{"id":5471,"date":"2020-12-18T14:53:11","date_gmt":"2020-12-18T14:53:11","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5471"},"modified":"2023-02-26T14:08:23","modified_gmt":"2023-02-26T14:08:23","slug":"angemin","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/angemin\/","title":{"rendered":"Angemin &#8211; Estradiol \/ Drospirenone Uses, Dose And Side Effects"},"content":{"rendered":"\n<p>Angemin 1 mg\/2 mg&nbsp;Estradiol\/Drospirenone Film Coated Tablets<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Angemin Is And What Angemin Used For?<\/h2>\n\n\n\n<p>Angemin is a preparation used for hormonal\u00a0substitution therapy\u00a0(\u00a0HormoneReplacement\u00a0Therapy\u00a0,\u00a0HRT\u00a0).\u00a0It contains two female sex hormones;\u00a0an\u00a0estrogen\u00a0and a\u00a0progestogen\u00a0.\u00a0Angemin is used in women whose menstruation has stopped (\u00a0menopause\u00a0) at least 1 year after their last natural menstruation.<\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Angemin used for<\/span><\/strong><\/p>\n\n\n\n<p>Relieve symptoms during and after\u00a0menopause When menopause ceases (\u00a0menopause\u00a0), a woman&#8217;s\u00a0estrogen\u00a0drops\u00a0.\u00a0It can cause problems such as sweating and hot flashes.\u00a0Angemin relieves these symptoms after\u00a0menopause\u00a0.\u00a0Angemin should only be used if the problems cause problems in daily life<\/p>\n\n\n\n<p><span style=\"text-decoration: underline;\"><strong>Preventing osteoporosis<\/strong>\u00a0<\/span><br>after\u00a0menopause\u00a0suffer some women with osteoporosis (\u00a0osteoporosis\u00a0).\u00a0Discuss all possible options with your doctor.\u00a0<br>If you have an increased risk of\u00a0fractures\u00a0(bone fractures) and other medicines that are not suitable for you, you can use Angemin to prevent osteoporosis after\u00a0menopause\u00a0.<\/p>\n\n\n\n<p>Angemin is a preparation used for hormonal\u00a0substitution therapy\u00a0(\u00a0HormoneReplacement\u00a0Therapy\u00a0,\u00a0HRT\u00a0).\u00a0It contains two female sex hormones;\u00a0estrogen\u00a0and a\u00a0progestogen.\u00a0Angemin is used in women whose menstruation has stopped (\u00a0menopause\u00a0) at least 1 year after their last natural menstruation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What You Need To Know Before You Use Angemin?<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do Not Use Angemin:<\/h2>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Medical background and regular check-ups<\/span><\/strong><\/p>\n\n\n\n<p>The use of\u00a0HRT\u00a0involves risks that must be considered when deciding to start or continue an ongoing treatment.<br>Experience is limited for treating women whose menstruation has stopped prematurely (when the ovaries have stopped working or the uterus has been removed).\u00a0If you belong to that group, the risks of\u00a0HRT\u00a0may be different.\u00a0Talk to your doctor.<br>Before starting treatment (or resuming treatment), your doctor will ask about your and your family&#8217;s medical background.\u00a0Your doctor may do a general medical and gynecological examination, including examination of your breasts.<\/p>\n\n\n\n<p>Once you have started treatment with Angemin, you should have regular medical check-ups (at least once a year).\u00a0During these checks, you should discuss with your doctor the benefits and risks of continuing treatment with Angemin.<\/p>\n\n\n\n<p><strong>Perform regular breast examinations according to your doctor&#8217;s recommendations.<\/strong><\/p>\n\n\n\n<p><strong>Do not take Angemin<\/strong>&nbsp;<br>if any of the following apply to you.&nbsp;If you are not sure,&nbsp;<strong>talk to your doctor<\/strong>&nbsp;before taking Angemin.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have or have had\u00a0breast cancer\u00a0or if there is a suspicion that you may have it.<\/li><li>If you have an\u00a0estrogen-dependent\u00a0tumor,\u00a0e.g.,\u00a0cancer of the uterine lining (endometrium) or if there is a suspicion of such cancer.<\/li><li>If you have\u00a0unexplained bleeding from the abdomen,<\/li><li>If you have severe\u00a0thickening of the uterine lining\u00a0(\u00a0endometrial hyperplasia\u00a0).<\/li><li>If you have or have had a\u00a0blood clot in a vein\u00a0(venous\u00a0thromboembolism\u00a0), for example, in the legs (deep\u00a0vein thrombosis\u00a0)\u00a0or the lungs\u00a0(\u00a0pulmonary embolism\u00a0).<\/li><li>If you have a\u00a0coagulation disorder\u00a0, a condition with an increased risk of blood clots (lack of\u00a0protein\u00a0C,\u00a0protein\u00a0S or antithrombin).<\/li><li>If you have or have had a disease caused by blood clots in the\u00a0arteries,\u00a0are as\u00a0heart attack,\u00a0stroke\u00a0(stroke), or angina.<\/li><li>If you have had any\u00a0liver disease\u00a0and still have abnormal liver function values.<\/li><li>If you have\u00a0porphyria,\u00a0a rare, inherited blood disorder.<\/li><li>If you have\u00a0severe kidney disease or\u00a0acute\u00a0kidney failure\u00a0.<\/li><li>If you are\u00a0allergic\u00a0(<a href=\"https:\/\/zeepedia.com\/medical\/diseases\/peanut-allergy-and-nut-allergy\/\">hypersensitive<\/a>) to\u00a0estrogen\u00a0,\u00a0progestogens\u00a0or any of the other ingredients of Angemin (these are listed in section 6).<\/li><\/ul>\n\n\n\n<p><strong>If any of the above conditions affect you the first time you use Angemin, stop taking Angemin immediately and contact a doctor immediately.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings And Cautions:<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Angemin. Talk to your doctor if you have ever had any of the following problems before starting treatment.\u00a0They may recur or worsen during treatment with Angemin.\u00a0Should this occur, have more frequent check-ups with a doctor.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Benign tissue nodule in the uterus<\/li><li>Growth of the uterine lining outside the uterus (\u00a0endometriosis\u00a0) or abnormal growth of the uterine lining (\u00a0endometrial hyperplasia\u00a0)<\/li><li>Increased risk of blood clots (see &#8220;Blood clots in a vein (\u00a0thrombosis\u00a0)&#8221;)<\/li><li>Increased risk of developing an estrogen-dependent\u00a0tumor\u00a0(for example, if you have a mother, sister or grandmother who has had breast cancer)<\/li><li>High\u00a0blood pressure<\/li><li>Liver disease, e.g., benign liver tumor<\/li><li>Ddiabetes<\/li><li>Gallstone<\/li><li>Migraine\u00a0or severe headache<\/li><li>A disease of the immune system that affects many of the body&#8217;s organs (<a href=\"https:\/\/zeepedia.com\/medical\/diseases\/sle\/\">systemic lupus erythematosus<\/a>,\u00a0SLE\u00a0)<\/li><li>Epilepsy<\/li><li>Asthma<\/li><li>A disease affecting the middle ear and hearing (otosclerosis)<\/li><li>Very high levels of fat in the blood (\u00a0triglycerides\u00a0)<\/li><li>Fluid retention due to heart or kidney problems<\/li><\/ul>\n\n\n\n<p><strong>Stop taking Angemin and see a doctor immediately<\/strong>. If you notice any of the following when using HRT:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Any of the things mentioned in the section &#8220;Do not take Angemin.&#8221;<\/li><li>If skin or whites of the eyes turn yellow (jaundice).\u00a0It may be a sign of liver disease<\/li><li>If your\u00a0blood pressure\u00a0rises sharply (symptoms may include headache, fatigue, dizziness)<\/li><li>If you are experiencing migraine-like headaches for the first time<\/li><li>If you become pregnant<\/li><li>If you get symptoms of a blood clot, such as:<ul><li>Painful swelling and\u00a0redness\u00a0of the legs<\/li><li>Sudden pain in the chest<\/li><li>Breathing difficulties<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>For more information, see &#8220;Blood clot in a vein (\u00a0thrombosis\u00a0).&#8221;<\/p>\n\n\n\n<p><strong>Note:<\/strong>\u00a0Angemin is not a contraceptive.\u00a0If it is less than 12 months since your last period, or if you are younger than 50 years, you may need to use contraception to prevent pregnancy.\u00a0Ask your doctor for advice.<\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">HRT\u00a0and cancer<\/span><\/strong><\/p>\n\n\n\n<p><strong>Severe thickening of the uterine lining (\u00a0endometrial hyperplasia\u00a0) and cancer of the uterine lining (endometrial cancer)<\/strong><\/p>\n\n\n\n<p>Using\u00a0HRT\u00a0with\u00a0estrogen\u00a0alone\u00a0increases the risk of severe thickening of the lining of the uterus (\u00a0endometrial hyperplasia\u00a0) and cancer of the uterine lining (endometrial cancer).\u00a0The progestogen\u00a0in Angemin protects you against this additional risk.<\/p>\n\n\n\n<p><strong>Irregular bleeding<\/strong>\u00a0<br>You may experience irregular spotting during the first 3 &#8211; 6 months of taking Angemin. About the irregular bleeding:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lasts for longer than the first 6 months<\/li><li>Starts after taking Angemin for more than 6 months<\/li><li>Continues after you stop taking Angemin<\/li><\/ul>\n\n\n\n<p><strong>you should see a doctor as soon as possible.<\/strong><\/p>\n\n\n\n<p><strong>Breast cancer<\/strong>\u00a0<br>Data show that hormone replacement therapy (\u00a0HRT\u00a0) with a combination of\u00a0estrogen-progestogen\u00a0or with\u00a0estrogen\u00a0alone\u00a0increases the risk of breast cancer.\u00a0The increased risk depends on how long you use\u00a0HRT\u00a0.\u00a0The increased risk is seen within 3 years.\u00a0When the treatment is stopped, the increased risk decreases over time, but it can persist for 10 years or more if you have used\u00a0HRT\u00a0for more than 5 years.<\/p>\n\n\n\n<p><span style=\"text-decoration: underline;\"><strong><em>Comparison<\/em>: <\/strong><\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Of 1,000 women aged 50 &#8211; 54 who do not take\u00a0HRT\u00a0, an average of 13 to 17 will be diagnosed with breast cancer over 5 years.<\/li><li>In women who are 50 years old and start taking\u00a0HRT\u00a0with\u00a0estrogen\u00a0alone\u00a0for 5 years, 16-17 cases per 1000 users (ie, 0-3 extra cases) will occur.<\/li><li>In women who are 50 years old and start taking\u00a0HRT\u00a0with\u00a0estrogen-progestogen\u00a0for 5 years, there will be 21 cases per 1000 users (i.e., 4 &#8211; 8 different cases).<\/li><li>Among women aged 50-59 who use\u00a0HRT\u00a0, an average of 27 out of 1,000 will be diagnosed with breast cancer over 10 years.<\/li><li>In women who are 50 years old and start taking\u00a0HRT\u00a0with\u00a0estrogen\u00a0alone\u00a0for 10 years, 34 cases per 1000 users (i.e., 7 extra cases) will occur.<\/li><li>In women 50 years old and start taking\u00a0HRT\u00a0with\u00a0estrogen-progestogen\u00a0for 10 years, 48 \u200b\u200bcases per 1000 users (i.e., 21 extra cases) will occur.<\/li><\/ul>\n\n\n\n<p><strong>Check your breasts regularly.&nbsp;Contact a doctor if you notice changes such as:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pits in the skin<\/li><li>Changes of the nipple<\/li><li>Nodules you can see or feel<\/li><\/ul>\n\n\n\n<p>You should also participate in a mammography examination when you are called to do so.\u00a0At the mammogram, you must tell the nurse \/ healthcare professional who examines that you are using\u00a0HRT, as this medicine may increase the density of the breasts.\u00a0An increased breast density can make detecting lumps on the mammography images more difficult.<\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Ovarian cancer (\u00a0ovarian cancer\u00a0)<\/span><\/strong>\u00a0<br>Ovarian cancer is rare &#8211; much more rare than breast cancer.\u00a0Use of\u00a0HRT\u00a0with\u00a0estrogen\u00a0alone\u00a0or combined\u00a0estrogen-progestogen\u00a0has been associated with a slightly increased risk of ovarian cancer.<\/p>\n\n\n\n<p>The risk of ovarian cancer varies with age.\u00a0For example, ovarian cancer diagnosis will be made on about 2 women out of 2000 aged 50 to 54 who do not take\u00a0HRT for a 5-year period.\u00a0For women who have taken\u00a0HRT\u00a0for 5 years, there will be about 3 cases per 2000 users (i.e., about 1 extra case).<\/p>\n\n\n\n<p><strong>How\u00a0HRT\u00a0affects the heart and circulation<\/strong>?<\/p>\n\n\n\n<p><strong>Blood clots in a vein (\u00a0thrombosis\u00a0)<\/strong><\/p>\n\n\n\n<p>The risk of\u00a0blood clots in a vein\u00a0is about 1.3 &#8211; 3 times higher for women who take\u00a0HRT\u00a0than those who do not, especially during the first year of treatment.<\/p>\n\n\n\n<p>Blood clots can be serious.\u00a0A blood clot in the lungs can cause chest pain, shortness of breath, fainting or even death.<\/p>\n\n\n\n<p>The risk of a blood clot in a vein increases with age and if any of the things mentioned below apply to you.\u00a0Tell your doctor if any of the following apply to you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You can not walk for a long time due to a major operation, injury or illness (see also section 3, If you are going to have an operation)<\/li><li>You are severely overweight (\u00a0BMI\u00a0> 30 kg \/ m2)<\/li><li>You have a coagulation disorder that requires long-term treatment with drugs that prevent blood clots.<\/li><li>If a close relative has ever had a blood clot in a bone, lung or other organ<\/li><li>You have systemic lupus erythematosus (\u00a0SLE\u00a0)<\/li><li>You have cancer<\/li><\/ul>\n\n\n\n<p>The symptoms of a blood clot are described in the section &#8220;Stop taking Angemin and see a doctor immediately.&#8221;<\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\"><em>Comparison<\/em>:<\/span><\/strong><br>For women in their 50s who do not take\u00a0HRT\u00a0, an average of 4 &#8211; 7 out of 1000\u00a0people are expected to have a blood clot in a vein over 5 years.\u00a0<br>Of women in their 50s who take\u00a0HRT\u00a0with\u00a0estrogen-progestogen\u00a0for more than 5 years, 9 &#8211; 12 out of 1000 users are expected to be affected (i.e., 5 cases).<\/p>\n\n\n\n<p><span style=\"text-decoration: underline;\"><strong>Heart disease (heart attack)<\/strong>:<\/span><br>There is no evidence that\u00a0HRT\u00a0prevents heart attack. Women over 60 who take\u00a0HRT\u00a0with\u00a0estrogen\u00a0&#8211;\u00a0progestogens have\u00a0a slightly higher risk of developing heart disease than those who do not.<\/p>\n\n\n\n<p><span style=\"text-decoration: underline;\"><strong>Stroke\u00a0(stroke)<\/strong><\/span>:<br>The risk of\u00a0stroke\u00a0is about 1.5 times higher for those taking\u00a0HRT\u00a0than those who do not.\u00a0The increase in the number of stroke cases due to the use of HRT increases with age.<\/p>\n\n\n\n<p><em><strong><span style=\"text-decoration: underline;\">Comparison<\/span><\/strong><\/em>:<br>Of women in their 50s who do not use\u00a0HRT\u00a0, 8 out of 1000 can be expected to suffer a\u00a0stroke\u00a0over 5 years.\u00a0Of women in their 50s who use\u00a0HRT\u00a0, 11 out of 1,000 are expected to be affected (i.e., 3 cases).<\/p>\n\n\n\n<p><strong>Other conditions<\/strong>:<br>HRT\u00a0does not prevent memory deterioration.\u00a0There is some evidence that women who start using\u00a0HRT\u00a0after the age of 65 have an increased risk of impaired memory.\u00a0Consult your doctor.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Suppose you have kidney disease and has high potassium levels, mainly if you use other drugs that increase the levels of serum &#8211; potassium. In that case, your doctor may need to measure blood potassium levels during the first month of treatment.<\/li><li>If you have high\u00a0blood pressure\u00a0, treatment with Angemin may lower it.\u00a0Angemin should not be used to treat high\u00a0blood pressure.<\/li><li>If you are predisposed to develop pigmentation (chloasma) on the face, you should avoid\u00a0exposing\u00a0yourself to sunlight or ultraviolet light when taking Angemin.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other Medicines And Angemin<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Some medicines may affect the way Angemin works.\u00a0This can lead to irregular bleeding.\u00a0This applies to the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Medicines for\u00a0<strong>epilepsy\u00a0<\/strong>(eg\u00a0barbiturates\u00a0,\u00a0phenytoin\u00a0, primidone, carbamazepine, oxcarbazepine, topiramate and felbamate)<\/li><li>Drugs for\u00a0<strong>tuberculosis<\/strong>\u00a0(e.g., rifampin and rifabutin)<\/li><li>Drugs for\u00a0HIV\u00a0&#8211; and\u00a0Hepatitis\u00a0C\u00a0infection\u00a0s\u00a0(called\u00a0protease inhibitors\u00a0and non-nucleoside reverse transcriptase inhibitors such as nevirapine, efavirenz, nelfinavir and ritonavir)<\/li><li>(Traditional) herbal medicines containing\u00a0St. John&#8217;s wort\u00a0(\u00a0Hypericum perforatum)<\/li><li>Medicines for\u00a0fungal infections\u00a0(e.g., griseofulvin, itraconazole,\u00a0ketoconazole, voriconazole,\u00a0fluconazole\u00a0), drugs for\u00a0bacterial\u00a0infection\u00a0s\u00a0(e.g., clarithromycin, erythromycin)<\/li><li>Medicines for\u00a0certain heart conditions, high\u00a0blood pressure\u00a0(e.g., verapamil,\u00a0diltiazem\u00a0)<\/li><li>Grapefruit juice<\/li><\/ul>\n\n\n\n<p>The following may lead to small increases in&nbsp;serum&nbsp;potassium:&nbsp;<br>Medicinal&nbsp;products&nbsp;used to treat:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Inflammation\u00a0or\u00a0pain\u00a0(eg\u00a0acetylsalicylic acid\u00a0,\u00a0ibuprofen\u00a0)<\/li><li>Certain types of heart disease\u00a0or<strong>\u00a0<\/strong>high\u00a0blood pressure\u00a0(e.g.,\u00a0diuretics\u00a0(diuretics),\u00a0ACE inhibitors\u00a0(e.g.,\u00a0enalapril\u00a0),\u00a0angiotensin\u00a0II antagonists (e.g.,\u00a0losartan\u00a0). If treated for high\u00a0blood pressure\u00a0and can take Angemin,\u00a0blood pressure is\u00a0lowered further.<\/li><\/ul>\n\n\n\n<p>Talk to your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription, herbal medicines or other natural products.<\/p>\n\n\n\n<p><strong>Results from blood test tests<\/strong>:<br>If you need to take a blood sample, tell your doctor, or the person taking the blood sample, that you are taking Angemin, as it may affect the results of some tests.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, Breastfeeding, And Fertility:<\/h2>\n\n\n\n<p>Angemin is intended for women whose menstruation has stopped.\u00a0If you become pregnant, stop taking Angemin immediately and contact a doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving And Using Machines:<\/h2>\n\n\n\n<p>Angemin does not affect your ability to drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Angemin Contains Lactose:<\/h2>\n\n\n\n<p>Angemin contains\u00a0lactose\u00a0(a kind of sugar).\u00a0If your doctor has told you that you are intolerant to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How To Use Angemin?<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Always take this medicine exactly as your doctor has told you.\u00a0Ask your doctor or pharmacist if you are unsure.\u00a0It is your doctor who decides how long to take Angemin.<\/li><li>Take one tablet a day, preferably at the same time.\u00a0Swallow the tablet whole with a bit of water.\u00a0Angemin can be taken with or without food.\u00a0After taking the last tablet in a tablet chart, start a new tablet chart the next day.<\/li><li>Do not pause between the maps.<\/li><li><strong>If you have taken other\u00a0HRT\u00a0preparations:<\/strong>\u00a0continue until you have taken the last tablet in a tablet chart and all the tablets for that month.\u00a0Take your first Angemin tablet the next day.\u00a0Do not pause between the old tablets and the Angemin tablets.<\/li><li><strong>If this is your first\u00a0HRT\u00a0treatment:<\/strong>\u00a0you can start taking Angemin tablets at any time of the day.<\/li><li>Always take Angemin precisely as your doctor has told you.\u00a0Ask your doctor or pharmacist if you are unsure.\u00a0It is your doctor who decides how long to take Angemin.\u00a0<\/li><li>Take one tablet a day, preferably at the same time.\u00a0Swallow the tablet whole with some liquid.\u00a0Angemin can be taken with or without food.\u00a0After taking the last tablet in a tablet chart, start a new tablet chart the next day.\u00a0<\/li><li>Do not pause between the maps.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If You Take More Angemin Than You Should:<\/h2>\n\n\n\n<p>If you accidentally ingest too much Angemin, you may experience nausea, vomiting, or menstrual-like bleeding.\u00a0No special treatment is necessary, but you should talk to your doctor or pharmacist if you are worried.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If You Forget To Use Angemin<\/h2>\n\n\n\n<p>If you forget to take a tablet at the usual time and if less than 24 hours have passed, you should take it as soon as possible.\u00a0<br>If it has been more than 24 hours since you should have taken your tablet, then leave the forgotten tablet in the pack.\u00a0Then continue to take the next tablet at the same time as usual.<\/p>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a forgotten tablet.\u00a0If you forget to take your tablet for several days, you may experience irregular bleeding.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If You Stop Taking Angemin:<\/h2>\n\n\n\n<p>You can feel the typical menopausal symptoms again, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Hot flashes<\/li><li>Sleep problems<\/li><li>Nervousness<\/li><li>Dizziness<\/li><li>Vaginal\u00a0dryness<\/li><\/ul>\n\n\n\n<p>You will also start losing bone mass when you stop using Angemin.\u00a0Talk to your doctor or pharmacist if you want to stop taking Angemin.\u00a0Ask your doctor or pharmacist if you have any further questions about using this product.<\/p>\n\n\n\n<p><strong>If you need to have an operation<\/strong>\u00a0<br>If you are going to have an operation, tell\u00a0your\u00a0surgeon\u00a0that you are taking Angemin.\u00a0You may need to stop taking Angemin for 4 to 6 weeks before surgery to avoid the risk of blood clots (see also section 2, \u201cBlood clots in a vein (\u00a0thrombosis\u00a0)\u201d).\u00a0Ask your doctor when you can start retaking Angemin.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible Angemin Side Effects:<\/h2>\n\n\n\n<p>Like all medicines, Angemin can cause\u00a0side effects,\u00a0although not everybody gets them. The following diseases are more common in women who take\u00a0HRT\u00a0than those who do not:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Breast cancer<\/li><li>Severe thickening of the uterine lining (\u00a0endometrial hyperplasia\u00a0) or cancer of the uterine lining (endometrial cancer)<\/li><li>Ovarian cancer<\/li><li>Blood clots in veins in bones or lungs (venous\u00a0thromboembolism\u00a0)<\/li><li>Heart disease<\/li><li>Stroke\u00a0(stroke)<\/li><li>Probable memory impairment if treatment with\u00a0HRT\u00a0begins after age 65<\/li><\/ul>\n\n\n\n<p>For more information on these\u00a0side effects\u00a0, see section 2.<\/p>\n\n\n\n<p>Like all medicines, Angemin cause\u00a0side effect\u00a0is, although not everybody suffers.\u00a0Below is a list of\u00a0side effects\u00a0is that has been linked to the use of Angemin,<\/p>\n\n\n\n<p><strong>The most common&nbsp;side effect&nbsp;are<\/strong>&nbsp;(occurring in more than 1 in 10):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Unexpected menstrual-like bleeding (see also section 2, \u201cHRT and cancer\/cancer of the uterine lining\u201d)<\/li><li>Sore breasts<\/li><li>Chest pain<\/li><\/ul>\n\n\n\n<p><strong>Unexpected menstrual bleeding<\/strong>\u00a0occurs during the first months of treatment with Angemin.\u00a0It is usually transient and disappears after the treatment has been going on for some time.\u00a0If symptoms persist, consult your doctor.<br><strong>Common\u00a0adverse\u00a0s<\/strong>\u00a0(occurring in 1 to 10 of 100 patients)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression<\/li><li>Mood swings<\/li><li>Nervousness<\/li><li>Headache<\/li><li>Abdominal pain<\/li><li>Nausea<\/li><li>Abdominal enlargement<\/li><li>Breast lumps (benign breast neoplasia)<\/li><li>Swollen breasts<\/li><li>Growth of\u00a0fibroids\u00a0(muscle knots in the uterus)<\/li><li>Non-carcinogenic growth of cervical cells (benign cervical\u00a0tumor\u00a0)<\/li><li>Bleeding disorders<\/li><li>Relocations<\/li><li>Weakness<\/li><li>Local fluid retention<\/li><\/ul>\n\n\n\n<p><strong>Less common&nbsp;side effect&nbsp;is<\/strong>&nbsp;(are present in 1 to 10 1 000 patients):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Weight gain or weight loss<\/li><li>Decreased or increased appetite<\/li><li>Increase in blood fats<\/li><li>Sleep problems, anxiety, decreased sex drive<\/li><li>Burning or stinging sensation<\/li><li>Decreased ability to concentrate<\/li><li>Dizziness<\/li><li>Eye problems (eg, red eyes)<\/li><li>Visual disturbances (eg, blurred vision)<\/li><li>Palpitation<\/li><li>A blood clot<\/li><li>Venous\u00a0thrombosis\u00a0(see also section 2 \u201cBlood clot in a vein (\u00a0thrombosis\u00a0)\u201d),<\/li><li>High\u00a0blood pressure,\u00a0migraine, vasculitis, varicose veins<\/li><li>Shortness of breath<\/li><li>Stomach problems<\/li><li>Diarrhea<\/li><li>Constipation<\/li><li>Vomiting<\/li><li>Dry mouth<\/li><li>Flatulence<\/li><li>Taste changes<\/li><li>Altered liver enzymes (seen on blood tests)<\/li><li>Skin problems,\u00a0acne\u00a0, hair loss,\u00a0itching\u00a0, increased hair growth<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/back-hurts\/\">Back pain<\/a><\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/joint-pain\/\">Joint pain<\/a><\/li><li>Pain in arms and legs<\/li><li>Muscle cramps<\/li><li>Urinary tract problems and urinary tract infections<\/li><li>Breast cancer<\/li><li>Thickening of the uterine lining<\/li><li>Benign\u00a0tumor\u00a0of the uterus<\/li><li>Fungal infection of the abdomen<\/li><li>Dry vagina and\u00a0itching\u00a0in the\u00a0vagina<\/li><li>Thoracic nodules (fibrocystic breast changes)<\/li><li>Effects on the ovaries<\/li><li>Cervix and uterus<\/li><li>Pain in the pelvis<\/li><li>Accumulation of fluid in the body<\/li><li>Chest pain<\/li><li>General malaise, increased sweating<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;side effects&nbsp;are<\/strong>&nbsp;(is present in 1 to 10 in 10 000 patients):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Anemia\u00a0(\u00a0anemia\u00a0)<\/li><li>Dizziness<\/li><li>Earring (\u00a0tinnitus\u00a0)<\/li><li>Gallstone<\/li><li>Muscle aches<\/li><li>Fallopian tube inflammation<\/li><li>Milk production without breastfeeding<\/li><li>Overindulge<\/li><\/ul>\n\n\n\n<p>The following&nbsp;adverse reactions have&nbsp;been reported from&nbsp;clinical trials&nbsp;in women with high blood pressure:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>High levels of\u00a0potassium\u00a0in the blood (\u00a0hyperkalaemia\u00a0), which can sometimes:<ul><li>Lead to muscle cramps<\/li><\/ul><ul><li>Diarrhea<\/li><li>Nausea<\/li><li>Dizzines<\/li><li>Headache<\/li><\/ul><\/li><li>Heart failure\u00a0, heart enlargement, heart flutter, effects on heart rhythm<\/li><li>Increase in\u00a0hormone\u00a0et al. aldosterone\u00a0in the blood<\/li><\/ul>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported for other HRTs:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Diseases of the gallbladder<\/li><li>Various skin diseases<ul><li>Pigment changes significantly on the face and neck, so-called &#8220;pregnancy spots&#8221; (chloasma)<\/li><li>Sore red bumps on the skin (erythema nodosum)<\/li><li>Red annular rash, sometimes with blisters in the middle (erythema multiforme)<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>If any of the\u00a0side effects\u00a0get serious or notice any\u00a0side effects\u00a0not listed in this leaflet, please tell your doctor or pharmacist.<\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse if you get any side effects.\u00a0This includes any possible side effects not listed in this leaflet.\u00a0You can also report side effects directly to the Medical Products Agency,\u00a0www.lakemedelsverket.se.\u00a0By reporting side effects, you can help increase drug safety information.\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How To Store Angemin?<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Keep this medicine out of sight and reach of children.<\/li><li>Do not use this medicine after the expiry date stated on the carton, and blister after \u201cEXP.\u201d\u00a0The expiration date is the last day of the specified month.<\/li><li>No special storage instructions are required for Angemin.<\/li><\/ul>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.\u00a0Ask your pharmacist how to dispose of medicines that are no longer required.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents Of The Packaging And Other Information:<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">What Angemin Contains?<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The\u00a0<strong>active substances<\/strong>\u00a0are estradiol (as estradiol hemihydrate) and drospirenone;\u00a0each tablet contains 1 mg estradiol and 2 mg drospirenone.\u00a0<\/li><li><strong>The other ingredients<\/strong>\u00a0are\u00a0lactose monohydrate\u00a0,\u00a0maize\u00a0starch, pregelatinised maize starch, povidone and magnesium stearate (E470b).\u00a0Ingredients in the film coating of the tablet are hypromellose (E464), macrogol 6000, talc (E553b), titanium dioxide (E171) and red iron oxide (E172)<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What The Medicine Looks Like And Contents Of The Pack?<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Angemin are film-coated tablets.\u00a0The tablets are red, round and have convex sides.\u00a0The letters DL are inside a regular hexagon on one side<\/li><li>Angemin is available in blister packs containing 28 tablets with the name of the week printed on the blister.\u00a0There are packs of one or three blister cards.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Bayer AB&nbsp;<br>Box 606<\/p>\n\n\n\n<p>SE-169 26 Solna<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Bayer AG<\/p>\n\n\n\n<p>M\u00fcllerstrasse 178<\/p>\n\n\n\n<p>13353 Berlin<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<p>Angeliq<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Austria, Belgium, Cyprus, Czech Republic, Estonia, Germany, Greece, Finland, France, Ireland, Italy, Croatia, Lithuania, Latvia, Luxembourg, Malta, Netherlands, Poland, Portugal, Slovenia, Slovakia, Spain<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Angemin is a preparation used for hormonal substitution therapy ( HormoneReplacement Therapy , HRT ). It contains two female sex hormones; an estrogen and a progestogen . Angemin is used in women whose menstruation has stopped ( menopause ), at least 1 year after their last natural menstruation.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2201,2200],"tags":[10338,10341,3563,5387,3093,10344,10342,10345,10340,10343,10339,5386,5414],"class_list":["post-5471","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-angemin","tag-angemin-tablet","tag-drospirenone","tag-drospirenone-tablet","tag-estradiol","tag-estradiol-tablet","tag-side-effects-of-angemin","tag-side-effects-of-estradiol","tag-what-angemin-is-used-for","tag-what-estradiol-is-used-for","tag-what-is-angemin","tag-what-is-drospirenone","tag-what-is-estradiol"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5471","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=5471"}],"version-history":[{"count":85,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5471\/revisions"}],"predecessor-version":[{"id":52139,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5471\/revisions\/52139"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=5471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=5471"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=5471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}