Always take Estrofem exactly as told by the doctor. Check with the doctor or pharmacist if unsure.
If the womb has been removed or if the patient has no vaginal bleeding and is not taking other hormone therapy products, treatment can be started on any convenient day.
Take one tablet every day, at about the same time each day. After finishing all the 28 tablets in the pack, start a new pack continuing the treatment without interruption.
For instructions on the use of the calendar pack, see Cautions for Usage.
The doctor will aim to prescribe the lowest dose to treat the symptoms for as short as necessary. Talk to the doctor if the patient thinks this dose is too strong or not strong enough.
If the patient has had the womb removed, the doctor will not prescribe a progestagen (another female hormone) in addition unless the patient has had a condition called endometriosis (deposition of uterine tissue outside the womb).
If the patient has taken other HRT products until now, ask the doctor or pharmacist when the patient should start taking Estrofem.
If the patient gets breakthrough bleeding or spotting, it is usually nothing to worry about, especially during the first few months of taking HRT (see Precautions).
If the patient forgets to take Estrofem: If the patient forgets to take the tablet at the usual time, take it within the next 12 hours. If more than 12 hours have gone by, skip the missed dose and start again as normal the next day. Do not take a double dose to make up for a forgotten tablet. Forgetting a dose may increase the likelihood of breakthrough bleeding and spotting, if the patient still has her womb.
If the patient stops taking Estrofem: If the patient wants to stop taking Estrofem, talk to the doctor first. The doctor will explain the effects of stopping treatment and discuss other possibilities with the patient.
If patient has any further questions on the use of this product, ask the doctor or pharmacist.
If the patient needs to have surgery: If the patient is going to have surgery, tell the surgeon that the patient is taking Estrofem. The patient may need to stop taking Estrofem about 4 to 6 weeks before the operation to reduce the risk of a blood clot (see Precautions). Ask the doctor when the patient can start taking Estrofem again.