Premarin Cream 0,625 mg Vaginal cream
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of postmenopausal vulvovaginitis and atrophic vaginitis.
Dosage (summary)
0.5 to 2 grams daily, intravaginally; cyclic administration recommended.
Special Populations
- Elderly
- Paediatric population
Pregnancy & Breastfeeding
Contraindicated in pregnancy and lactation; may decrease breast milk quality.
Key Drug Interactions
- CYP3A4 inducers/inhibitors may affect estrogen metabolism
Contraindications
- Hypersensitivity to estrogens
- Pregnancy
- Undiagnosed abnormal genital bleeding
- History of breast cancer
- Active thromboembolic disease
- Liver dysfunction
Common side effects
- Vaginitis
- Breast tenderness
- Dizziness
- Nausea
Counselling Points
- Use cyclically and for short-term only.
- Perform regular breast examinations.
- Report any unusual bleeding or mood changes.
Serious warnings
- Increased risk of stroke and DVT
- Potential for breast and endometrial cancer
- Monitor for mood changes and depression
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