Femastin0.1%

• Vaginal dryness and atrophy during menopause: Used for treatment of vaginal dryness, itching and painful sexual intercourse.
• Estrogen deficiency: Used for urogenital symptoms such as vaginal dryness and irritation.
• Before surgery: One dose of cream daily 2 weeks before operation.

Adult Dose:

• Vulvo-vaginal complaints associated with menopause: Initially: one dose of cream per day for 3 weeks; later: one dose twice a week.
• Before surgery: One dose of cream daily 2 weeks before operation.
• Before Pap smear: Daily application for 7 days as recommended by doctor.

Each dose contains 0.5 mg estriol.

Common Side Effects:

• Local irritation or itching of vagina
• Swelling and increased tenderness of the breasts
• Increased vaginal discharge
• Nausea
• Fluid retention (swollen ankles or feet)

Others: Endometrial cancer, heart attack, stroke, gall bladder disease, skin problems, venous thromboembolism.

Precautions:

• Patients should keep under doctor's observation for any HRT.
• In case of jaundice, sudden high blood pressure, migraine, severe headache or pregnancy, use should be stopped immediately.
• Children are not allowed to use Estriol cream.
• Tell your doctor if vaginal bleeding occurs.