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Drug Guide    A   Alora TD

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   Alora TD

Alora TD



This medication is a female hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment.

 
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 Alora TD images:

OverviewPhotosHow To UseSide EffectsPrecautionsMissed DoseDrug Interactions
Alora TD

Uses
This medication is a female hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment.
Notes
  • Do not share this medication with others.
  • Keep all medical and laboratory appointments.
  • You should have a complete physical examination that includes blood pressure measurements and breast/pelvic examinations at regular intervals (e.g., once a year) or as directed by your doctor.
  • Follow your doctor's instructions on how to examine your own breasts and report any lumps immediately.
  • You should also be regularly screened for cervical cancer (e.g., Pap test) and have periodic mammograms as determined by your doctor.
  • Consult your doctor for more details.Lifestyle changes that help maintain healthy bones and prevent bone loss include increasing weight-bearing exercise, eating well-balanced meals containing adequate calcium and vitamin D, stopping smoking, and limiting alcohol.
  • Consult your doctor to see if you need to take calcium/vitamin D supplements.Additional lifestyle changes (e.g., reducing stress, eating a low fat/low salt diet, losing weight if you are overweight) to control or prevent high blood pressure, high cholesterol, and diabetes help to prevent heart disease and strokes.
  • Keep your mind active with mental exercises to help prevent dementia.
  • Discuss with your doctor lifestyle changes that might benefit you.You can also manage hot flashes by keeping a cool body temperature (e.g., using a fan, drinking cool beverages, dressing lightly/in layers, avoiding hot/spicy foods).
  • Limiting caffeine and alcohol, exercising regularly, and learning relaxation techniques may help reduce hot flashes.
  • Vaginal lubricants can help lessen discomfort during intercourse.

Storage
  • Store the sealed pouches according to the package instructions away from light and moisture.
  • Do not store in the bathroom.
  • Keep all medicines away from children and pets.

Overdose
  • Symptoms of overdose may include: severe nausea/vomiting or excessive vaginal bleeding.

How To Use
  • Use this medication exactly as prescribed.
  • The patch is usually replaced twice a week (about every 3 to 4 days), or as directed by your doctor.
  • Follow the dosing schedule carefully.Do not open the sealed pouch container until ready to use.
  • Open the pouch and remove the patch from the protective liner.
  • Apply the patch to a clean, dry, hairless area as directed by your doctor or by the patient information leaflet.
  • This patch should only be applied to certain areas of the body.
  • Different brands of patches are applied to different areas of the body.
  • If you have any questions about where to apply the patch, ask your doctor or pharmacist.
  • Press the patch firmly against the skin for about 10 seconds to make sure the patch stays on.
  • Do not apply to a site that is exposed to sunlight and do not place the patch on the breast.
  • Avoid applying to the waistline since tight clothing may rub the patch off.
  • Do not put the patch on areas where sitting may loosen it.When it is time to change the patch, remove it; fold it in half with the sticky sides together and discard in the trash away from children and pets.
  • Apply a new patch to a different area to prevent skin irritation.
  • It is best to rotate the areas where the patch is applied, allowing at least 1 week in between applications to the same site.
  • If the area around the patch becomes red, itchy, or irritated, try a new site.
  • If the irritation continues or becomes worse, notify your doctor promptly.If a patch falls off, reapply it or apply a new patch and wear it for the rest of the scheduled period.Read the Patient Information Leaflet available from your pharmacist.
  • Consult your doctor or pharmacist if you have any questions.

Side Effects
  • Dizziness, lightheadedness, headache, stomach upset, bloating, nausea, weight changes, increased/decreased interest in sex, breast tenderness, or skin redness/irritation at the application site may occur.
  • If any of these effects persist or worsen, notify your doctor promptly.Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects.
  • Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: mental/mood changes (e.g., severe depression, memory loss), vision changes (e.g., change in contact lens fit, loss of vision), swelling of hands or feet, stomach pain, vomiting, breast lumps, unusual vaginal bleeding (e.g., spotting, breakthrough bleeding, prolonged/recurrent bleeding), unusual vaginal discharge/itching/odor, yellowing of the eyes or skin.Seek immediate medical attention if any of these unlikely but serious side effects occur: calf pain/swelling, sudden severe headache, chest pain, trouble breathing, weakness on one side of the body, slurred speech.A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs.
  • Symptoms of a serious allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before taking estradiol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.This medication should not be used if you have certain medical conditions.
  • Before using this medicine, consult your doctor or pharmacist if you have: undiagnosed abnormal vaginal bleeding, certain cancers (e.g., breast cancer, especially non-metastatic type), blood clots, active/recent stroke or heart attack, liver disease.Before using this medication, tell your doctor or pharmacist your medical history, especially of: family medical history (especially breast lumps and cancer), asthma, diabetes, seizures, migraine headaches, heart disease (e.g., high blood pressure, heart attacks, congestive heart failure), kidney disease, low thyroid hormone (hypothyroidism), abnormal calcium level in the blood, depression, high blood pressure during pregnancy (toxemia), yellowing of eyes and skin (cholestatic jaundice) during pregnancy or with past estrogen use, womb problems (e.g., uterine fibroids, endometriosis), cholesterol or lipid problems, gallbladder disease, excessive weight gain, certain blood disorder (porphyria).If you will be having surgery or will be confined to a chair or bed for a long period of time (e.g., a long plane flight), notify your doctor beforehand.
  • Special precautions may need to be taken in these circumstances while you are taking this drug.This drug may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery.
  • Limit alcoholic beverages.This drug may cause a patchy darkening of the skin on the face (melasma).
  • Sunlight may intensify this darkening and you may need to avoid prolonged sun exposure and sunlamps.
  • Consult your doctor regarding use of sunscreens and protective clothing.Cigarette smoking can increase the chance of blood clots while taking this medication (especially in women over the age of 35).If this medicine is used in children, their growth pattern should be monitored because it may stunt growth.This medication must not be used during pregnancy.
  • It may result in birth defects or cancer later in the child's life.
  • If you become pregnant or think you may be pregnant, tell your doctor immediately.This medication is not effective for preventing a miscarriage and should not be used for this purpose.This medication may pass into breast milk and may have undesirable effects on a nursing infant.
  • Therefore, breast-feeding while using this medication is not recommended.

Missed Dose
  • If you miss a dose, use it as soon as you remember.
  • If a patch falls off, reapply it or apply a new patch and wear it for the rest of the scheduled period, then resume your usual dosing schedule.
  • Do not double the dose to catch up.

Drug Interactions
  • Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.
  • Do not start, stop, or change the dosage of any medicine before checking with them first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: corticosteroids (e.g., prednisone), hydantoins (e.g., phenytoin), warfarin.Also tell your doctor or pharmacist if you are taking any medications which affect certain liver enzymes (CYP450-3A4 enzymes), such as: azole antifungals (e.g., ketoconazole, itraconazole), carbamazepine, cimetidine, macrolide antibiotics (e.g., clarithromycin, erythromycin), phenobarbital, rifamycins (e.g., rifampin), ritonavir, St.
  • John's wort.This product can affect the results of certain lab tests.
  • Make sure laboratory personnel and your doctors know you use this drug.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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