WARNING

EstroGel is a medication primarily prescribed to alleviate symptoms of menopause, such as hot flashes and vaginal dryness, by supplementing estrogen levels in the body. Like any medication, EstroGel carries potential risks and side effects. Here’s a brief overview of some of the risks associated with taking EstroGel:

• Increased risk of blood clots: Estrogen therapy, including EstroGel, may increase the risk of blood clots, which can lead to serious conditions like deep vein thrombosis (DVT) or pulmonary embolism.
• Increased risk of stroke and heart disease: Estrogen therapy has been linked to a higher risk of stroke and heart disease, particularly in older women or those with existing cardiovascular risk factors.
• Increased risk of breast cancer: Some studies suggest that long-term use of estrogen therapy may slightly increase the risk of breast cancer. Women with a history of breast cancer or other estrogen-sensitive cancers should approach EstroGel use cautiously and under close medical supervision.
• Endometrial cancer risk: Estrogen therapy without progesterone in women who still have a uterus can increase the risk of endometrial cancer. Progestin is often prescribed alongside estrogen to counter this risk.
• Other side effects: Common side effects of EstroGel may include nausea, breast tenderness, headache, bloating, and vaginal bleeding or spotting.

It’s essential for individuals considering EstroGel or any hormone therapy to discuss the potential risks and benefits with their healthcare provider. EstroGel should be used at the lowest effective dose for the shortest duration necessary to achieve treatment goals, and regular monitoring is often recommended to assess its safety and efficacy.

Why is this medication prescribed?

EstroGel is prescribed primarily to alleviate symptoms associated with menopause, such as hot flashes, vaginal dryness, and other symptoms related to estrogen deficiency. It’s a form of hormone replacement therapy (HRT) that delivers estrogen directly through the skin.

How should this medicine be used?

EstroGel is typically used by applying it to the skin, usually the arm, once daily. Here’s how it’s typically used:

• Application: The gel should be applied to clean, dry, unbroken skin on the arm, shoulder, or abdomen. It should not be applied to the breasts or areas of the skin where it might be rubbed off by tight clothing.
• Dosage: The dosage of EstroGel prescribed by a healthcare provider will depend on various factors, including the severity of symptoms and the individual’s medical history. It’s essential to follow the prescribed dosage instructions carefully.
• Frequency: EstroGel is usually applied once daily, at the same time each day, to maintain consistent hormone levels.
• Absorption: After applying the gel, it should be allowed to dry for a few minutes before covering the area with clothing. It’s important to avoid washing the area or allowing it to come into contact with water for at least one hour after application to ensure proper absorption.
• Regular use: For optimal results, EstroGel should be used regularly as prescribed by a healthcare provider. It may take some time for individuals to experience the full benefits of hormone therapy, so consistency is key.

It’s crucial to follow the specific instructions provided by a healthcare provider when using EstroGel and to discuss any questions or concerns about its use, dosage, or potential side effects with them. Additionally, individuals using EstroGel should attend regular follow-up appointments to monitor their response to treatment and assess any potential risks.

Other uses for this medicine

EstroGel is primarily prescribed for the management of symptoms associated with menopause, but it may also have other uses as determined by a healthcare provider. Some healthcare providers may prescribe EstroGel off-label for conditions such as certain types of infertility or delayed puberty in girls. However, the off-label use of EstroGel should only be done under the guidance and supervision of a qualified healthcare professional.

What special precautions should I follow?

Special precautions should be observed when using EstroGel. Here are some important considerations:

• Medical history: Before starting EstroGel therapy, it’s crucial to provide your healthcare provider with a detailed medical history, including any allergies, past medical conditions (such as breast cancer, heart disease, or blood clots), and current medications or supplements being taken.
• Regular check-ups: Regular follow-up appointments with your healthcare provider are essential while using EstroGel. These appointments allow for monitoring of your response to treatment, assessment of any side effects, and adjustment of dosage if necessary.
• Breast cancer screening: Women using EstroGel should undergo regular breast cancer screening, such as mammograms, as recommended by their healthcare provider. Estrogen therapy may slightly increase the risk of breast cancer, so vigilant monitoring is essential.
• Cardiovascular health: Estrogen therapy may increase the risk of cardiovascular events such as stroke and heart disease, particularly in older women or those with pre-existing cardiovascular risk factors. It’s important to discuss any concerns about cardiovascular health with your healthcare provider before starting EstroGel therapy.
• Blood clot risk: Estrogen therapy, including EstroGel, may increase the risk of blood clots, which can lead to serious conditions like deep vein thrombosis (DVT) or pulmonary embolism. Inform your healthcare provider if you have a history of blood clots or if you experience symptoms such as swelling, pain, or redness in your legs.
• Other medications: Inform your healthcare provider about all medications, including prescription drugs, over-the-counter medications, and supplements, that you are taking. Some medications may interact with EstroGel, affecting its effectiveness or increasing the risk of side effects.
• Pregnancy and breastfeeding: EstroGel is not indicated for use during pregnancy. If you become pregnant or are breastfeeding while using EstroGel, discuss the potential risks and benefits with your healthcare provider.

Always follow your healthcare provider’s instructions and advice regarding the use of EstroGel, and don’t hesitate to ask any questions or raise concerns you may have about its use.

What special dietary instructions should I follow?

There are no specific dietary instructions associated with EstroGel. However, maintaining a balanced diet and a healthy lifestyle can contribute to overall well-being, which may complement hormone therapy.

What should I do if I forget a dose?

If you forget to apply a dose of EstroGel, take the missed dose as soon as you remember. However, if it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not apply extra gel to make up for a missed dose.

What side effects can this medication cause?

EstroGel, like any medication, can cause side effects in some individuals. Common side effects associated with EstroGel may include:

• Breast tenderness or enlargement
• Headache
• Nausea
• Vaginal bleeding or spotting
• Abdominal pain
• Bloating
• Fluid retention
• Mood changes
• Skin irritation or rash at the application site
• Weight changes

These side effects are typically mild and may improve as your body adjusts to the medication. However, if any of these side effects persist or worsen, it’s essential to consult your healthcare provider.

In addition to these common side effects, EstroGel use may also be associated with more severe side effects that require immediate medical attention. These can include:

• Chest pain or discomfort
• Sudden severe headache or migraine
• Sudden vision changes
• Severe abdominal pain or swelling
• Shortness of breath
• Sudden leg pain or swelling
• Symptoms of a blood clot, such as warmth, redness, or pain in the leg

It’s important to promptly report any unusual or severe symptoms to your healthcare provider while using EstroGel. Your healthcare provider can help assess whether these symptoms are related to the medication and determine the appropriate course of action.

It’s worth noting that the risk of experiencing side effects may vary from person to person, and not everyone will experience them. Always follow your healthcare provider’s instructions regarding the use of EstroGel, and don’t hesitate to discuss any concerns or questions you may have about its side effects.

What should I know about storage and disposal of this medication?

Storage and Disposal:

• Store EstroGel at room temperature, away from heat, moisture, and light.
• Keep EstroGel out of reach of children and pets.
• Do not freeze EstroGel.
• Safely discard any unused or expired EstroGel according to local regulations or guidelines. Do not flush it down the toilet or pour it into a drain unless instructed to do so.

In case of emergency/overdose

In case of an emergency or suspected overdose of EstroGel, contact emergency medical services or a poison control center immediately. Symptoms of overdose may include nausea, vomiting, vaginal bleeding, and breast tenderness. Do not attempt to induce vomiting unless instructed by medical professionals.

What other information should I know?

• Inform all healthcare providers involved in your care that you are using EstroGel, including dentists and specialists.
• Attend regular follow-up appointments with your healthcare provider to monitor your response to treatment and assess any potential side effects.
• Keep a list of all medications, supplements, and herbal products you are taking and share it with your healthcare provider.
• Avoid smoking while using EstroGel, as smoking may increase the risk of certain side effects, such as blood clots and cardiovascular complications.
• Be cautious when applying EstroGel to prevent accidental transfer to others, especially children and pets. Wash your hands thoroughly after applying EstroGel.
• Do not share EstroGel with others, even if they have similar symptoms.
• Follow your healthcare provider’s instructions regarding dosage, application, and duration of treatment with EstroGel.
• Report any new or worsening symptoms to your healthcare provider promptly.

By following these guidelines, you can safely and effectively use EstroGel while minimizing risks and maximizing benefits. Always consult your healthcare provider if you have any questions or concerns about EstroGel or its use.