This page is for informational purposes only
What is Estring (Estradiol Vaginal Ring) ?
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How is Estring (Estradiol Vaginal Ring) Pronounced? ess-truh-DYE-all
Who is the Manufacturer of Estring? Pharmacia/upjhn
What is Estring Used For? Estring is a female hormone and is usually given to women who no longer produce the proper amount. It is used to treat vaginal and urinary symptoms associated with menopause.
How To Use Estring
Insert the ring into the upper third of the vagina as directed. Generally, the ring is left in place for 90 days and then removed and replaced with a new ring if therapy is continued. Do not leave a ring in place for longer than 90 days. Follow the dosing schedule carefully. Learn all usage instructions in the product package and ask your doctor or pharmacist if you are unclear about any of the information. When placed properly, you should not feel the ring and it will not interfere with sexual intercourse. If the ring moves into the lower part of your vagina, push it back into place with your finger. If the ring falls out of the vagina, rinse the ring with lukewarm water and re-insert. The ring is removed by hooking your finger through the ring and gently pulling it out. Discard the used ring in the trash container. Do not flush it down the toilet. Vaginal and urinary symptoms should improve within 2-3 weeks of starting Estring. If symptoms persist, contact your doctor. Read the Patient Information Leaflet available from your pharmacist. Consult your doctor or pharmacist if you have any questions.
Estring Side Effects
Vaginal discomfort, increased vaginal discharge, dizziness, lightheadedness, headache, stomach upset, bloating, nausea, weight changes, increased/decreased interest in sex, and breast tenderness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these unlikely but serious side effects occur: mental/mood changes (e.g., severe depression, memory loss), calf pain/swelling, sudden severe headache, chest pain, trouble breathing, one-sided weakness, slurred speech, vision changes (e.g., change in contact lens fit, loss of vision), breast lumps, swelling of hands or feet, changes in vaginal bleeding (e.g., spotting, breakthrough bleeding or prolonged bleeding), unusual vaginal discharge/itching/odor, yellowing of eyes or skin. An allergic reaction to Estring is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.
Estring Precautions
Estring should not be used if you have certain medical conditions. Before using Estring, consult your doctor or pharmacist if you have: undiagnosed abnormal vaginal bleeding, certain cancers (e.g., breast cancer, especially non-metastatic type), blood clots, active/recent stroke, heart attack. Before using Estring, tell your doctor or pharmacist your medical history, especially of: family medical history (especially breast lumps and cancer), asthma, diabetes, seizures, migraine headaches, liver disease, heart disease (e.g., high blood pressure, heart attacks, congestive heart failure), kidney disease, low thyroid hormone (hypothyroidism), abnormal calcium level in the blood, depression, high blood pressure during pregnancy (toxemia), yellowing of eyes and skin (cholestatic jaundice) during pregnancy or with past estrogen use, womb problems (e.g., uterine fibroids, endometriosis), vaginal conditions (e.g., recurring vaginal infections, prolapse, stenosis), cholesterol or lipid problems, gallbladder disease, excessive weight gain, certain blood disorder (porphyria), any allergies. If you develop a vaginal infection while using the ring, it is recommended that you remove the ring and resume therapy after the infection has been treated. Consult your doctor or pharmacist for more information. If you will be having surgery or will be confined to a chair or bed for a long period of time (e.g., a long plane flight), notify your doctor beforehand. Special precautions may need to be taken in these circumstances while you are using Estring. Estring may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Estring may cause a patchy darkening of the skin on the face (melasma). Sunlight may intensify this darkening and you may need to avoid prolonged sun exposure and sunlamps. Consult your doctor regarding use of sunscreens and protective clothing. Cigarette smoking can increase the chance of blood clots while taking Estring (especially in women over the age of 35). Estring must not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. Estring may pass into breast milk and may have undesirable effects on a nursing infant. Therefore, breast-feeding while using Estring is not recommended.
Estring Drug Interactions
Before using Estring, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: other vaginal products. It is recommended that the ring be removed during treatment with other vaginal products. Consult your doctor or pharmacist for more information. This product can affect the results of certain lab tests. Make sure laboratory personnel and your doctors know you use Estring. Do not start or stop any medicine without doctor or pharmacist approval.
Estring Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Estring may be harmful if swallowed. Symptoms of overdose may include: severe nausea/vomiting or excessive vaginal bleeding.
Missed Estring Dose
Not applicable. However, if you have not inserted a new ring after 90 days, contact your doctor to establish a new schedule for using Estring.
Estring Storage
Store at room temperature between 59 and 86 degrees F (15 and 30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.
| Generic and Namebrand Variations |
|---|
| Label Name | Unit | Package | Color | Shape | Flavor | NDC |
|---|
| Estring 2mg Vaginal Ring |
Ea |
Box |
White |
Round |
|
00013215036 |
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