for you if you are taking a progestin.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
It is important to use this medication exactly as prescribed by your doctor. If you miss a dose of this medication, use it as soon as you remember it. If it is almost time for your next dose, skip the missed dose and carry on with your regular dosing schedule. Do not administer a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature, and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
What form(s) does this medication come in?
Each g of white, vaginal cream contains 0.625 mg of conjugated estrogens CSD. Nonmedicinal ingredients: cetyl alcohol, cetyl esters wax, glycerin, glyceryl monostearate, methyl stearate, mineral oil, phenylethyl alcohol, propyl glycol monostearate, sodium lauryl sulfate, water purified, and white wax. Gluten-, paraben-, sugar-, sulfite-, and tartrazine-free.
Who should NOT take this medication?
Conjugated estrogens vaginal cream should not be used by anyone who:
- is allergic to conjugated estrogen or to any of the ingredients of the medication
- is or may be pregnant
- has a history of known or suspected estrogen-dependent tumours such as breast or uterine cancer
- has abnormal liver test results caused by liver disease or liver problems
- has endometrial hyperplasia
- has or has had a history of blood clots (e.g., in the legs or lungs), heart attack, stroke, heart disease, or ophthalmic vascular disease
- has undiagnosed abnormal vaginal bleeding