Synapause Vaginal Cream 1mg CREAM
Clinical Summary
Quick overview from the medicine insert
Indication
Hormone replacement therapy for urogenital atrophy.
Dosage (summary)
1 application daily for 2-3 weeks, then reduce to 1 application twice a week.
Special Populations
- Elderly
- Postmenopausal women
Pregnancy & Breastfeeding
Contraindicated in pregnancy and lactation; may decrease milk production.
Key Drug Interactions
- Anticonvulsants
- Antibiotics
- St. John's wort
Contraindications
- Hypersensitivity
- Breast cancer
- Oestrogen-dependent tumors
- Undiagnosed vaginal bleeding
- Venous thromboembolism
- Pregnancy
- Liver disease
Common side effects
- Breast tenderness
- Breakthrough bleeding
- Local irritation
- Gall bladder disease
Counselling Points
- Report any unusual breast changes
- Avoid use if pregnant
- Use the lowest effective dose for the shortest duration
Serious warnings
- Increased risk of breast cancer
- Risk of venous thromboembolism
- Increased risk of stroke
- Monitor for liver function
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