Bazedoxifene and conjugated equine estrogens: Patient drug information

Warning

Do not take other estrogens, a progestin, or other drugs like bazedoxifene while taking this drug.
Estrogens may raise the chance of uterine cancer. Progestins may lower this chance. A warning sign for cancer of the uterus is vaginal bleeding. Report any vaginal bleeding to the doctor.
Do not use estrogens to prevent heart disease, heart attack, stroke, or dementia. A study of women taking an estrogen alone showed a raised chance of stroke, blood clot, and dementia. It is not known if the same effects may happen with this drug.
Use estrogens with or without progestin for the shortest time needed at the lowest useful dose.

What is this drug used for?

It is used to treat symptoms of low estrogen levels after menopause.
It is used to treat soft, brittle bones (osteoporosis) after menopause.
It may be given to you for other reasons. Talk with the doctor.

What do I need to tell my doctor BEFORE I take this drug?

If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
If you are pregnant or may be pregnant. Do not take this drug if you are pregnant.
If you are breast-feeding or plan to breast-feed.
If you have had any of these health problems: Bleeding disorder, blood clots, a higher risk of having a blood clot, breast cancer, liver problems or liver tumor, heart attack, stroke, or a tumor where estrogen makes it grow.
If you have unexplained vaginal bleeding.
If you have kidney disease.
If you have not been through menopause or you are still able to have a baby.
If you are older than 75 years of age. This drug is not approved for use in people older than 75 years of age.
If the patient is a child. Do not give this drug to a child.
This is not a list of all drugs or health problems that interact with this drug.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take this drug?

Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
This drug may raise the chance of blood clots, a stroke, or a heart attack. Talk with the doctor.
Talk with your doctor if you will need to be still for long periods of time like long trips, bedrest after surgery, or illness. Not moving for long periods may raise your chance of blood clots.
If you drink grapefruit juice or eat grapefruit often, talk with your doctor.
High blood pressure has happened with drugs like this one. Have your blood pressure checked as you have been told by your doctor.
High triglyceride levels have happened with this drug. Tell your doctor if you have ever had high triglyceride levels.
Have blood work checked as you have been told by the doctor. Talk with the doctor.
Have a bone density test as you have been told by your doctor. Talk with your doctor.
Be sure to have regular breast exams and gynecology check-ups. You will also need to do breast self-exams as you have been told.
This drug may affect certain lab tests. Tell all of your health care providers and lab workers that you take this drug.
Do not smoke. Smoking raises the chance of heart disease. Talk with your doctor.
Limit your drinking of alcohol.
If you are 65 or older, use this drug with care. You could have more side effects.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
Signs of liver problems like dark urine, tiredness, decreased appetite, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
Signs of gallbladder problems like pain in the upper right belly area, right shoulder area, or between the shoulder blades; yellow skin or eyes; fever with chills; bloating; or very upset stomach or throwing up.
Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
Vaginal bleeding that is not normal.
Vaginal itching or discharge.
Eyesight changes or loss, bulging eyes, or change in how contact lenses feel.
Depression or other mood changes.
Memory problems or loss.
Feeling very tired or weak.
A lump in the breast, breast pain or soreness, or nipple discharge.
This drug may cause you to swell or keep fluid in your body. Tell your doctor if you have swelling, weight gain, or trouble breathing.
Call your doctor right away if you have signs of a blood clot like chest pain or pressure; coughing up blood; shortness of breath; swelling, warmth, numbness, change of color, or pain in a leg or arm; or trouble speaking or swallowing.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
Dizziness.
Muscle spasm.
Upset stomach.
Stomach pain or diarrhea.
Throat pain.
Neck pain.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best taken?

Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.
For all uses of this drug:
Take with or without food.
Swallow whole. Do not chew, break, or crush.
Do not take this drug out of the blister pack until you are ready to take it. Take this drug right away after opening the blister pack. Do not store the removed drug for future use.
Keep taking this drug as you have been told by your doctor or other health care provider, even if you feel well.
Soft, brittle bones (osteoporosis):
Take calcium and vitamin D as you were told by your doctor.

What do I do if I miss a dose?

Take a missed dose as soon as you think about it.
If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
Do not take 2 doses at the same time or extra doses.
If you are not sure what to do if you miss a dose, call your doctor.

How do I store and/or throw out this drug?

Store in the original container at room temperature.
Store in a dry place. Do not store in a bathroom.
After opening, throw away any part not used after 60 days.
Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

General drug facts

If your symptoms or health problems do not get better or if they become worse, call your doctor.
Do not share your drugs with others and do not take anyone else's drugs.
Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms.

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Bazedoxifene and conjugated equine estrogens: Patient drug information