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Premarin Side Effects, and Drug Interactions - Estrogens Conjugated

Premarin Side Effects, and Drug Interactions - Estrogens Conjugated

SIDE EFFECTS

Tablets

See WARNINGS regarding induction of neoplasia, adverse effects on the fetus, increased incidence of gallbladder disease. The following additional adverse reactions have been reported with estrogen therapy.

Genitourinary system: Changes in vaginal bleeding pattern and abnormal withdrawal bleeding or flow. Breakthrough bleeding, spotting. Increase in size of uterine fibromyomata. Vaginal candidiasis. Change in amount of cervical secretion.
Breasts: Tenderness, enlargement.
Gastrointestinal: Nausea, vomiting; abdominal cramps, bloating; cholestatic jaundice.
Skin: Chloasma or melasma that may persist when drug is discontinued; erythema multiforme; erythema nodosum; hemorrhagic eruption; loss of scalp hair; hirsutism.
Eyes: Steepening of corneal curvature; intolerance of contact lenses.
CNS: Headache, migraine, dizziness; mental depression; chorea.
Miscellaneous: Increase or decrease in weight; reduced carbohydrate tolerance; aggravation of porphyria; edema; changes in libido.

Injection and Vaginal Cream

See WARNINGS regarding induction of neoplasia, adverse effects on the fetus, increased incidence of gallbladder disease, and adverse effects similar to those of oral contraceptives, including thromboembolism. The following additional adverse reactions have been reported with estrogenic therapy, including oral contraceptives:

Genitourinary System: Breakthrough bleeding, spotting, change in menstrual flow; dysmenorrhea; premenstrual-like syndrome; amenorrhea during and after treatment; increase in size of uterine fibromyomata; vaginal candidiasis; change in cervical erosion and in degree of cervical secretion; cystitis-like syndrome.
Breasts: Tenderness, enlargement, secretion.
Gastrointestinal: Nausea, vomiting, abdominal cramps, bloating; cholestatic jaundice, pancreatitis.
Skin: Chloasma or melasma which may persist when drug is discontinued; erythema multiforme; erythema nodosum; hemorrhagic eruption; loss of scalp hair; hirsutism.
Eyes: Steepening of corneal curvature; intolerance to contact lenses.
CNS: Headache, migraine, dizziness; mental depression; chorea.
Miscellaneous: Increase or decrease in weight; reduced carbohydrate tolerance; aggravation of porphyria; edema; changes in libido.

DRUG INTERACTIONS

See PRECAUTIONS.

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