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It is a more natural alternative to premarin made from horse s urine or conjugated estrogen.

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For the treatment of postmenopausal symptomsHRT should only be initiated for symptoms that adversely affect quality of lifeIn all casesa careful appraisal of the risks and benefits should be undertaken at least annually and HRT should only be continued as long as the benefit outweighs the risk.

This medication may rarely cause serious problems from blood clotssuch as heart attacksstrokesdeep vein thrombosispulmonary embolismGet medical help right away if you have any serious side effectsincludingchest/jaw/left arm painunusual sweatingsudden/severe headacheweakness on one side of the bodyconfusionslurred speechsudden vision changessuch as partial/complete blindnesspain/redness/swelling of legstingling/weakness/numbness in the arms/legstrouble breathingcoughing up bloodsudden dizziness/fainting.

Breakthrough bleeding and spotting may occur during the first months of treatmentIf break-through bleeding or spotting appears after some time on therapyor continues after treatment has been discontinuedthe reason should be investigatedwhich may include endometrial biopsy to exclude endometrial malignancy.

In women who are not taking hormone replacement therapy or women who switch from a continuous combined hormone replacement therapy producttreatment may be started on any convenient dayIn women transferring from a sequential hormone replacement therapy regimentreatment should begin the day following completion of the prior regimen.

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