estradiol-levonorgestrel (generic name)

It is used as hormone replacement in menopausal women who still have their uterus
(es tra DYE ole; LEE voh nor jes trel)
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What is this medicine?

ESTRADIOL; LEVONORGESTREL (es tra DYE ole; LEE voh nor jes trel) is used as hormone replacement in menopausal women who still have their uterus. This medicine is used to relieve the symptoms of menopause. It also helps to prevent osteoporosis in postmenopausal women.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
  • blood vessel disease or blood clots
  • breast, cervical, endometrial, or uterine cancer
  • diabetes
  • endometriosis
  • fibroids
  • gallbladder disease
  • heart disease or recent heart attack
  • high blood cholesterol
  • high blood pressure
  • high level of calcium in the blood
  • hysterectomy
  • kidney disease
  • liver disease
  • mental depression
  • migraine headaches
  • porphyria
  • stroke
  • systemic lupus erythematosus (SLE)
  • tobacco smoker
  • vaginal bleeding
  • an unusual or allergic reaction to estrogens, progestins, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should I use this medicine?

This medicine is for external use only. Follow the directions on the prescription label. Tear open the pouch, do not use scissors. Remove the stiff protective liner covering the adhesive. Try not to touch the adhesive. Apply the patch, sticky side to the skin, to an area that is clean, dry and hairless. Avoid injured, irritated, calloused, or scarred areas. Do not apply the skin patches to your breasts or around the waistline. Use a different site each time to prevent skin irritation. Do not cut or trim the patch. Do not stop using except on the advice of your doctor or health care professional. Do not wear more than one patch at a time unless you are told to do so by your doctor or health care professional.

Contact your pediatrician regarding the use of this medicine in children. Special care may be needed.

A patient package insert for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.

What if I miss a dose?

If you miss a dose, apply it as soon as you can. If it is almost time for your next dose, apply only that dose. Do not apply double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:
  • aromatase inhibitors like aminoglutethimide, anastrozole, exemestane, letrozole, testolactone

This medicine may also interact with the following medications:

  • barbiturates, like phenobarbital
  • carbamazepine
  • certain antibiotics used to treat infections
  • grapefruit juice
  • medicines for fungus infections like itraconazole and ketoconazole
  • raloxifene or tamoxifen
  • rifabutin, rifampin, or rifapentine
  • ritonavir
  • St. John's Wort

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Last Updated: December 16, 2009
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