estradiol acetate ring - vaginal, Femring (cont.)

USES: This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing menopause symptoms (e.g., hot flashes, vaginal dryness).If you are being treated for vaginal menopause symptoms only, other vaginal products (e.g., creams, tablets) should be considered before this medication.

HOW TO USE: Wash your hands before and after inserting the ring. Insert the ring into the upper third of the vagina as directed. Generally, the ring is left in place for 3 months and then removed and replaced with a new ring if therapy is continued. Do not leave a ring in place for longer than 3 months. Follow the dosing schedule carefully.Read the Patient Information Leaflet available from your pharmacist and learn all usage instructions in the product package. Ask your doctor or pharmacist if you are unclear about any of the information.When the ring is placed properly, you should not feel it and it will not interfere with sexual intercourse. If the ring moves into the lower part of your vagina, push it back into place with your finger. If the ring falls out of the vagina, rinse the ring with lukewarm water and re-insert. The ring is removed by hooking your finger through the ring and gently pulling it out. Contact your doctor if you have trouble removing the ring. Discard the used ring in the trash container. Do not flush it down the toilet.Inform your doctor if your symptoms persist or worsen.

SIDE EFFECTS: Dizziness, lightheadedness, headache, stomach upset, bloating, nausea, weight changes, increased/decreased interest in sex, and breast tenderness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.You may develop a vaginal yeast infection while using this medication. If this occurs, consult your doctor or pharmacist for treatment options. You may leave the ring in place if you are treating the vaginal infection locally or topically.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: mental/mood changes (e.g., severe depression, memory loss), vision changes (e.g., change in contact lens fit, loss of vision), breast lumps, swelling of hands or feet, unusual vaginal bleeding (e.g., spotting, breakthrough bleeding, prolonged/recurrent bleeding), yellowing of eyes or skin, pelvic pain, severe stomach pain or cramping.Seek immediate medical attention if any of these unlikely but very serious side effects occur: calf pain/swelling, sudden severe headache, chest pain, trouble breathing, weakness on one side of the body, slurred speech.Vaginal rings have rarely caused a very serious (possibly fatal) bacterial infection (toxic shock syndrome-TSS). Remove this product and seek immediate medical attention if you develop symptoms of toxic shock syndrome, including: high fever, severe/sudden dizziness, fainting, unusual muscle pain, sunburn-like rash, diarrhea.An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

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