Indications |
Oral Moderate to severe vasomotor symptoms associated with menopause Adult: 0.45 mg/day; may increase up to 1.25 mg/day; attempt to discontinue medication at 3-6-mth intervals. Oral Vulvular and vaginal atrophy Adult: 0.3 mg/day. Oral Female hypogonadism Adult: 0.3-0.625 mg/day given cyclically, may titrate dose in 6-12-mth intervals; add progestin treatment to maintain bone mineral density once skeletal maturity is achieved. Oral Female castration or primary ovarian failure Adult: 1.25 mg/day given cyclically; adjust according to patient response. For maintenance, adjust to the lowest effective dose. Oral Palliative treatment of prostatic carcinoma Adult: 1.25-2.5 mg 3 times/day. Oral Prophylaxis of osteoporosis in postmenopausal women Adult: Initial: 0.3 mg/day, cyclically or daily, depending on patient's condition. Adjust dose based on bone mineral density and clinical response. Lowest effective dose should be used. Parenteral Abnormal uterine bleeding Adult: 25 mg via IV/IM admin, may repeat in 6-12 hr if needed. Treatment should be followed by a low-dose oral contraceptive. |
Contraindications |
Severe liver impairment; breast carcinoma; thromboembolic disorders; CV disease; undiagnosed vag bleeding; estrogen-dependent neoplasms; hypersensitivity; pregnancy. |
Warnings / Precautions |
Asthma, epilepsy, migraine; heart or kidney dysfunction; CV disease; cerebrovascular disorders; diabetes, hypercalcaemia; gall bladder disease; porphyria. Childn. Lactation. |
Adverse Reactions |
Abnormal bleeding; vomiting, nausea; tender breasts, wt gain, fluid retention; headache, depression. Males: Gynaecomastia, impotence. Potentially Fatal: Unopposed replacement therapy in postmenopausal women associated with increased risk of endometrial and breast cancer. |
Drug Interactions |
Rifampicin, barbiturates increase rate of metabolism. Potentially Fatal: May reduce the efficacy of anticoagulants. See Below for More estrogens Drug Interactions |
Lab Interactions |
Interfere with tests for thyroid function and glucose tolerance. |
Mechanism of Actions |
Estrogens modulate pituitary secretion of gonadotropins, leutinising hormones and follicle-stimulating hormones through -ve feedback mechanism, thus reducing elevated levels of hormones in postmenopausal women during oestrogen replacement therapy Absorption: Absorbed from the intestines after removal of the sulfate group (oral). Metabolism: Hepatic; undergoes enterohepatic recycling. Excretion: Via the urine and faeces. |
Storage Conditions |
Oral: Store at 25°C. Parenteral: Store at 2-8°C. To be used immediately after reconstitution. |
ATC Classification |
G03C - ESTROGENS ; Used in estrogenic hormone preparations. L02AA - Estrogens ; Used in endocrine therapy. |
Storage |
Oral: Store at 25°C. Parenteral: Store at 2-8°C. To be used immediately after reconstitution. |
Available As |
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Estrogens
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Estrogens Containing Brands
Estrogens is used in following diseases
Drug - Drug Interactions of Estrogens
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