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Delestrogen (Generic Estrogen Injection)

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WARNING

Estrogen raises your risk of getting endometrial cancer (cancer of the lining of the uterus [womb]). The chance of developing endometrial cancer increases with the duration of oestrogen use. You should be prescribed a progestin to take along with an oestrogen injection if you have not had a hysterectomy, a procedure to remove the uterus. The chance of endometrial cancer may decline as a result, but your risk of certain other medical conditions, such as breast cancer, may rise. Inform your doctor if you have or have ever had cancer as well as any unusual vaginal bleeding prior to starting oestrogen injection. If you experience unusual or abnormal vaginal bleeding while receiving oestrogen injectable therapy, call your doctor right once. To assist ensure that you do not develop endometrial cancer during or after your treatment, your doctor will keep a careful eye on you.

A significant study found that dementia, blood clots in the legs or lungs, breast cancer, and heart attacks were all more common in women who took oral oestrogen and progestins (loss of ability to think, learn, and understand). These disorders may also be more likely to affect women who use oestrogen injections, either alone or in combination with progestins. Inform your doctor if you smoke or use tobacco, if you’ve recently suffered a heart attack or stroke, if you currently have or have previously had breast cancer, or if anybody in your family has any of these conditions. Additionally, let your physician know if you have ever experienced breast lumps, an abnormal mammogram, high blood pressure, high cholesterol or fat levels, diabetes, heart disease, lupus (a condition in which the body attacks its own tissues, causing damage and swelling), high blood sugar, or high blood pressure (x-ray of the breast used to find breast cancer).

The major medical disorders mentioned above can present with any of the symptoms below. If you have any of the following signs while receiving oestrogen injection, call your doctor right away: Speech difficulties, dizziness or faintness, sudden complete or partial vision loss, double vision, numbness or weakness of an arm or a leg, crushing chest pain or chest heaviness, coughing up blood, sudden shortness of breath, trouble thinking clearly, remembering, or learning new things, breast lumps or other breast changes, discharge from nipples, or pain, tenderness, or redness in one leg are all symptoms of a sudden severe headache, vomiting, and headache of equal severity.

You can take precautions to lessen your chance of experiencing a significant health issue when using oestrogen injection. To avoid dementia, heart disease, heart attacks, or strokes, do not take oestrogen injections either by themselves or in combination with progestins. Just use oestrogen injections as long as necessary, and use the lowest dose of oestrogen that manages your symptoms. Every three to six months, discuss with your doctor whether you should reduce your oestrogen dosage or stop taking the drug.

To help find breast cancer as early as possible, you should check your breasts monthly and get a mammography and breast exam conducted by a doctor once a year. If you have a personal or family history of illness, your doctor will advise you on how to properly inspect your breasts and whether you need to have them checked more frequently than once a year.

If you are undergoing surgery or will be put on bed rest, let your doctor know. In order to reduce your risk of developing blood clots, your doctor may advise stopping oestrogen injections 4-6 weeks before to the procedure or placing you on bed rest.

Regularly discuss the advantages and disadvantages of using oestrogen injections with your doctor.

Why is this medication prescribed?

Hot flushes (also known as hot flashes; sudden, intense feelings of heat and sweating) and/or vaginal dryness, itching, and burning in menopausal women are treated with the oestrogen injection forms estradiol cypionate and estradiol valerate (change of life; the end of monthly menstrual periods). However, women who only have vaginal dryness, irritation, or burning should think about switching to a different medicine. The symptoms of low oestrogen in young women who do not naturally make enough oestrogen are occasionally treated with these types of oestrogen injections. Injections of estradiol valerate are sometimes used to treat the symptoms of specific prostate cancers, which affect the male reproductive system. When a doctor determines that abnormal vaginal bleeding is solely caused by an issue with the body’s hormone levels, they will administer oestrogen injections in the conjugated oestrogens type. An oestrogen injection is a type of hormone-based medicine. It functions by substituting the body’s natural production of oestrogen.

How should this medicine be used?

The long-acting oestrogen injection forms, estradiol cypionate and estradiol valerate, are available as liquids to inject into muscles. A medical expert often administers these drugs by injection once every three to four weeks. A healthcare provider often administers the estradiol valerate kind of oestrogen injection once every one to two weeks to treat the signs and symptoms of prostate cancer.

Conjugated oestrogen injection comes in powder form, which must be mixed with sterile water before being injected into a muscle or vein. A medical expert often administers it via injection in a single dose. If additional treatment is required to stop vaginal bleeding, it may be administered 6 to 12 hours after the first dosage.

Between 1 to 5 days of receiving an oestrogen injection for the treatment of hot flushes, your symptoms ought to start to subside. If your symptoms don’t go away within this time, let your doctor know.

For a copy of the manufacturer’s information for the patient, ask your chemist or doctor.

Other uses for this medicine

Ask your doctor or chemist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using estrogen injection,

  • If you have an allergy to oestrogen injection, any other oestrogen products, any drugs, or any of the substances in oestrogen injection, let your doctor and pharmacist know right once. For a list of the components in the brand of oestrogen injection you intend to use, see your chemist or the patient information provided by the manufacturer.
  • Inform your doctor and chemist about any prescription and over-the-counter drugs, vitamins, and dietary supplements you are currently taking or intend to take. Incorporate any of the following: (Cordarone, Pacerone) amiodarone; a number of antifungal medications, including itraconazole (Sporanox) and ketoconazole (Nizoral); aspirin (Emend); carbamazepine (Carbatrol, Epitol, Tegretol); cimetidine (Tagamet); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron, Dexpak); fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox); griseofulvin (Fulvicin, Grifulvin, Gris-PEG); erythromycin (E.E.S., Erythrocin); diltiazem (Cardizem, Dilacor, Tiazac, and others); lovastatin (Altocor, Mevacor); prescription drugs for AIDS or the human immunodeficiency virus (HIV), such as lopinavir (in Kaletra), atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra), and saquinavir (Fortovase, Invirase); drugs for treating thyroid conditions, nefazodone, phenobarbital, phenytoin (Dilantin, Phenytek), rifabutin (Mycobutin), rifampin (Rifadin, Rimactane, in Rifamate), sertraline (Zoloft), troleandomycin (TAO), verapamil (Calan, Covera, Isoptin, Verelan), and (Accolate). Your doctor might need to adjust your medication doses or keep a close eye out for any negative side effects.
  • Please let your doctor know if you are taking any herbal supplements, especially St. John’s wort.
  • Inform your doctor if you have or have ever had yellowing of the skin or eyes during pregnancy or while taking an oestrogen supplement, endometriosis (a condition in which the tissue that lines the uterus [womb] grows in other areas of the body), uterine fibroids (growths in the uterus that are not cancer), asthma, or any other medical condition that could cause this, migraines, seizures, very high or very low blood calcium levels, thyroid, liver, kidney, gallbladder, or pancreatic disease, porphyria (condition in which abnormal compounds accumulate in the blood and create difficulties with the skin or neurological system), or abnormal substances building up in the blood.
  • Inform your doctor if you are expecting, intend to get pregnant, or are nursing a baby. Call your doctor if you become pregnant while taking oestrogen injections.

What special dietary instructions should I follow?

If you plan to consume grapefruits or grapefruit juice while taking this medication, consult your doctor.

What should I do if I forget a dose?

Call your doctor as soon as you can if you are going to be late for an appointment to receive an injection of oestrogen.

What side effects can this medication cause?

Side effects from oestrogen injection could occur. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Achy or sensitive breasts
  • Uneasy stomach
  • Vomiting
  • Loss or increase of weight
  • Dizziness
  • Nervousness
  • Depression
  • Irritability
  • Alteration of sexual desire
  • Hair fall
  • Excessive hair growth
  • Sporadic darkening of the face’s skin
  • Using contact lenses is challenging
  • Leg twitches
  • Vaginal enlargement, redness, stinging, itching, or irritation
  • Vaginal discharge

Some adverse effects may be severe. Call your doctor right away if you have any of the following symptoms or any of the ones detailed in the IMPORTANT CAUTION section:

  • Enlarged eyes
  • Stomach discomfort, soreness, or pain
  • Reduced appetite
  • Weakness
  • Eyes or skin that have a yellow tint
  • Joints hurt
  • Moves that are challenging to manage
  • Blisters or a rash
  • Hives
  • Itching
  • Swelling of the lower legs, lower arms, hands, feet, ankles, tongue, or throat
  • Hoarseness
  • Breathing or swallowing challenges

Estrogen may raise your risk of getting ovarian cancer or gallbladder disease, both of which may require surgical intervention to address. Consult your doctor about the dangers of oestrogen injectable use.

In children who receive high amounts of oestrogen over an extended period of time, growth may halt or stop entirely. The time and rate of a child’s sexual development may also be impacted by oestrogen injection. The doctor treating your child for oestrogen use will keep a close eye on him or her. The hazards of giving your child this medication should be discussed with your child’s doctor.

Further negative effects from oestrogen injection are possible. If you experience any strange issues while taking this medicine, contact your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

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

The drug will be kept by your doctor in their office.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Moreover, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose symptoms could include:

  • Uneasy stomach
  • Vomiting
  • Uterine bleeding

What other information should I know?

Keep all of your doctor’s appointments.

Inform the lab staff and your doctor that you are getting oestrogen injections prior to any laboratory test.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Delestrogen®
  • DEPO-Estradiol®
  • Premarin® I.V.
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