C.E.S DESCRIPTION

C.E.S - Tablet

C.E.S is manufactured by Wyeth-Ayerst Laboratories. This medicine is a TABLET but CANNOT be split in half. This medicine is an estrogen hormone used to provide female hormone when the body no longer produces enough. It is also used to help prevent osteoporosis (weakened bones). This medicine may also be used to treat cancer and other conditions as determined by your doctor.

Where Can I order Cenestin From? Can I buy Cenestin at Canadian Prices?

Yes, if you are from the U.S. then you can buy Cenestin at Canadian prices. Currently we will only accept an order for Cenestin from U.S. and Canadian residents. Both U.S. and Canadian residents require a prescription to purchase Cenestin and when you order Cenestin it will be delivered with express shipping.

Why is Cenestin prescribed?

Cenestin is an estrogen replacement drug. The tablets are used to reduce moderate to severe symptoms of menopause, including feelings of warmth in the face, neck, and chest, and the sudden intense episodes of heat and sweating known as "hot flashes." Cenestin tablets, containing a synthetic form of conjugated estrogens, may also be prescribed for these symptoms. In addition to the symptoms of menopause, Cenestin tablets are prescribed for teenagers who fail to mature at the usual rate, and to relieve the symptoms of certain types of cancer, including some forms of breast and prostate cancer. In addition, either the tablets or Cenestin vaginal cream can be used for other conditions caused by lack of estrogen, such as dry, itchy external genitals and vaginal irritation. Along with diet, calcium supplements, and exercise, Cenestin tablets are also prescribed to prevent postmenopausal osteoporosis, a condition in which the bones become brittle and easily broken. Before taking Cenestin solely for this purpose, you should carefully consider using alternative, nonestrogen therapies.

The addition of progesterone to estrogen-replacement therapy has been shown to reduce the risk of uterine cancer. Prempro combines estrogen and progesterone in a single tablet taken once daily. Premphase is a 28-day supply of tablets. The first 14 contain only estrogen. The second 14 supply both estrogen and progesterone. Both Prempro and Premphase are prescribed to reduce the symptoms of menopause, including vaginal problems, and to prevent osteoporosis.

Most important fact about Cenestin

Because estrogens have been linked with an increased risk of uterine and endometrial cancer (cancer in the lining of the uterus), it is essential to have regular checkups and to report any unusual vaginal bleeding to your doctor immediately.

Cenestin and other estrogen drugs, with or without progesterone, should not be used to prevent heart disease. Recent studies have confirmed an increased rate of heart attack, stroke, and dangerous blood clots among women taking estrogen or estrogen combinations for 5 years. Blood clots can lead to phlebitis, stroke, heart attack, a loss of blood supply to the lungs, a blockage in the blood vessels serving the eye, and other serious disorders.

How should you take this Cenestin?

Take Cenestin exactly as prescribed. Do not share it with anyone else. If you are taking calcium supplements as a part of the treatment to help prevent brittle bones, check with your doctor about how much to take. You should take a few moments to read the patient package insert provided with your prescription. If you are using Cenestin vaginal cream, apply it as follows:
1. Remove cap from tube.
2. Screw nozzle end of applicator onto tube.
3. Gently squeeze tube from the bottom to force sufficient cream into the barrel to provide the prescribed dose. Use the marked stopping points on the applicator as a guide.
4. Unscrew applicator from tube.
5. Lie on back with knees drawn up. Gently insert applicator deeply into the vagina and press plunger downward to its original position. To cleanse the applicator, pull the plunger to remove it from the barrel, then wash with mild soap and warm water. Do not boil or use hot water. --If you miss a dose...Take the forgotten dose as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. Never try to "catch up" by doubling the dose. --Storage instructions...

Store at room temperature.

What side effects may occur with Cenestin?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor immediately. Only your doctor can determine whether it is safe to continue taking Cenestin.

Side effects of conjugated estrogens may include:
Abdominal cramps, abnormal vaginal bleeding, allergic reactions, bloating, blood clots, blood pressure increase, breast cancer or cysts, breast pain or discharge, breast swelling and tenderness, decreased calcium in the blood, depression, dizziness, endometrial cancer, endometrial cell changes, enlargement of benign tumors in the liver or uterus, fluid retention, gallbladder disease, hair loss from the scalp, hives, increased body hair, increased triglycerides, inflammation of the pancreas, intolerance to contact lenses, irritability, itchy spots, joint pain, leg cramps, migraine headache, nausea, mood disturbances, nervousness, ovarian cancer, painful menstruation, sex-drive changes, skin darkening (especially on the face), skin rash or redness, swelling of wrists and ankles, vaginal yeast infection, vomiting, weight gain or loss, worsening of asthma or epilepsy, yellow eyes and skin
Other possible side effects of Premphase and Prempro may include:
Appetite changes, backache, changes in blood pressure, excessive flow of breast milk, eye disorders, fatigue, fever, headache, nervousness, sleep disturbances, twitching
Other possible side effects of Cenestin may include:
Constipation, cough, diarrhea, gas, heavy bleeding during menstruation, increased heartbeat, increased muscle tone, indigestion, infection, joint pain, leg cramps, muscle pain, pain, painful menstruation, runny nose, skin tingling, sore throat, weakness
Why should Cenestin not be prescribed?
Do not take Cenestin if you have ever had a bad reaction to it, or have undiagnosed abnormal vaginal bleeding. Except in certain special circumstances, you should not be given Cenestin if you have ever had breast cancer, uterine cancer, or any other "estrogen-dependent" cancer. Do not take Cenestin if you have had any circulation problem involving blood clots, or have had a stroke or heart attack in the past year. Do not take Cenestin if you have liver disease or your liver is not working properly.

Do not use Cenestin if you are pregnant or trying to become pregnant.

Special warnings about Cenestin
For women who have not had a hysterectomy, the risk of endometrial and uterine cancer increases when estrogen-only drugs are used for a long time or taken in large doses. Estrogen therapy can also worsen endometriosis (uterine tissue growing outside the uterus). If you've ever had endometriosis, make sure the doctor is aware of it. If you've had a hysterectomy but still have residual endometriosis, your doctor may want you to use an estrogen/progesterone combination. Certain studies have shown that women taking estrogen for prolonged periods of time (4 years or more) face an increased risk of breast cancer, and a study by the National Heart, Lung and Blood Institute (NHLBI) has confirmed an increased risk among women taking estrogen/progesterone combinations. Use combination products (and estrogen-only preparations, too) with special caution if you have a family history of breast cancer or have ever had an abnormal mammogram. Be sure to get an annual breast exam from your doctor, and do your own self-examination each month. The NHLBI study also found an increased risk of dementia for women taking estrogen/progesterone combinations. It's unknown whether this applies to estrogen-only drugs. Because Cenestin can increase the risk of heart attack, stroke, blood clots, and certain estrogen-dependent cancers, contact your doctor right away if you notice any of the following:

Abdominal pain, tenderness, or swelling
Abnormal bleeding from the vagina
Breast lumps
Coughing up blood
Pain in your chest or calves
Severe headache, dizziness, or faintness
Sudden shortness of breath
Vision changes Women who take Cenestin after menopause are more likely to develop gallbladder disease. Estrogens such as Cenestin can cause hypercalcemia, a severe increase of calcium levels in the blood. Women with breast or bone cancer are especially at risk and should stop taking Cenestin immediately if they develop hypercalcemia. In addition, women with the opposite problem--hypocalcemia, or a severe decrease of calcium in the blood--should use Cenestin with caution. Women who have not had a hysterectomy and take estrogen along with progesterone have a lower risk of precancerous endometrial changes. However, you should be aware that estrogen/progesterone combinations could increase "bad" LDL cholesterol and blood sugar levels as well as increase the risk of breast cancer. There is a slight chance that estrogen therapy could cause an increase in blood pressure. Ask your doctor to check your blood pressure regularly. If you have high levels of fat in your blood, specifically a high triglyceride level, conjugated estrogens such as Cenestin are likely to cause side effects in the pancreas. Use Cenestin with caution if you have a history of liver problems, including jaundice. Call your doctor right away if you develop abdominal pain or yellowing of the skin. Cenestin can alter thyroid function. If you're taking thyroid medication, you may need your dosage adjusted. Cenestin can also cause fluid retention. Use the drug with caution if you have heart or kidney problems, or any other condition that's affected by excess fluid in the body. Some studies have shown that using estrogen-only drugs, especially for 10 years or more, could increase the risk of ovarian cancer. It's unknown whether this also applies to estrogen/progesterone combinations. Estrogens such as Cenestin have been known to make certain conditions worse, including asthma, diabetes, epilepsy, migraine, porphyria (a genetic enzyme deficiency), lupus, and liver tumors.

If you are using Cenestin vaginal cream, you should be aware that this product can weaken latex condoms, diaphragms, and cervical caps.

Recommended Cenestin dosage

Your doctor will start therapy with this medication at a low dose and adjust the dosage according to your response. He or she will want to check you periodically at 3- to 6-month intervals to determine the need for continued therapy.

Cenestin TABLETS Hot flashes associated with menopause

The usual starting dosage is 0.3 milligrams daily, taken continuously or in cycles such as 25 days on Cenestin and 5 days off. Tissue degeneration in the vagina The usual starting dosage is 0.3 milligrams daily, taken continuously or in cycles. Low estrogen levels due to reduced ovary function The usual dosage is 0.3 to 0.625 milligrams daily, taken cyclically. Ovary removal or ovarian failure The usual dosage is 1.25 milligrams daily, taken cyclically. Prevention of osteoporosis (loss of bone mass) The usual starting dosage is 0.625 milligram daily, taken continuously or in cycles. Advanced androgen-dependent cancer of the prostate, for relief of symptoms only The usual dosage is 1.25 to 2.5 milligrams 3 times daily. Breast cancer (for relief of symptoms only) in appropriately selected women and men with metastatic disease The suggested dosage is 10 milligrams 3 times daily for a period of at least 3 months. Tell your doctor if you have any unusual bleeding.

Cenestin VAGINAL CREAM Given cyclically for short-term use only.

Degeneration of genital tissue or severe itching in the genital area The recommended dosage is one-half to 2 grams daily, inserted into the vagina, depending on the severity of the condition. You will use the cream for 3 weeks, then stop for 1 week. Tell your doctor if you notice any unusual bleeding.

PREMPHASE TABLETS Follow a 28-day cycle. Take 1 maroon Cenestin tablet (equal to 0.625 milligrams estrogen) every day for the first 14 days; on the 15th day, begin taking 1 light-blue tablet (equal to 0.625 milligrams estrogen/5 milligrams progesterone) daily.

PREMPRO TABLETS The usual starting dose is one 0.45-milligram/1.5-milligram tablet once a day. If this dose proves insufficient, your doctor may increase the dose to one 0.625-milligram/0.25- or 0.5-milligram tablet once a day.

CENESTIN TABLETS The usual starting dose is 0.625 milligrams a day. If this proves insufficient, the doctor may gradually increase the dose up to a maximum of 1.25 milligrams daily.

Cenestin Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose of Cenestin, seek medical attention immediately.

Symptoms of conjugated estrogen overdose may include:
Nausea, vomiting, withdrawal bleeding

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