Premarin Vaginal Cream 14Gm

About the drug:
Premarin is a conjugated estrogen cream. Estrogen is a female hormone. Conjugated estrogens vaginal cream belongs to the class of medications known as?estrogen replacement therapy. This drug is used by the women who suffer from vaginal and urinary menopausal symptoms?such as itching, burning, dryness around the vaginal area, difficulty in urination, and excruciating and pain during sexual intercourse.
Uses of the drug:

Premarin vaginal cream is hence indicated for:
Treatment of atrophic vaginitis
Treatment of moderate to severe dyspareunia

Working of the drug:
In women, menopause generally occurs somewhere between 45-55 years of age. After menopause the body produces less amount of estrogen. Menopause is hence marked by symptoms such as “hot flushes”, night sweats, vaginal dryness, itching and painful sexual intercourse.???????
Conjugated estrogens are like the hormones produced by the ovaries before menopause, they can help to control the symptoms. Along with progesterone the estrogen is used to treat women who have had their uterus or “womb? removed.
Manufacturer:
Premarin cream is manufactured by a very well known pharmaceutical company, Wyeth Pharmaceuticals. It is available on our websites in the packs of 1, 3, 5 tubes. to buy premarin 14 gm cream online, visit 24x7pharma.com.
Dosage form and strengths:
The drug Premarin cream is available in a 14g tube, containing 0.625 mg of active ingredient i.e. conjugated estrogens per gm of the product.
Before you take the drug:
Do not take the drug if you:

Are allergic to conjugated estrogen or to any of the ingredients of the medication
Are pregnant or have suspected
Have a history of known or suspected estrogen-dependent tumors such as breast or uterine cancer

Tell your doctor if you:

Have liver disease or problems
Have undiagnosed irregular vaginal bleeding
Have complaint of endometrial hyperplasia

Dosage:
How much to take?
The dose of this medicine is dependent on the individual using this cream. Cyclic administration of 0.50 to 2 gm intra-vaginally, daily for 21 days is generally recommended. However the lowest dose that will treat the symptoms should be used.
How to apply?
Read all the instruction provided in the leaflet by the manufacturer. In case of any confusion consult your doctor. The cream may be applied into the vagina using the applicator provided. Then it is applied to the outside areas of the vagina, or both.
To use the applicator, remove the cap of the tube and then screw the nozzle end of the applicator onto the tube. Squeeze the cream till it reaches up to the mark indicated by your doctor. Unscrew the applicator from the tube. Insert the applicator high into the vagina and then press the plunger to release the cream into the vagina. Pull the plunger out from the barrel and wash it with warm water and mild soap. Do not boil or use extra hot water to clean the applicator.
When to apply?
Use the cream daily once after having a warm shower or cleaning the vaginal area. Talk with your doctor or pharmacist about the dosing schedule that would work best for you.
For how long to use it?
The cream should be used on a regular cycle, with 3 weeks (21 days) of use followed by one week-off.?Apply this medicine until your doctor tells you to stop even if you feel quite well. Tell your doctor in case your condition does not improve.
Overdose:
Do not apply too much of the cream as it may cause unwanted side effects. Talk to your doctor if such a condition occurs. Never change the way you are using the medication without consulting your doctor.
Miss dose:
If you miss the dose just leave it and apply the cream on the correct schedule the next time. Do not administer a double dose to make up for a missed one.?If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Side effects of the drug:
A side effect is an unwanted response to a medication when it is taken in normal doses.?The side effects listed below are not experienced by everyone who takes this medication:

Genital rashes
Severe allergic reactions
Vaginal bleeding and vaginitis
Irritation and burning sensation

In such cases you must go for immediate medical help. Do not get alarmed by the list. You may /may not experience all of them. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Common drug interactions:
There is a long list of the drugs that must not be taken if one is recommended Premarin. Keep a list of all the drugs that you might be taking, so as to consult your doctor about any kind of serious drug interactions. You may have to stop taking one of the medicines if you are on a dose of Premarin:

Anti-diabetic medications
Barbiturates
Carbamezapine
Cimetidine
Clarithromycin
Corticosteroids
Dexamethasone
Grapefruit juice
Ketoconazole
Rifampin
Ritonavir
Topiramate
St. John’s Wort
Theophylline
Warfarin etc.

You should also consult your doctor to get a full list of the drugs to be avoided.
Warning:
Things to remember:

The drug is not prescribed for children
Avoid prolonged sun exposure, tanning booths and Sunlamps
Caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action
Whenever you visit the hospital inform your doctor that you are taking Premarin