PREFEST (ESTRADIOL/NORGESTIMATE)
- Atrophic vaginitis associated with menopause
- Atrophy of vulva
- Post-menopausal osteoporosis prevention
- Vasomotor symptoms associated with menopause
1 mg (15)/1 mg-0.09 mg (15) tablet
- 1 tablet by oral route once daily
Atrophic vaginitis associated with menopause
- 1 tablet by oral route once daily
Atrophy of vulva
- 1 tablet by oral route once daily
Post-menopausal osteoporosis prevention
- 1 tablet by oral route once daily
Vasomotor symptoms associated with menopause
- 1 tablet by oral route once daily
- anastrozole
- Arimidex
- Aromasin
- tranexamic acid
- Lysteda
- letrozole
- Femara
- exemestane
- Cyklokapron
Contraindicated
- None
Severe
Moderate
- A-hydrocort
- A-methapred
- Alagesic Lq
- amobarbital
- Amytal
- Anucort-hc
- Anusol-hc
- Aristospan Intra-articular
- Aristospan Intralesional
- Ascomp With Codeine
- Belladonna-phenobarbital
- betamethasone acet & sod phos
- Bivigam
- Brevital
- budesonide
- Bupap
- butabarbital
- Butalbital Compound W/codeine
- Butalbital Compound-codeine
- butalbital-acetaminop-caf-cod
- butalbital-acetaminophen
- butalbital-acetaminophen-caff
- butalbital-aspirin-caffeine
- Butisol
- Zebutal
- Veripred 20
- Uceris
- triamcinolone-lidocaine
- triamcinolone hexacetonide
- triamcinolone acetonide
- Tencon
- Solu-medrol (pf)
- Solu-medrol
- Solu-cortef (pf)
- Solu-cortef
- Seconal Sodium
- secobarbital sodium
- Rectacort-hc
- Rayos
- raloxifene
- Proctocort
- Privigen
- primidone
- Prednisone Intensol
- prednisone
- prednisolone sodium phosphate
- prednisolone acetate
- prednisolone
- Physicians Ez Use M-pred
- phenytoin sodium extended
- phenytoin sodium
- phenytoin
- Phenytek
- phenobarbital sodium
- phenobarbital
- phenobarb-hyoscy-atropine-scop
- pentobarbital sodium
- Peganone
- Pediapred
- Orapred Odt
- Orapred
- Octagam
- nystatin-TCN-HC-diphenhydramin
- nystatin-hydrocortisone-diphen
- Nembutal Sodium
- Mysoline
- Millipred Dp
- Millipred
- methylprednisolone-bupivacaine
- methylprednisolone sodium succ
- methylprednisolone sod suc(PF)
- methylprednisolone acetate
- methylprednisolone
- methohexital
- Medrol (pak)
- Medrol
- Marten-tab
- Margesic
- Luminal
- Kenalog
- immune globulin(hum),capr(IgG)
- immune globulin (human) (IgG)
- immune glob(IgG)(hum)-maltose
- hydrocortisone sod succinate
- hydrocortisone sod succ (PF)
- hydrocortisone acetate
- hydrocortisone
- Hizentra
- Hemril-30
- Grx Hicort 25
- Gamunex-c
- Gammaplex
- Gammaked
- Gammagard S/d
- Gammagard S-d (iga < 1 Mcg/ml)
- Gammagard Liquid
- Gamastan S/d
- fosphenytoin
- fludrocortisone
- Flo-pred
- Flebogamma Dif
- First-mary's Mouthwash
- First-duke's
- Fiorinal-codeine #3
- Fiorinal
- Fioricet With Codeine
- Fioricet
- Ez Use Joint-tunnel-trigger
- Evista
- ethotoin
- Esgic
- Entocort Ec
- Donnatal
- Dilantin-125
- Dilantin Kapseal
- Dilantin Infatabs
- Dilantin Extended
- Dilantin
- Dexpak 6 Day
- Dexpak 13 Day
- Dexpak 10 Day
- dexamethasone sodium phosphate
- dexamethasone sodium phos (PF)
- Dexamethasone Intensol
- dexamethasone
- Depo-medrol
- cortisone
- Cortifoam
- Cortenema
- Cortef
- Colocort
- codeine-butalbital-ASA-caff
- Cerebyx
- Celestone Soluspan
- Carimune Nf Nanofiltered
- Capacet
- Acute myocardial infarction
- Antithrombin III deficiency
- Carcinoma of breast
- Cerebrovascular accident
- Deep venous thrombosis
- Disease of liver
- Estrogen-dependent neoplasm
- Neoplasm of liver
- Porphyria
- Predisposition to thrombosis
- Protein C deficiency disease
- Pulmonary thromboembolism
- Thromboembolic disorder
- Thrombophilia
Contraindicated
- Acute myocardial infarction
- Bed-ridden
- Cerebrovascular accident
- Coronary artery disease
- Deep venous thrombosis
- Dementia
- Endometrial carcinoma
- Family history of malignant tumor of breast
- Hereditary angioedema
- Hypercalcemia
- Increased cardiovascular event risk
- Invasive surgical procedure
- Malignant neoplasm of the ovary
- Migraine
- Obesity
- Papilledema
- Predisposition to thrombosis
- Pulmonary thromboembolism
- Retinal thrombosis
- Thromboembolic disorder
- Thrombophlebitis
- Tobacco smoker
Severe
Moderate
- Asthma
- Depression
- Diabetes mellitus
- Edema
- Gallbladder disease
- Hepatic porphyria
- Hyperlipidemia
- Hypertension
- Hypertriglyceridemia
- Hypoparathyroidism
- Hypothyroidism
- Migraine
- Seizure disorder
- Systemic lupus erythematosus
- Unspecified lump in breast
- Uterine leiomyoma
PREFEST (ESTRADIOL/NORGESTIMATE)
- Atrophic vaginitis associated with menopause
- Atrophy of vulva
- Post-menopausal osteoporosis prevention
- Vasomotor symptoms associated with menopause
- Abdominal distension
- Abnormal vaginal bleeding
- Irregular menstrual periods
- Abdominal distension
- Abdominal pain with cramps
- Anorexia
- Appetite changes
- Breast milk flow decreased
- Dysmenorrhea
- Edema
- Fatigue
- Gynecomastia
- Headache disorder
- Mastalgia
- Myalgias
- Nausea
- Peripheral edema
- Sinusitis
- Vaginitis
- Vulvovaginal candidiasis
- Weight gain
- Weight loss
More Frequent
Severe
Less Severe
- Endometrial hyperplasia
- Gastroenteritis
- Bronchitis
- Diarrhea
- Dizziness
- Dyspepsia
- Headache disorder
- Hypertonia
- Irritability
- Libido changes
- Migraine
- Mood changes
- Vaginal discharge
- Vomiting
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Abnormal hepatic function tests
- Acute myocardial infarction
- Anaphylaxis
- Angioedema
- Back pain
- Cerebrovascular accident
- Change in corneal curvature
- Chest pain
- Cystitis
- Depression
- Ectopic pregnancy
- Endometrial carcinoma
- Erythema multiforme
- Erythema nodosum
- Galactorrhea not associated with childbirth
- Gallbladder obstruction
- Hepatitis
- Hypersensitivity drug reaction
- Hypertension
- Influenza
- Involuntary muscle movement
- Malignant neoplasm of the ovary
- Menorrhagia
- Neoplasm of breast
- Obstructive hyperbilirubinemia
- Optic neuritis
- Ovarian cyst
- Pancreatitis
- Pruritus of skin
- Pulmonary thromboembolism
- Retinal thrombosis
- Skin rash
- Thromboembolic disorder
- Thrombophlebitis
- Thrombotic disorder
- Unspecified lump in breast
- Urticaria
Less Severe
- Abnormal vaginal bleeding
- Acne vulgaris
- Alopecia
- Amenorrhea
- Back pain
- Body fluid retention
- Cervical discharge
- Chest pain
- Chloasma
- Constipation
- Drowsy
- Erosion of cervix
- Fever
- Hirsutism
- Hyperglycemia
- Insomnia
- Limb pain
- Mastalgia
- Menorrhagia
- Migraine
- Nausea
- Nervousness
- Nipple discharge
- Upper respiratory infection
- Urticaria
- Weight gain
Contraindicated
None
Severe Precaution
None
Management or Monitoring Precaution
Estradiol
May cause premature epiphyseal closure. Prepubertal use may induce vaginal bleeding, premature breast development.
- 1 Day – 18 Years
- May cause premature epiphyseal closure. Prepubertal use may induce vaginal bleeding, premature breast development.
Estradiol
- Severity Level:
2
- Additional Notes: Not indicated during pregnancy; no known dev tox
Norgestimate
- Severity Level:
2
- Additional Notes: Available data suggest no known dev tox with inadvertent exposure
Contraindicated
None
General | Excretion Potential | Effect on Infant | Notes |
None |
Precaution Exists
Estradiol
Limited data indicate higher excretion may occur w/vaginal vs transderm admin
Insufficient data available; progestins are excreted
General | Excretion Potential | Effect on Infant | Notes |
Evaluate use carefully | Excreted | Not known; no or inclusive data | Limited data indicate higher excretion may occur w/vaginal vs transderm admin |
Norgestimate
Limited data indicate higher excretion may occur w/vaginal vs transderm admin
Insufficient data available; progestins are excreted
General | Excretion Potential | Effect on Infant | Notes |
Evaluate use carefully | Excreted | Not known; no or inclusive data | Insufficient data available; progestins are excreted |
No Known Risk
None
General | Excretion Potential | Effect on Infant | Notes |
None |
Contraindicated
None
Precaution Exists
None
No Known Risk
None
- Estrogens, either used alone or with a progestin, have rarely caused very serious side effects. Discuss the risks and benefits of hormone treatment with your doctor. Estrogens and progestins should not be used to prevent heart disease or dementia.<br /><br /> In postmenopausal women, estrogen when used with a progestin can increase the risk of heart disease (such as heart attacks), stroke, serious blood clots in the lungs/legs, dementia, and cancer of the breast/ovaries. The risk for serious side effects may depend on the dose of estrogen and the length of time it is used. Therefore, this medication should be used at the lowest effective dose and for the shortest amount of time.<br /><br />Discuss the use of this medication with your doctor regularly (for example, every 3 to 6 months) to see if you still need to use it. If you will be using this medication long-term, you should have regular complete physical exams (for example, once a year) as directed by your doctor. See also Notes section.
Atrophic vaginitis associated with menopause | |
N95.2 | Postmenopausal atrophic vaginitis |
Atrophy of vulva | |
N90.5 | Atrophy of vulva |
Post-menopausal osteoporosis prevention | |
Z78.0 | Asymptomatic menopausal state |
Vasomotor symptoms associated with menopause | |
N95.1 | Menopausal and female climacteric states |
N95.9 | Unspecified menopausal and perimenopausal disorder |
0-9 | A-Z |
---|---|
N90.5 | Atrophy of vulva |
N95.1 | Menopausal and female climacteric states |
N95.2 | Postmenopausal atrophic vaginitis |
N95.9 | Unspecified menopausal and perimenopausal disorder |
Z78.0 | Asymptomatic menopausal state |