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Estrogen administration should be guided by clinical response rather than by hormone levelse.gestradiolFSH
If a tablet is forgottenit should be taken as soon as the patient rememberstherapy should then be continued as beforeIf more than one tablet has been forgotten only the most recent tablet should be takenthe patient should not take double the usual dose to make up for missed tablets.
Before using this medicationtell your doctor or pharmacist your medical historyespecially ofvaginal bleeding of unknown causecertain cancerssuch as breast cancercancer of the uterus/ovariesblood clotsstrokeheart diseasesuch as heart attackliver diseasekidney diseasefamily medical historyespecially breast lumpscancerblood clotsangioedemablood clotting disorderssuch as protein C or protein S deficiencyhigh blood pressurediabeteshigh cholesterol/triglyceride levelsobesitylupusunderactive thyroidhypothyroidismmineral imbalancelow or high level of calcium in the blooda certain hormone problemhypoparathyroidismuterus problemssuch as fibroidsendometriosisgallbladder diseaseasthmaseizuresmigraine headachesa certain blood disorderporphyriamental/mood disorderssuch as dementiadepression
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on the other hand, if you consider using premarin to prevent osteoporosis brought about by menopause, talk to your doctor.