alone substudy
reported increased risks of stroke and deep vein thrombosis (DVT) in
postmenopausal women (50 to 79 years of age) during 6.8 years and 7.1
years, respectively, of treatment with daily oral conjugated estrogens (CE
0.625 mg), relative to placebo. The estrogen plus progestin WHI substudy
reported increased risk of myocardial infarction, stroke, invasive breast
cancer, pulmonary emboli, and DVT in postmenopausal women (50 to 79 years
of age) during 5.6 years of treatment with daily oral CE 0.625 mg combined
with medroxyprogesterone acetate (MPA 2.5 mg), relative to placebo. The
Women's Health Initiative Memory Study (WHIMS), a substudy of the WHI,
reported increased risk of developing probable dementia in postmenopausal
women 65 years of age or older during 5.2 years of treatment with daily CE
0.625 mg alone and during 4 years of treatment with daily CE 0.625 mg
combined with MPA 2.5 mg, relative to placebo. It is unknown whether this
finding applies to younger postmenopausal women. In the absence of
comparable data, these risks should be assumed to be similar for other
doses of CE and MPA and other combinations and dosage forms of estrogens
and progestins. Because of these risks, estrogens with or without
progestins should be prescribed at the lowest effective doses and for the
shortest duration consistent with treatment goals and risks for the
individual woman.
In a clinical trial with Evamist(TM), the most common side effects were
headache, breast tenderness, nasopharyngitis, nipple pain, back pain,
nausea, and arthralgia.
Evamist(TM) should not be used in women with undiagnosed abnormal
genital bleeding; known, suspected, or history of breast cancer; known or
suspected estrogen-dependent neoplasia; active deep vein thrombosis,
pulmonary embolism, or history of these conditions; active or recent
arterial thromboembolic disease; liver dysfunction or disease; or known or
suspected pregnancy.
Full prescribing information for Evamist
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SOURCE KV Pharmaceutical Company Copyright©2008 PR Newswire. All rights reserved | |
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