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used to manage moderate to severe vasomotor symptoms associated with menopause. Also indicated in atrophic vaginitis, vulvar kraurosis, hypogonadism and female castration and primary chronic failure. Conjugated estrogens used in conjunction with other therapeutic measures (eg diet, calcium, physical therapy) to retard osteoporosis associated with estrogen deficiency in menopausal women.


*a history of heart attack, stroke, or blood clot (especially in your lung or your lower body); *abnormal vaginal bleeding that a doctor has not checked; *liver disease; or *any type of breast, uterine, or hormone-dependent cancer.

Adverse reactions:

*hest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; *sudden numbness or weakness, especially on *one side of the body; *sudden headache, confusion, problems with *vision, speech, or balance; *pain or swelling in your lower leg *abnormal vaginal bleeding; migraine headache; *pain, swelling, or tenderness in your stomach; *confusion, problems with memory or concentration; *jaundice (yellowing of the skin or eyes); *swelling in your hands, ankles, or feet; or *a breast lump. Less serious side effects may include: *mild nausea, vomiting, bloating, stomach cramps; * breast pain, tenderness, or swelling; *freckles or darkening of facial skin; *increased hair growth, loss of scalp hair; * changes in weight or appetite; *problems with contact lenses; *vaginal itching or discharge; *changes in your menstrual periods, decreased sex drive; or *headache, nervousness, dizziness, tired feeling.


*blood thinner such as warfarin (Coumadin); *a thyroid medication such as levothyroxine (Synthroid); *insulin or diabetes medicine taken by mouth; *rifampin (Rifadin, Rifater, Rifamate, Rimactane); *ketoconazole (Nizoral) or itraconazole (Sporanox); *seizure medicines such as phenytoin (Dilantin), carbamazepine (Tegretol), felbamate (Felbatol), oxcarbazepine (Trileptal), or primidone (Mysoline); *a barbiturate such as amobarbital (Amytal), butabarbital (Butisol), mephobarbital (Mebaral), secobarbital (Seconal), or phenobarbital (Luminal, Solfoton); or *antidepressants such as amitriptyline (Elavil, Etrafon), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil).


* high blood pressure, heart disease, or circulation problems; *a personal or family history of stroke; *endometriosis; * kidney disease; *asthma; *epilepsy or other seizure disorder; * migraines; *diabetes; *underactive thyroid; * high cholesterol or triglycerides; *high or low levels of calcium in your blood; *porphyria; *systemic lupus erythematosus (SLE); * gallbladder disease; or * if you have had your uterus removed (hysterectomy).



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Dr . Dirar Abboud

Dr . Dirar Abboud Hepatologist – Gastroenterologist

Dr. Tahsin Martini

Dr. Tahsin Martini Degree status: M.D. in Ophthalmology

Dr. Talal Sabouni


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