{"id":8677,"date":"2021-03-17T07:17:38","date_gmt":"2021-03-17T07:17:38","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8677"},"modified":"2021-04-09T17:54:30","modified_gmt":"2021-04-09T17:54:30","slug":"femoston","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/femoston\/","title":{"rendered":"Femoston &#8211; Dydrogesterone uses, dose, and side effects"},"content":{"rendered":"\n<p>\n\n1 mg + 1 mg \/ 10 mg&nbsp;&nbsp;film-coated tablet&nbsp;<br>estradiol + estradiol \/ dydrogesterone<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Femoston is and what it is used for<\/h2>\n\n\n\n<p>Femoston is a preparation used for hormone replacement therapy (&nbsp;hormone replacement&nbsp;therapy,&nbsp;HRT&nbsp;).&nbsp;It contains two female sex hormones: an&nbsp;estrogen called estradiol and a progestogen called dydrogesterone.&nbsp;The gemstone is used in women who have passed menopause (menopause) when at least 6 months have passed since their last natural menstruation.<br><\/p>\n\n\n\n<p><strong>What Femoston is used for<\/strong><\/p>\n\n\n\n<p><strong>Relieve symptoms after menopause<\/strong><\/p>\n\n\n\n<p>During menopause, the amount of&nbsp;estrogen&nbsp;in a woman&#8217;s body&nbsp;decreases.&nbsp;It can cause problems such as a hot face, neck, and chest (hot flashes).&nbsp;Femostone relieves these symptoms after menopause.&nbsp;Femostone is only prescribed if your symptoms cause significant problems in daily life.<br><\/p>\n\n\n\n<p><strong>Prevent osteoporosis<\/strong><\/p>\n\n\n\n<p>After menopause, some women suffer from osteoporosis (&nbsp;osteoporosis&nbsp;).&nbsp;Discuss all possible treatment options with your doctor.&nbsp;If you have an increased risk of&nbsp;fractures&nbsp;(bone fractures) due to osteoporosis and other drugs are not suitable for you, you can use Femoston to prevent osteoporosis after menopause.<br><\/p>\n\n\n\n<p>Estradiol\/dydrogesterone contained in Femoston may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Femoston<\/h2>\n\n\n\n<p><strong>Medical background and regular check-ups<\/strong><\/p>\n\n\n\n<p>The use of&nbsp;HRT&nbsp;involves risks that must be taken into account when deciding to start treatment or continue an ongoing treatment.<br><\/p>\n\n\n\n<p>Experience is limited for the treatment of women whose menstruation has stopped prematurely (when the ovaries have stopped working or have undergone surgery).&nbsp;If you belong to that group, the risks of&nbsp;HRT&nbsp;may be different.&nbsp;Talk to your doctor.<br><\/p>\n\n\n\n<p>Before starting treatment (or resuming treatment), your doctor will ask about your own and your family&#8217;s medical background.&nbsp;The doctor may perform a general medical examination.&nbsp;If necessary, it may include an examination of the breasts and\/or a gynecological examination.<br><\/p>\n\n\n\n<p>Once you have started treatment with Femoston, you should have regular medical check-ups (at least once a year).&nbsp;During these check-ups, you should discuss with your doctor the benefits and risks of continued treatment.<br><\/p>\n\n\n\n<p>Get regular check-ups of your breasts according to your doctor&#8217;s recommendations.<br><\/p>\n\n\n\n<p><strong>DO NOT USE Femoston <\/strong>if any of the following apply to you.&nbsp;Talk to your doctor before using Femoston if you are unsure at any point.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Femoston<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have or have had&nbsp;<strong>breast cancer<\/strong>&nbsp;or there is a suspicion that you may have it<\/li><li>if you have&nbsp;<strong>estrogen-dependent cancer<\/strong>, such as cancer of the uterine lining (endometrium), or if there is a suspicion of such cancer<\/li><li>if you have&nbsp;<strong>unexplained&nbsp;vaginal&nbsp;bleeding<\/strong><\/li><li>if you have&nbsp;<strong>severe thickening of the uterine lining<\/strong>&nbsp;(&nbsp;endometrial hyperplasia&nbsp;) and are not treated for it<\/li><li>if you have or have had a&nbsp;<strong>blood clot in a friend<\/strong>&nbsp;(&nbsp;thrombosis&nbsp;) e.g.&nbsp;in the legs (deep&nbsp;vein thrombosis&nbsp;) or the lungs (&nbsp;pulmonary embolism&nbsp;)<\/li><li>if you have&nbsp;<strong>coagulation disorders<\/strong>&nbsp;(eg lack of&nbsp;protein&nbsp;C,&nbsp;protein, S, or antithrombin)<\/li><li>if you have or have recently had a disease caused by a blood clot in an&nbsp;artery, e.g.&nbsp;<strong>heart attack,&nbsp;stroke,&nbsp;or&nbsp;<\/strong>&nbsp;<strong>angina<\/strong><\/li><li>if you have or have had any&nbsp;<strong>liver disease<\/strong>&nbsp;and still have abnormal liver values<\/li><li>if you have a rare, inherited blood disorder called&nbsp;porphyria<\/li><li>if you are&nbsp;<strong>allergic<\/strong>&nbsp;to estradiol, dydrogesterone, or any of the other ingredients of this medicine (listed in section 6)<\/li><\/ul>\n\n\n\n<p>If any of the above affects you for the first time while you are taking Femoston, stop using Femoston and contact a doctor immediately.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>If you have or have had any of the following problems, talk to your doctor or pharmacist before using Femoston.&nbsp;They may recur or worsen during treatment with Femoston.&nbsp;Should this occur, have more frequent check-ups with a doctor.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>muscle nodules (&nbsp;fibroids&nbsp;) in the uterus<\/li><li>growth of the uterine lining outside the uterus (&nbsp;endometriosis&nbsp;) or previous severe thickening of the uterine lining (&nbsp;endometrial hyperplasia&nbsp;)<\/li><li>brain tumor (meningioma), which can be affected by progestogen levels<\/li><li>&#8211; increased risk of getting a blood clot (see &#8220;Blood clot in a vein (&nbsp;thrombosis&nbsp;)&#8221;)<\/li><li>increased risk of developing estrogen-dependent cancer (eg&nbsp;mother, sister, grandmother, or grandmother who has had breast cancer)<\/li><li>high&nbsp;blood pressure<\/li><li>liver disease, e.g.&nbsp;benign liver tumor<\/li><li>diabetes<\/li><li>gallstone disease<\/li><li>migraine&nbsp;or severe headache<\/li><li>an autoimmune&nbsp;disease that affects many organs in the body (systemic lupus erythematosus,&nbsp;SLE&nbsp;)<\/li><li>epilepsy<\/li><li>asthma<\/li><li>a disease affecting the middle ear and hearing (otosclerosis)<\/li><li>very high blood fat levels (&nbsp;hypertriglyceridemia&nbsp;)<\/li><li>fluid retention due to heart or kidney disease<\/li><\/ul>\n\n\n\n<p><strong>Contact a doctor immediately and stop the treatment<\/strong><\/p>\n\n\n\n<p>If any of the following occur during treatment:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>any of the things mentioned in the section &#8220;Do not use Femoston&#8221;<\/li><li>yellowing of the skin or whites of the eyes (jaundice);&nbsp;it may be a symptom of liver disease<\/li><li>blood pressure&nbsp;rises sharply (symptoms may include headache, fatigue, or dizziness)<\/li><li>you get migraine-like headaches for the first time<\/li><li>if you become pregnant<\/li><li>if you get symptoms of blood clots, such as:&nbsp;<br>painful swelling and&nbsp;redness&nbsp;of the legs&nbsp;<br>sudden chest pain&nbsp;<br>difficulty breathing<\/li><\/ul>\n\n\n\n<p>For more information, see &#8220;Blood clot in a vein (&nbsp;thrombosis&nbsp;)&#8221;.<br><\/p>\n\n\n\n<p><strong>Note:<\/strong>&nbsp;Femoston is not a contraceptive.&nbsp;If it is less than 12 months since your last period, or if you are under 50, you may still need to use contraception to avoid pregnancy.&nbsp;Consult your doctor.<br><\/p>\n\n\n\n<p><strong>HRT&nbsp;and cancer<\/strong><\/p>\n\n\n\n<p><strong>Severe thickening of the uterine lining (&nbsp;endometrial hyperplasia&nbsp;) and cancer of the uterine lining (endometrial cancer)<\/strong>&nbsp;<br>Use of&nbsp;HRT&nbsp;with&nbsp;estrogen&nbsp;alone&nbsp;increases the risk of severe thickening of the uterine lining (&nbsp;endometrial hyperplasia&nbsp;) and cancer of the uterine lining (endometrial cancer).&nbsp;The progestogen in Femoston protects you against this increased risk.<br><\/p>\n\n\n\n<p><strong>Unexpected vaginal bleeding<\/strong><\/p>\n\n\n\n<p>You will have bleeding once a month (a so-called dropout bleeding) when you take Femoston.&nbsp;However, if you experience unexpected bleeding or splashing in addition to your monthly bleeding, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>lasts longer than 6 months<\/li><li>starts after you have been using Femoston for over 6 months<\/li><li>continues after you stop using Femoston.<\/li><\/ul>\n\n\n\n<p><strong>you should see a doctor as soon as possible.<\/strong><br><\/p>\n\n\n\n<p><strong>Breast cancer<\/strong><\/p>\n\n\n\n<p>Data show that hormone replacement therapy (&nbsp;HRT&nbsp;) with a combination of&nbsp;estrogen-progestogen or with&nbsp;estrogen&nbsp;alone&nbsp;increases the risk of breast cancer.&nbsp;The increased risk depends on how long you use&nbsp;HRT.&nbsp;The increased risk is seen within 3 years.&nbsp;When treatment is stopped, the increased risk decreases over time, but it can persist for 10 years or more if you have used&nbsp;HRT&nbsp;for more than 5 years.<br><\/p>\n\n\n\n<p><em>Comparison<\/em><\/p>\n\n\n\n<p>Of 1,000 women aged 50 to 54 who do not take&nbsp;HRT, an average of 13 to 17 will be diagnosed with breast cancer over a 5-year period.&nbsp;In women who are 50 years old and start taking&nbsp;HRT&nbsp;with&nbsp;estrogen&nbsp;alone&nbsp;for 5 years, 16-17 cases per 1,000 users (ie 0-3 extra cases) will occur.&nbsp;In women who are 50 years old and start taking&nbsp;HRT&nbsp;with the&nbsp;estrogen-progestogen for 5 years, there will be 21 cases per 1,000 users (ie 4-8 extra cases).&nbsp;Among women aged 50\u201359 who do not use&nbsp;HRT, an average of 27 out of 1,000 will be diagnosed with breast cancer over a 10-year period.&nbsp;In women who are 50 years old and start taking&nbsp;HRT&nbsp;with the only&nbsp;estrogen in 10 years, 34 cases per 1,000 users (ie 7 extra cases) will occur.&nbsp;In women who are 50 years old and start taking&nbsp;HRT&nbsp;with the&nbsp;estrogen-progestogen for 10 years, 48 \u200b\u200bcases per 1,000 users (ie 21 extra cases) will occur.<br><\/p>\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>indentations or 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>Also, it is recommended that you participate in mammography screenings when they are offered to you.&nbsp;You must inform the nurse\/healthcare professional performing the mammogram that you are using&nbsp;HRT, as the&nbsp;HRT treatment may increase the density of the breast tissue, which may affect the results of the mammogram.&nbsp;An increased density in the breasts can make it more difficult to detect lumps on the mammography images.<br><\/p>\n\n\n\n<p><strong>Ovarian cancer<\/strong><\/p>\n\n\n\n<p>Ovarian cancer is much rarer than breast cancer.&nbsp;Use of&nbsp;HRT&nbsp;with&nbsp;estrogen&nbsp;alone&nbsp;or combined&nbsp;estrogen-progestogen has been associated with a slightly increased risk of ovarian cancer.&nbsp;The risk of ovarian cancer varies with age.&nbsp;The diagnosis of ovarian cancer will, for example, be made on about 2 women out of 2,000 between the ages of 50 and 54 who do not take&nbsp;HRT&nbsp;for a 5-year period.&nbsp;For women who have taken&nbsp;HRT&nbsp;for 5 years, there will be about 3 cases per 2,000 users (ie about 1 extra case).<br><\/p>\n\n\n\n<p><strong>How&nbsp;HRT&nbsp;affects the heart and blood circulation<\/strong><br><\/p>\n\n\n\n<p><strong>A blood clot in a friend (&nbsp;thrombosis&nbsp;)<\/strong><\/p>\n\n\n\n<p>The risk of blood clots in the veins is 1.3\u20133 times higher for women who take&nbsp;HRT than for those who do not, especially during the first year of treatment.&nbsp;Blood clots can be serious.&nbsp;If a blood clot ends up in the lungs, it can cause chest pain, shortness of breath, fainting, or even death.&nbsp;The risk of getting a blood clot in a vein increases with age and if any of the following applies to you.&nbsp;Tell your doctor if any of the following apply to you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you cannot walk for a long time due to a major operation, injury or illness (see section 3, \u201cIf you need surgery\u201d)<\/li><li>you are severely overweight (&nbsp;BMI&nbsp;over 30 kg \/ m&nbsp;<sup>2<\/sup>&nbsp;)<\/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 had a blood clot in the bone, lung, or another organ<\/li><li>you have systemic lupus erythematosus (&nbsp;SLE&nbsp;)<\/li><li>you have cancer.<\/li><\/ul>\n\n\n\n<p>The symptoms of a blood clot are described in the section &#8220;Contact a doctor immediately and stop the treatment&#8221;.<br><\/p>\n\n\n\n<p><em>Comparison<\/em><\/p>\n\n\n\n<p>Of women in their 50s who do not take&nbsp;HRT, an average of 4-7 out of 1,000 are expected to have a blood clot in a vein over a 5-year period.&nbsp;Of women in their 50s who take&nbsp;HRT&nbsp;with the&nbsp;estrogen-progestogen for more than 5 years, an average of 9-12 out of 1,000 users are expected to have a blood clot in a vein (ie 5 extra cases).<br><\/p>\n\n\n\n<p><strong>Heart disease (heart attack)<\/strong><\/p>\n\n\n\n<p>There is no evidence that&nbsp;HRT&nbsp;prevents heart attacks.&nbsp;For women over the age of 60 who take&nbsp;HRT&nbsp;with the&nbsp;estrogen-progestogen, the risk of developing heart disease is slightly higher than for those who do not take&nbsp;HRT.<br><\/p>\n\n\n\n<p><strong>Stroke&nbsp;(apoplexy)<\/strong><\/p>\n\n\n\n<p>The risk of&nbsp;stroke&nbsp;is about 1.5 times higher for those who take&nbsp;HRT&nbsp;compared to those who do not.&nbsp;The number of cases of&nbsp;stroke&nbsp;due to the use of&nbsp;HRT&nbsp;increases with age.<br><\/p>\n\n\n\n<p><em>Comparison<\/em><\/p>\n\n\n\n<p>Of women in their 50s who do not take&nbsp;HRT&nbsp; an average of 8 out of 1,000 are expected to have a&nbsp;stroke&nbsp;over a 5-year period.&nbsp;Of women in their 50s who take&nbsp;HRT for more than 5 years, an average of 11 out of 1,000 users is expected to have a&nbsp;stroke&nbsp;(ie 3 extra cases).<br><\/p>\n\n\n\n<p><strong>Other conditions<\/strong><\/p>\n\n\n\n<p>Using&nbsp;HRT&nbsp;does not prevent memory loss.&nbsp;The risk of memory loss is slightly higher in women who start using&nbsp;HRT&nbsp;after the age of 65.&nbsp;Consult your doctor.<br><\/p>\n\n\n\n<p>Tell your doctor if you have or have had any of the following medical conditions as a closer follow-up is needed during treatment:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>heart disease<\/strong><\/li><li><strong>renal impairment<\/strong><\/li><li><strong>higher than normal levels of certain blood fats (&nbsp;hypertriglyceridemia&nbsp;).<\/strong><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>Femoston is not intended for children.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other drugs and Femoston<\/h2>\n\n\n\n<p><strong>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/strong><br><\/p>\n\n\n\n<p>Some medicines can affect the way Femoston works, which can lead to irregular bleeding.&nbsp;The following applies:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>antiepileptic&nbsp;<strong>drugs<\/strong>&nbsp;(eg phenobarbital, carbamazepine and&nbsp;phenytoin&nbsp;)<\/li><li>drugs against&nbsp;<strong>tuberculosis<\/strong>&nbsp;(eg rifampicin, rifabutin)<\/li><li>drugs against&nbsp;<strong>HIV&nbsp;&#8211;&nbsp;infection&nbsp;<\/strong>[AIDS] (ritonavir, nelfinavir, nevirapine and efavirenz)<\/li><li>an herbal medicine containing&nbsp;<strong>St. John&#8217;s wort<\/strong>&nbsp;(&nbsp;<em>Hypericum perforatum<\/em>&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Laboratory test<\/strong><\/p>\n\n\n\n<p>If you need to take blood samples, tell your doctor or laboratory staff that you are using Femoston, as this may affect the results of some tests.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Femoston with food and drink<\/h2>\n\n\n\n<p>Femoston can be taken with or without food<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Femoston is intended for women whose menstruation has stopped.<br><\/p>\n\n\n\n<p>If you become pregnant<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>stop taking Femoston and consult a doctor.<\/strong><\/li><\/ul>\n\n\n\n<p>Femostone should not be used if you are breast-feeding.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>The effect of Femoston on the ability to drive and use machines has not been studied.&nbsp;The impact is unlikely.<br><\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Femostone contains lactose<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to take Femoston<\/h2>\n\n\n\n<p><strong>Always take this medicine exactly as your doctor has told you.&nbsp;Consult a doctor if you are unsure.<br><\/strong><\/p>\n\n\n\n<p><strong>When you can start taking Femoston<\/strong><br><\/p>\n\n\n\n<p>Do not start taking Femoston until at the earliest 6 months after your natural menstrual bleeding has stopped.<br><\/p>\n\n\n\n<p>You can start taking Femoston any day if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you are not currently taking any&nbsp;HRT<\/li><li>you switch from a&nbsp;continuous&nbsp;combination&nbsp;hormone&nbsp;treatment.&nbsp;This means that you take a tablet every day or use a&nbsp;patch&nbsp;that contains both&nbsp;estrogen&nbsp;and progestogen.<\/li><\/ul>\n\n\n\n<p>You should start taking Femoston the day after the 28-day menstrual cycle if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you switch from a cyclic or sequential&nbsp;HRT&nbsp;treatment.&nbsp;This means that you are taking a tablet or using an&nbsp;estrogen-containing&nbsp;patch&nbsp;during the first part of your menstrual cycle.&nbsp;After this, take a tablet or use a&nbsp;patch&nbsp;that contains both&nbsp;estrogen&nbsp;and progestogen for up to 14 days.<\/li><\/ul>\n\n\n\n<p><strong>How to take&nbsp;<\/strong><strong>Femoston<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Swallow the tablet with water.<\/li><li>The tablets can be taken with or without food.<\/li><li>Try to take the tablet at the same time each day.&nbsp;In this way, the amount of drugs that work in your body is even throughout the day.&nbsp;This will also help you remember to take your tablets.<\/li><li>Take one tablet every day, without a break between packs.&nbsp;The days of the week have been marked on the blister maps.&nbsp;This makes it easier for you to remember when to take the tablets.<\/li><\/ul>\n\n\n\n<p><strong>How much medicine to take<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your doctor prescribes the lowest effective&nbsp;dose&nbsp;that provides symptom relief and as short a treatment time as possible.&nbsp;Discuss with your doctor if you think your&nbsp;dose&nbsp;is too high or too low.<\/li><li>If you are taking Femoston to prevent osteoporosis, your doctor will adjust the&nbsp;dose&nbsp;individually for you.&nbsp;Dose&nbsp;one depends on your bone mass.<\/li><li>Take one white tablet every day for the first 14 days followed by a gray tablet every day for the next 14 days.&nbsp;This is shown on the 28-day calendar package.<\/li><\/ul>\n\n\n\n<p><strong>If you need surgery<\/strong><\/p>\n\n\n\n<p>If you are going to have surgery, tell your staff that you are using Femoston.&nbsp;You may need to discontinue Femoston for 4-6 weeks before surgery to reduce the risk of blood clots (see section 2, Venous thrombosis).&nbsp;Ask your doctor when it is appropriate to start using Femoston again.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Femoston than you should<\/h2>\n\n\n\n<p>If you (or anyone else) take too many Femoston tablets, it is unlikely to be harmful.&nbsp;You may experience nausea, vomiting, tenderness or pain in the breasts, dizziness, abdominal pain, drowsiness, or loss of bleeding.&nbsp;No treatment is needed, but if you are worried, consult a doctor for advice.<br><\/p>\n\n\n\n<p>If you have ingested too much medicine or if e.g.&nbsp;a child ingested the medicine by mistake, contact a doctor, hospital, or the Poison Information Center for risk assessment and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Femoston<\/h2>\n\n\n\n<p>Take the forgotten tablet as soon as you remember.&nbsp;If it has been more than 12 hours since you should have taken the tablet, skip the forgotten tablet and take the next&nbsp;dose&nbsp;at the usual time.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten tablet.&nbsp;Breakthrough bleeding or splashing bleeding may occur if you miss a&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Femoston<\/h2>\n\n\n\n<p>Do not stop taking Femoston without talking to your doctor first.<br><\/p>\n\n\n\n<p><strong>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<\/p>\n\n\n\n<p>The following diseases are more common in women taking&nbsp;HRT&nbsp;than in those who do not:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>breast cancer<\/li><li>&#8211; severe thickening of the uterine lining (&nbsp;<em>endometrial hyperplasia<\/em>&nbsp;) or cancer of the uterine lining<\/li><li>ovarian cancer<\/li><li>blood clots in veins in bones or blood clots in lungs (&nbsp;<em>venous thromboembolism<\/em>&nbsp;)<\/li><li>heart disease<\/li><li>stroke&nbsp;(stroke)<\/li><li>possible memory loss, if&nbsp;HRT&nbsp;begins after the age of 65.<\/li><\/ul>\n\n\n\n<p>For more information on these&nbsp;side effects, see section 2.<br><\/p>\n\n\n\n<p>The following&nbsp;side effects&nbsp;may occur with the use of this medicine:<br><\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 user in 10):<\/strong><\/p>\n\n\n\n<p>&#8211; headache<\/p>\n\n\n\n<p>&#8211; abdominal pain<\/p>\n\n\n\n<p>&#8211; back pain<\/p>\n\n\n\n<p>&#8211; tenderness or pain in the breasts.<br><\/p>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people):<\/strong><\/p>\n\n\n\n<p>&#8211; fungal infection of the vagina (&nbsp;infection&nbsp;caused by the fungus&nbsp;<em>Candida albicans<\/em>&nbsp;)<\/p>\n\n\n\n<p>&#8211; depression, nervousness<\/p>\n\n\n\n<p>&#8211;&nbsp;migraine.&nbsp;If you experience migraine-like headaches for the first time, stop taking Femoston and see a doctor immediately.<\/p>\n\n\n\n<p>&#8211; dizziness<\/p>\n\n\n\n<p>&#8211; nausea, vomiting, bloating (bloating), and&nbsp;flatulence&nbsp;(&nbsp;flatulence&nbsp;)<\/p>\n\n\n\n<p>&#8211; allergic skin reactions (eg rash, severe&nbsp;itching,&nbsp;or hives)<\/p>\n\n\n\n<p>&#8211; menstrual disorders such as irregular menstrual bleeding, spotting, painful menstrual bleeding (&nbsp;dysmenorrhea&nbsp;), more or less menstrual bleeding<\/p>\n\n\n\n<p>&#8211; pain in the pelvis<\/p>\n\n\n\n<p>&#8211; vaginal discharge<\/p>\n\n\n\n<p>&#8211; weakness, fatigue, or feeling sick<\/p>\n\n\n\n<p>&#8211; swelling of the ankles, feet, or fingers (peripheral&nbsp;edema&nbsp;)<\/p>\n\n\n\n<p>&#8211; weight gain.<br><\/p>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 people):<\/strong><\/p>\n\n\n\n<p>&#8211; symptoms reminiscent of bladder inflammation<\/p>\n\n\n\n<p>&#8211; growth in the uterus (&nbsp;fibroids&nbsp;) becomes larger<\/p>\n\n\n\n<p>&#8211;&nbsp;hypersensitivity reaction&nbsp;you like shortness of breath (allergic&nbsp;asthma&nbsp;)<\/p>\n\n\n\n<p>altered sex drive<\/p>\n\n\n\n<p>&#8211; blood clots in the legs or lungs (&nbsp;venous thrombosis&nbsp;or&nbsp;pulmonary embolism&nbsp;)<\/p>\n\n\n\n<p>&#8211; high&nbsp;blood pressure&nbsp;(&nbsp;hypertension&nbsp;)<\/p>\n\n\n\n<p>&#8211; disorders of blood circulation (peripheral vascular disease)<\/p>\n\n\n\n<p>&#8211; enlarged vein and varicose veins<\/p>\n\n\n\n<p>&#8211; indigestion<\/p>\n\n\n\n<p>liver disease, with or without yellowing of the skin (jaundice), weakness or general malaise, and abdominal pain.&nbsp;If you notice that the skin or whites of the eyes turn yellow, stop taking Femoston and see a doctor immediately.<\/p>\n\n\n\n<p>&#8211; gallbladder disease<\/p>\n\n\n\n<p>&#8211; swollen breasts<\/p>\n\n\n\n<p>&#8211; premenstrual syndrome (PMS)<\/p>\n\n\n\n<p>&#8211; weight loss.<br><\/p>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people):<\/strong><\/p>\n\n\n\n<p>(* Post-marketing adverse reactions that have not been observed in&nbsp;clinical trials have been classified as \u201crare\u201d.)<\/p>\n\n\n\n<p>&#8211; disease due to destruction of&nbsp;red blood cells&nbsp;(hemolytic anemia&nbsp;) *<\/p>\n\n\n\n<p>&#8211; meningioma (a brain tumor) *<\/p>\n\n\n\n<p>&#8211; changes in the surface of the eye (sharper curvature of the cornea) *, problems with contact lenses (contact lens intolerance) *<\/p>\n\n\n\n<p>&#8211; heart attack (heart attack)<\/p>\n\n\n\n<p>&#8211;&nbsp;stroke&nbsp;(stroke) *<\/p>\n\n\n\n<p>&#8211; swelling of the face and neck.&nbsp;This can lead to breathing difficulties (&nbsp;angioedema&nbsp;)<\/p>\n\n\n\n<p>&#8211; purple spots on the skin (&nbsp;vascular&nbsp;purpura)<\/p>\n\n\n\n<p>sore, red lumps on the skin (erythema nodosum) *, discoloration of the skin especially on the face or neck (so-called pregnancy spots\/liver spots), (chloasma or melasma) *<\/p>\n\n\n\n<p>&#8211; leg cramps *.<br><\/p>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported with the use of other hormone replacement therapies:<br><\/p>\n\n\n\n<p>benign or malignant estrogen-dependent&nbsp;tumors, such as endometrial cancer and ovarian cancer (see section 2)<\/p>\n\n\n\n<p>&#8211; increased size of&nbsp;tumors&nbsp;that may be affected by progestogen levels (eg meningioma)<\/p>\n\n\n\n<p>&#8211;&nbsp;autoimmune&nbsp;disease that affects many organs in the body (systemic lupus erythematosus,&nbsp;SLE&nbsp;)<\/p>\n\n\n\n<p>&#8211; probably dementia<\/p>\n\n\n\n<p>&#8211; aggravated&nbsp;epilepsy<\/p>\n\n\n\n<p>&#8211; muscle cramps (Korea)<\/p>\n\n\n\n<p>&#8211; blood clots in the&nbsp;artery&nbsp;(arterial thromboembolism)<\/p>\n\n\n\n<p>&#8211; pancreatitis (&nbsp;pancreatitis&nbsp;) in women with high blood fat levels (&nbsp;hypertriglyceridemia&nbsp;)<\/p>\n\n\n\n<p>&#8211; rash with sharply defined red spots or sores (erythema multiforme)<\/p>\n\n\n\n<p>&#8211; urinary incontinence<\/p>\n\n\n\n<p>sore\/lumpy breasts (fibrocystic breast changes)<\/p>\n\n\n\n<p>&#8211;&nbsp;erosion&nbsp;of the cervix<\/p>\n\n\n\n<p>&#8211; worsening of a rare, inherited pigment disorder in the blood (&nbsp;porphyria&nbsp;)<\/p>\n\n\n\n<p>&#8211; high blood fat levels (&nbsp;hypertriglyceridemia&nbsp;)<\/p>\n\n\n\n<p>&#8211; increased amount of thyroid hormone.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Femoston<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>No special storage instructions.&nbsp;Do not use this medicine after the expiry date which is stated on the blister and the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These 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\">Content declaration<\/h2>\n\n\n\n<p>The active substances are estradiol (estradiol hemihydrate) and dydrogesterone.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Each white tablet contains 1 mg of estradiol.<\/li><li>Each gray tablet contains 1 mg estradiol and 10 mg dydrogesterone.<\/li><\/ul>\n\n\n\n<p>The other ingredients in the tablet&nbsp;core&nbsp;are&nbsp;lactose monohydrate, hypromellose, corn starch, anhydrous&nbsp;colloidal&nbsp;silica, and magnesium stearate.<br><\/p>\n\n\n\n<p>The other ingredients in the film coating of the tablet are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Titanium dioxide (E171), black iron oxide (E172), polyvinyl alcohol, macrogol, talc, and hypromellose.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>&#8211; The film-coated tablets are round, biconvex with the marking 379 on one side.<\/p>\n\n\n\n<p>&#8211; Each blister contains 28 tablets.<\/p>\n\n\n\n<p>&#8211; Femoston consists of two different colored tablets.&nbsp;Each pack contains 14 white tablets (for the first 14 days of the cycle) and 14 gray tablets (for the remaining 14 days of the cycle).<\/p>\n\n\n\n<p>&#8211; The tablets are packaged in PVC \/ aluminum blister packs.<\/p>\n\n\n\n<p>&#8211; Packs containing 28, 84 (3 x 28) or 280 (10 x 28) film-coated tablets.<br><\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Marketing Authorisation Holder:<\/p>\n\n\n\n<p>BGP Products AB<\/p>\n\n\n\n<p>Box 23033<\/p>\n\n\n\n<p>104 35 Stockholm<br><\/p>\n\n\n\n<p>Manufacturer:<\/p>\n\n\n\n<p>Abbott Biologicals BV<\/p>\n\n\n\n<p>Vieweg 12<\/p>\n\n\n\n<p>8121 AA Olst<\/p>\n\n\n\n<p>Netherlands<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><th scope=\"row\"><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/th><\/tr><tr><td>AT<\/td><td>Femoston&nbsp;mite&nbsp;&#8211; Filmtabletten<\/td><\/tr><tr><td>THE<\/td><td>Femostone 1 mg \/ 10 mg, Film tablets<\/td><\/tr><tr><td>DK<\/td><td>Femoston<\/td><\/tr><tr><td>ES<\/td><td>Femfascon 1mg \/ 10 mg compresses recovered with film<\/td><\/tr><tr><td>FI<\/td><td>Femoston 1\/10 tablet, calvap\u00e4\u00e4llysteinen<\/td><\/tr><tr><td>FR<\/td><td>Climaston 1 mg \/ 10 mg, compressed pill<\/td><\/tr><tr><td>IT<\/td><td>Femoston 1\/10 compressed rivestite with film<\/td><\/tr><tr><td>NL<\/td><td>Femoston 1\/10, film-coated tablets<\/td><\/tr><tr><td>NO<\/td><td>Femoston<\/td><\/tr><tr><td>PT<\/td><td>Femoston 1\/10, (10 mg + 1 mg) + (1 mg), compressed revestido<\/td><\/tr><tr><td>SEE<\/td><td>Femoston<\/td><\/tr><tr><td>SI<\/td><td>Femphascon 1 mg \/ 10 mg film-free tablet tablet<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p> 1 mg + 1 mg \/ 10 mg  film-coated tablet<br \/>\nestradiol + estradiol \/ dydrogesterone<\/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":[2206,2200],"tags":[3089,3091,3092,3090,3101,3103,3104,3102,2212,2211],"class_list":["post-8677","post","type-post","status-publish","format-standard","hentry","category-f","category-medicines","tag-dydrogesterone","tag-dydrogesterone-dose","tag-dydrogesterone-side-effects","tag-dydrogesterone-uses","tag-femoston","tag-femoston-dose","tag-femoston-side-effects","tag-femoston-uses","tag-medicine","tag-tablets"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8677","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=8677"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8677\/revisions"}],"predecessor-version":[{"id":9783,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8677\/revisions\/9783"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8677"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8677"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8677"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}