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Premelle Cycle

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Indications:

This medication is used for the management of menopausal symptoms such as abnormal uterine bleeding, hot flashes, sweating, and chills.

Contraindications:

should not be taken by anyone who: * is allergic to any of the ingredients of the medication * is or may be pregnant * has diseases of circulation or clotting (thrombophlebitis, thrombosis, or other thromboembolic disorders such as stroke) or has a history of these conditions associated with estrogen use * has endometrial hyperplasia * has or has had blood clots in the heart * has or has had known or suspected breast or endometrial (lining of the uterus) cancer * has undiagnosed abnormal vaginal bleeding

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.

Interactions:

*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).

Warnings:

* 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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Consultants Corner

Dr . Dirar Abboud

Dr . Dirar Abboud Hepatologist – Gastroenterologist

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Dr. Tahsin Martini

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

Dr. Faisal Dibsi

Dr. Faisal Dibsi Specialist of Otolaryngology - Head and Neck Surgery
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