What is Elestrin?
Elestrin is a medicine in a colorless gel that contains an estrogen hormone (estradiol) which is absorbed through the skin into the bloodstream.
What is Elestrin used for?
Elestrin is used after menopause to:
Reduce moderate-to-severe hot flashes
Estrogens are hormones made by a woman's ovaries. The ovaries normally stop making estrogens when a woman is between 45 to 55 years old. This drop in body estrogen levels causes the change of life or menopause
(the end of monthly menstrual periods). Sometimes, both ovaries are removed during an operation before natural menopause takes place. The sudden drop in estrogen levels causes surgical menopause.
When the estrogen levels begin dropping, some women develop very uncomfortable symptoms, such as feelings of warmth in the face, neck, and chest, or sudden strong feelings of heat and sweating (hot flashes or hot flushes). In some women, the symptoms are mild, and they will not need estrogens. In other women, symptoms can be more severe. You and your healthcare provider should talk regularly about whether you still need treatment with Elestrin.
Who should not use Elestrin?
Do not start using Elestrin if you:
Have unusual vaginal bleeding
Currently have or have had certain cancers
Estrogens may increase the chances of getting certain types of cancers, including cancer of the breast or uterus. If you have or had cancer, talk with your healthcare provider about whether you should use Elestrin.
Had a stroke or heart attack in the past year
Currently have or have had blood clots
Currently have or have had liver problems
Are allergic to Elestrin or any of its ingredients
See below for a list of ingredients in Elestrin
Think you may be pregnant
Tell your healthcare provider:
If you are breastfeeding
The hormone in Elestrin can pass into your milk.
About all of your medical problems
Your healthcare provider may need to check you more carefully if you have certain conditions, such as asthma
(wheezing), epilepsy (seizures), migraine, endometriosis, lupus, or problems with your heart, liver, thyroid, kidneys, or have high calcium levels in your blood.
About all the medicines you take
This includes prescription and nonprescription medicines, vitamins, and herbal supplements. Some medicines may affect how Elestrin works. Elestrin may also affect how your other medicines work.
If you are going to have surgery or will be on bed rest
You may need to stop using Elestrin.
What are the ingredients in Elestrin?
Active ingredient: estradiol.
Inactive ingredients: purified water, ethanol, propylene glycol, diethylene glycol monoethyl ether, carbomer 940, triethanolamine, and edetate disodium.
How should I use Elestrin?
1. Start at the lowest dose and talk to your healthcare provider about how well that dose is working for you.
2. Elestrin should be used at the lowest dose possible for your treatment and only as long as needed. You and your healthcare provider should talk regularly (for example, every 3 to 6 months) about the dose you are taking and whether you still need treatment with Elestrin.
Elestrin comes in a metered-dose pump. One dose of Elestrin is released each time the pump is depressed (pressed down).
Use Elestrin exactly how your healthcare provider tells you.
The Elestrin pump contains enough of the medicine to let you prime the pump before you use it the first time
(ten depressions) and then use the pump a total of 100 times (100 depressions) as prescribed by your healthcare provider. After you have initially primed the pump with ten pump depressions and have used a total of 100 doses of Elestrin, you will need to throw the pump away and use a new one. The correct amount of medicine in each dose cannot be assured after 100 doses have been used, even though the pump container is not completely empty.
Important things to remember when using Elestrin
Wash your hands with soap and water after applying the gel to reduce the chance that the medicine will be spread from your hands to other people.
Allow the gel to dry for five minutes or more before dressing. Try to keep the area dry for as long as possible. Do not allow others to come in contact with the area of skin where you applied the gel for at least two hours after you apply Elestrin.
Always move the spout into locked position and place the cap over the top of the pump after each use. Never apply Elestrin to the breast. Never apply Elestrin in or around the vagina.
Do not allow others to apply the gel for you.
Do not apply sunscreen to the area where the gel was applied for at least 25 minutes.
Do not apply sunscreen to the area where the gel was applied for 7 or more consecutive days.
Avoid fire, flame or smoking until the gel has dried. Elestrin contains alcohol. Alcohol based gels are flammable. It is important that you read and follow the detailed Patient Instructions for Use at the end of this leaflet on how to use the Elestrin pump and apply the dose.
What should I do if someone else is exposed to Elestrin?
If someone else is exposed to Elestrin by direct contact with the gel, that person should wash the area of contact with soap and water as soon as possible. The longer the gel is in contact with the skin before washing, the greater is the chance that the other person will absorb some of the estrogen hormone. This is especially important for men and children.
What should I do if I get Elestrin in my eyes?
If you get Elestrin in your eyes, rinse your eyes right away with warm clean water to flush out any Elestrin. Seek medical attention if needed.