(Rx) - indicates only available by prescription
Premarin Cream is a medication used to reduce symptoms of menopause (such as hot flushes and vaginal dryness). Premarin Cream is a female hormone that is usually used in women who do not produce enough of it. There may be other conditions where Premarin Cream is a good choice of medication for you and so do not be surprised if your doctor prescribes you this medication for another condition. However you can expect a full explanation for why he or she has done so.
As is the case with all drugs, it is vital that you carefully follow the instructions given to you by your doctor. In most cases this will be written on the label of the medicine box and you must read this information very carefully. If you do happen to have any questions about how to take this medicine then you should talk to your pharmacist, nurse or doctor and they will be happy to help you. You should fill the applicator with medicine as per the directions and insert the applicator high into the vagina and then press the plunger. This will release the medicine cream into the correct position. You should clean the applicator after use with warm soapy water and rinse well. You must not use boiling or hot water to clean the applicator. Grapefruit juice may cause an increase in the effect of this medicine and so you must discuss with your doctor before eating a grapefruit or drinking grapefruit juice. Where you keep the medicine is very important and in this case it must be stored at room temperature (77 degrees F) away from the sun and in the bottle or box provided or in an airtight container. You must take the medicine as directed by your doctor and if you can take it at the same time everyday, then that may help you to remember. It is very important that you take this medicine everyday as directed and do not miss a dose, even if you are feeling better. Failure to take your medicine as directed will likely result in the worsening of your symptoms. In the unfortunate scenario that you do forget to take a dose, you must take the missed dose as soon as you remember unless this is near the time of your next dose. In this case you should just forget about the missed dose and carry on with your normal schedule, as you must never take two doses of a single medication at the same time. If you have any concerns then you should contact your pharmacist, nurse or doctor for more information.
First and foremost you should not take Premarin Cream if you have experienced an allergic or other adverse reaction to it or any other ingredient that is used in the production of Premarin Cream. If you are worried that you may have had an adverse reaction to Premarin Cream in the past then you should discuss this with your doctor. Premarin Cream will not offer you a magic cure overnight and will in most cases take many weeks to reach its full effect. You should avoid performing tasks such as driving, operating heavy machinery or any other dangerous activities during this time. Premarin Cream can affect you in many ways therefore you should wait until you know what effects it has on your body before you partake in the above activities. It is important that you do not give up on this medicine and never stop taking a medicine without first talking to your doctor.There may be tests that are required by your doctor to check for side effects and/or monitor how effective the medicine is for you, however your doctor will talk to you about what is required. It is important to attend all laboratory and doctor appointments while you are taking Premarin Cream and additional appointments may be necessary when a change to the dose is made and during the initial starting period. It is important that before you undergo any dental work or surgery of any kind that you let the dentist or doctor know that you are taking this medication. You must let the laboratory know that you are on this medicine if you undergo any blood tests as Premarin Cream may affect the results. You should follow the instructions of your doctor for performing regular self-breast exams and report any lumps immediately. It is vital that you notify your doctor or pharmacist before you begin any new medication, even if it is only one brought over the counter. Premarin Cream may cause you to have dark patches in the skin of your face known as melasma. Any exposure to UV light may make these patches darker and you should wear sunscreen or protective clothing if you need to be in the sun for long periods of time. Premarin Cream may cause hyperglycemia (elevated blood sugar) and if you have symptoms of this such as: rapid breathing, flushing, confusion, increased thirst and urination, or fruity breath odor you must see your doctor immediately. You must not smoke while taking Premarin Cream or your risk of heart disease is higher than with just smoking alone. Premarin Cream may weaken latex or rubber condoms, cervical caps, or diaphragms and result in a contraceptive failure, you should discuss this you’re your doctor. Elderly or children taking this medicine should exercise caution, as they may be more sensitive to the effects of Premarin Cream. This medicine may affect growth in children and so regular growth chart monitoring is necessary. Premarin Cream may have adverse effects on the fetus in pregnant women and so all women who may be thinking about getting pregnant should weigh up the pros and cons of taking this medicine during pregnancy with their doctor. Also Premarin Cream is excreted in the breast milk and so general advice at this time is to speak with your doctor or pharmacist about whether it is safe for you to breastfeed. Diabetic patients must check their blood glucose levels regularly as Premarin Cream can affect these levels and you must talk with your doctor before you attempt to alter any diabetic medications.
As is the case with most drugs Premarin Cream is not without its side effects. Some of the things that you may notice when taking this medication include: nausea, dizziness, or vaginal burning, irritation, or discomfort. These may be minor and go away during the course of treatment, however if they do bother you then you must talk to your doctor. Premarin Cream was prescribed to you, as your doctor believes that the benefits will outweigh the side effects and so it is usual to expect some symptoms. However these symptoms should not cause you major discomfort and if this is the case then please talk to your doctor. You must talk to your doctor as soon as possible if you experience any hair loss, increased/decreased interest in sex, vaginal discharge/odor/itching, unexplained weight changes, vomiting, nausea, bloating, stomach pain or upset, breast tenderness or pain, unexplained headache, mood/mental changes (memory loss, depression or confusion), fainting or severe dizziness, one-sided weakness, slurred speech, severe headache, changes in vision, muscle cramps, irregular heartbeat, seizures, yellowing of the eyes or skin, changes in vaginal bleeding, breast lumps, swelling of the feet, legs or hands, calf pain, chest pain, or shortness of breath. Fortunately it is uncommon for someone to have an allergic reaction to this medicine, however they do occur and if you notice severe dizziness, a rash, itching, trouble breathing or swelling then you must seek immediate medical attention. If you experience any symptoms that worry you, even if they are not listed above, then it is vital that you talk to your doctor, pharmacist or nurse about it.
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