home Audience 6 It is possible to take femoston for 10 years. Femoston is a drug for hormone replacement therapy

It is possible to take femoston for 10 years. Femoston is a drug for hormone replacement therapy

Estrovel. A medicine based on active ingredients: black cohosh extract, soybean extract, wild yam extract, nettle leaf extract, vitamin E, folic acid, L-phenylalanine. Thanks to this composition, the drug helps to mitigate hormone imbalance in female body, reduce headaches, tension in muscle tissue, improve metabolism in bone tissue, reduce the risk of developing osteoporosis.
For the prevention and treatment of menopause, it is recommended to take 1 tablet 1-2 times a day. Consume with food. Continue taking it for at least two months to get an effective result.

Klimadinon. Medicine based on active ingredients: liquid extract cohosh and mint oils. Has estrogen-like properties. It has a sedative effect on the female body.
It is recommended to take 1 tablet 2 times a day (or 30 drops 2 times a day if you are using another form of the drug). The duration of the course can only be determined by the attending physician, but for positive result The medicine must be used for at least 2 weeks.

Feminal. Dietary supplement based on active ingredients: red clover extract, magnesium stearate and silicon dioxide. The drug helps to compensate for the lack of estrogen in the female body during menopause, which significantly reduces the symptoms of menopause.
It is recommended to take 1 tablet once a day with plenty of liquid. You need to use dietary supplements for at least 1 month, but if necessary, the attending physician can increase the duration of therapy or prescribe another course.
If the patient has been diagnosed with an allergy to red clover extract, taking Feminal is contraindicated.

Femiwell. A medicine based on active ingredients: soy proteins, soy extract, red clover extract and vitamin E. Thanks to this composition, the drug improves general state women during menopause, relieves irritability, high blood pressure, sweating and swelling.
It is recommended to take 1 tablet of the drug once a day. The duration of therapy is at least 1 month. If necessary, the attending physician may increase the dosage or duration of treatment.

Qi-Clim. Medicine based on the active component of dried cimicifuga extract. It has estrogen-like properties, helps cope with the main symptoms of menopause. It has a sedative effect.
It is recommended to take the drug Qi-Klim 1 tablet 2 times a day. Do not chew, drink plenty of liquid. It is best to consume at the same time every day. The duration of treatment is determined by the attending physician.
If the patient has been diagnosed with epilepsy, incorrect operation liver, injury or brain disease, Qi-Klim should be taken with caution. IN in rare cases pills can cause allergic reactions.

Remens. A medicine based on active ingredients: black cohosh extract, pilocarpus, Canadian sanguinaria extract, surukuku snake venom, cuttlefish gland secretion. Homeopathic medicine, which helps ease the symptoms of menopause, relieve irritability, vegetative signs of menopause, and depression.
It is recommended to take 1 tablet (10 drops) of the drug 3 times a day. To obtain a positive result, it is necessary to use Remens medicine for up to 6 months. If you need to repeat the treatment, this can only be done after a month's break.
In very rare cases, Remens may cause increased salivation. If you experience other side effects, you should immediately contact a specialist.

Lefem. A medicine based on the active component of soy isoflavones. These substances are natural analogues female hormone estrogen, the amount of which decreases significantly during menopause. Thanks to this drug, irritability decreases, the number of hot flashes decreases, and sleep improves.
It is recommended to take the drug 1-2 tablets 2 times a day. It is best to take Lefem medicine at the same time every day. Take with food, drinking enough big amount liquids. Duration of treatment is 6-12 months.
If you are intolerant to soy, soybean oil or groundnuts, do not take this drug. In some cases, using the product causes allergies and vaginal discharge(may even be bloody).

Currently, obstetricians and gynecologists often prescribe the drug "Femoston" for menopause. Reviews from doctors are diametrically opposed, but in the vast majority of cases they are positive. Let's figure out what this drug is.

Composition of the drug

The main active ingredients are estradiol and dydrogesterone. Some of the tablets contain only estradiol (1 or 2 mg - depending on the drug), and the second half of the tablets also contain 10 mg of dydrogesterone. And, of course, various Excipients, which are part of the tablet shell.

When is it prescribed?

The indication for the use of this drug is estrogen deficiency in women. Used no earlier than 6 months after last menstrual period. Menopausal manifestations may be individual for each patient, but general symptoms are still present. These are hot flashes, irritability, dry skin and mucous membranes (including the vagina), pain during sexual intercourse, and unstable blood pressure.

Another indication is the prevention of osteoporosis in postmenopausal women. In this situation, the drug is prescribed even in the absence clinical manifestations menopause, if there are contraindications for the use of specialized drugs for the treatment of osteoporosis.

Have you been prescribed the medicine "Femoston"? Reviews during menopause will be positive if the drug suits the patient and she tolerates it well. Otherwise, you may need to select another drug.

How to use

The package contains 28 tablets. All of them contain estrogen for continuous use. Progesterone is also added to the second 14 tablets. Therapy begins with taking pills Pink colour and then switch to pills yellow color. The drug is used without interruption: after finishing the package, the next one immediately begins.

Medicines for menopause: "Femoston" 2\10, 1\10, 1\5 conti - prescribed in different situations. A dosage of 1/5 conti is used in women with long-term menopause, when there are no longer pronounced menopausal symptoms, but the drug is needed to prevent bone fractures associated with the development of osteoporosis, to stabilize the course hypertension when only one reception antihypertensive drugs does not give the desired effect. In this situation, when doctors prescribe a drug, they only have positive things to say about it. This is especially true for cardiologists who are not afraid to recommend to their patients And as a result they receive a stable reduction blood pressure and reducing the risk of acute myocardial infarction.

The instructions for the drug state that the experience of use in women over 65 years of age is limited, but this does not mean that it is impossible. The main thing is to correctly weigh all the pros and cons.

Alternative uses

The drug "Femoston" 2/10, reviews of which can be found on most women's websites, is currently also used in female patients reproductive age. The question arises: “Why?” After all, this indication is not spelled out in the instructions. Nevertheless, reproductologists have found that due to the fact that the composition of the drug is identical to natural ones, it helps to cope well with such a problem as thin endometrium. These are situations when the mucous membrane of the uterine cavity does not correspond to the day menstrual cycle, which leads to the impossibility of developing pregnancy even if the egg is fertilized.

But what does practice show, does pregnancy occur on the drug "Femoston" 2/10? Reviews on forums are most often negative. Patients complain that the menstrual cycle is disrupted, the discharge itself becomes profuse, but there is still no ovulation, and for some, the endometrium still does not grow. But there are also isolated positive reviews. This suggests that the drug in combination with the addition of duphaston in the second phase of the cycle gives positive effect, pregnancy occurs, only the course of treatment should not be 2-3 months, but at least six months. Therefore, the drug "Femoston" 2/10, reviews of which can be found are diametrically opposed.

The drug "Femoston" 1/10, reviews for which are also easy to find, has more positive recommendations. Some doctors are trying to prescribe it to patients of reproductive age in order to regulate the menstrual cycle. But here, as a rule, it does not work - insufficient levels of hormones. And when prescribed to women of menopausal age, it works well. "Femoston" 1/10 patient reviews are mostly positive. It is well tolerated and practically does not cause side effects.

To summarize, we can say that the drug "Femoston", doctors' reviews confirm this, is the safest and most effective in treating the manifestations of menopausal syndrome, normalizing the menstrual cycle and preparing for pregnancy in women with

For children and teenagers this medicine not used.

Negative manifestations

Like any medicine, this drug may have side effects. Their severity determines whether the patient will continue to use the drug in the future. Such manifestations include:

headaches, may be migraine-like pain;
dyspeptic symptoms;
abdominal pain;
bloating;
leg cramps;
soreness of the mammary glands;
menstrual irregularities that may occur heavy discharge, pain syndrome, spotting spotting in the middle of the cycle;
weight fluctuations (some people note a decrease in weight, while others, on the contrary, an increase in body weight).

Among the rare manifestations, it is worth noting: the development of candidiasis, an increase in decreased libido, mood swings, syncope, the development of thrombosis, the formation of gall bladder stones, allergic manifestations on the components of the drug, swelling, due to which weight may increase.

But, despite all this, you can safely take Femoston. Reviews from doctors show that the medicine is well tolerated, side effects are rare or mild.

When the drug should not be used

This medicine should not be used if:

hypersensitivity to any component of the drug;
breast cancer in the past or present;
the presence of hormone-dependent formations;
bloody discharge from the genital tract for an unknown reason;
endometrial hyperplasia in the absence of a histological conclusion;
thrombosis in the past or present;
thrombophilia;
IHD, acute heart attack myocardium, ischemic stroke;
exacerbation of liver diseases;
porphyria;
pregnancy and lactation;
patients under 18 years of age.

IN gynecological practice The medicine "Femoston" is often prescribed for menopause. Reviews from doctors make it possible to track the frequency of occurrence of certain side effects and help find ways to combat them.

Price issue

The price of the drug may vary depending on the region and pharmacy chain. But in general, the cost of the medicine ranges from 499 rubles per package to 1310 rubles. The dosage of the drug "Femoston" also plays a role here. Price and reviews are available on the manufacturer's official website.

Results

When using the drug "Femoston" for menopause, doctors' reviews state that the patient receives an improvement in well-being due to the cessation or significant reduction of menopausal symptoms, prevention of the development of osteoporosis (and with it the prevention of bone fractures), and protection from the progression of cardiovascular pathology.

Every woman at any age wants to look healthy and attractive. Substitute hormone therapy helps in making this wish come true. Should I use the drug "Femoston" during menopause? Reviews from doctors say yes.

The situation when a woman’s body disrupts the production of its own sex hormones is quite common. These are, first of all, conditions associated with the onset of menopause or surgical removal reproductive organs(ovaries, uterus).

In this situation, the main goal of therapy is to compensate for the deficiency of the hormone estrogen and eliminate the consequences of its lack for the body. The drug Femoston is included in the list of drugs to combat the manifestations of the above conditions.

Composition and dosage

Femoston in its structure is a combined drug containing estradiol (estrogen component) and dydrogesterone (gestagen component). Depending on the concentration of each component, the pharmaceutical industry produces the following dosages:

Femoston conti 1/5 (contains 1 mg estradiol and 5 mg dydrogesterone);
Femoston 1/10 (1 mg estradiol and 10 mg dydrogesterone);
Femoston 2/10 (2 mg estradiol and 10 mg dydrogesterone).

Femoston conti differs from others not only in its lower dosage of the gestagenic component, but also in its consistency chemical composition in each tablet (monophasic).

In turn, Femoston 1/10 and 2/10 are two-phase drugs. This is manifested in the changing composition of the tablets depending on the phase of the cycle. The first 14 tablets contain only estrogen, the next 14 include estrogen and progestogen.

Provided various shapes release and by the number of tablets per package: 28, 84 or 280.

Mini-instructions for use of the drug

The main property of Femoston is the regulation of the level of its own sex hormones. Each of the components of the composition performs its role sequentially in a certain phase of the cycle.

IN follicular phase estradiol promotes the active growth of the uterine mucosa and, thus, reproduces the physiological model of the menstrual cycle. On day 15, the pill you take already includes dydrogesterone, which regulates estrogen activity. This is necessary to prevent excessive growth of the endometrium, as well as reduce risks malignant degeneration uterine epithelium under the influence of estradiol.

Thanks to fast normalization hormonal levels, regular use of the drug Femoston helps to cope with the following undesirable manifestations of menopause:

hot flashes;
sweating and chills;
worsening mood, depression;
dry skin and mucous membranes, vaginal itching;
brittle bones, osteoporosis, etc.

Due to the specificity of the effects on the body, The main indications for taking the drug are:

menopause (natural or artificial);
prevention of destruction bone tissue if other drugs are not effective or cannot be used.

Another one, no doubt positive action the drug on the body is to normalize cholesterol levels in the blood, increase the concentration of lipoproteins high density and reduction of low-density lipoproteins. This feature is taken into account by cardiologists when identifying a woman in menopausal age problems with the lipoprotein composition of the blood.

Femoston and infertility

In addition to clinically proven indications for use, there is a practice of taking the drug in the treatment of infertility caused by hypofunction of the uterine epithelium. The prescription of Femoston when planning pregnancy is based on its ability to cause active growth endometrium in the first phase of the cycle. For the persistent therapeutic effect It is recommended to continue therapy for 2-3 months. Pregnancy becomes possible after discontinuation of the drug.

This treatment tactic has both its supporters and opponents. Negative ones are usually associated with a high risk of side effects and the presence of a number of contraindications. However, the effect of the therapy is controversial.

Contraindications and side effects

The initiation of treatment with Femoston must be accompanied by a preliminary comprehensive medical examination women. Data is collected on the presence of a number of diseases in the anamnesis, as well as other conditions for which taking the drug is contraindicated.

The main contraindications include:

hormone-dependent neoplasms of the reproductive organs or mammary glands;
vaginal bleeding, the cause of which is not clear;
arterial hypertension;
pregnancy and breastfeeding;
thrombosis;
and liver;
endometriosis, etc.

Often, refusal of Femoston therapy is the occurrence of the following side effects:

swelling;
disruption of the gastrointestinal tract;
headache;
pain in the mammary glands and pelvic organs;
weight change.

Femoston and alcohol

The instructions for use do not contain clear wording reflecting the effect of the drug on the background of alcohol intake. It should be noted that ethanol inhibits the activity of microsomal liver enzymes (cytochrome P450), which metabolize the drug. Consequently, joint reception Femoston and alcohol can have a detrimental effect on the transformation of active substances in the liver and overall efficiency drug.

Drugs of similar composition for the correction of menopausal symptoms include Klimonorm and Angeliq. Just like Femoston, these are combined (estrogen and gestagen) agents.

The main difference between the drug Angelique is its monophasic nature and the presence of a progestin component in the form of drospirenone. The main indications for use of the drug are menopause and the prevention of osteoporosis associated with a lack of intrinsic estrogen.

The drug is available in the form of tablets 28 and 84 pcs. with constant dosage:

estradiol 1 mg;
drospirenone 2 mg.

Klimonorm differs from previous drugs in the dosage of the active ingredients. The package contains:

9 estradiol tablets with a dosage of 2 mg;
12 combination pills (estradiol 2 mg, levonorgestrel 150 mcg).

Thus, one cycle involves taking 21 tablets once a day and 7 days off. Thanks to this feature, the drug is used not only in eliminating the symptoms of menopause, but also for correcting the menstrual cycle in women of reproductive age.

Are there any other analogs of Femoston?

Often, women during menopause, in addition to hormone-containing drugs, are also prescribed drugs of a different chemical nature. Main groups:

homeopathic (Remens, Klimadinon, Estrovel);
antidepressants (Venlafaxine, Fluoxetine);
antiepileptic drugs (Gabapentin).

For health reasons, other means of symptomatic therapy may be prescribed.

Hormonal antimenopausal drugs have a number of desirable and undesirable features associated with the effect of estrogens on the body. Before starting to take this group of drugs, you should always weigh all the advantages and disadvantages of the therapy.

See also a video about the use of Femoston during menopause:

Femoston ® 2/10

Registration certificate P No. 011361/01.

INN: dydrogesterone + estradiol.

Indications for use:

Hormone replacement therapy for disorders caused by natural menopause or menopause caused by surgical intervention; prevention of postmenopausal osteoporosis.

Contraindications:

established or suspected pregnancy and lactation period; diagnosed or suspected breast cancer, history of breast cancer; diagnosed or suspected estrogen dependent malignant neoplasms; vaginal bleeding unknown etiology; Previous idiopathic or confirmed venous thromboembolism (deep vein thrombosis, thromboembolism pulmonary vessels); active or recent arterial thromboembolism; acute diseases liver, as well as a history of liver disease (before normalization of laboratory parameters of liver function); untreated endometrial hyperplasia; increased sensitivity to any of the components of the drug; porphyria.

Carefully: uterine leiomyoma, endometriosis; history of thrombosis or its risk factors; risk factors for estrogen-dependent tumors (for example, breast cancer in the patient’s mother); arterial hypertension; benign tumor liver; diabetes; cholelithiasis; epilepsy; migraine or (intense) headache; history of endometrial hyperplasia; systemic lupus erythematosus; bronchial asthma; renal failure; otosclerosis. After consultation with the doctor, the drug should be discontinued if: jaundice or deterioration of liver function occurs, a strong increase in blood pressure, a newly diagnosed migraine-like attack, pregnancy and the manifestation of any contraindication.

Use during pregnancy and breastfeeding: the drug is contraindicated during pregnancy and breastfeeding.

Directions for use and dosage:

The drug is taken orally, 1 tablet per day, without interruption. In the first 14 days of a 28-day cycle, take 1 pink tablet daily (from half of the package with an arrow marked “1”) containing 2 mg estradiol, and in the remaining 14 days, take 1 light yellow tablet daily (from half packages with an arrow marked “2”) containing 2 mg of estradiol and 10 mg of dydrogesterone. Side effect:
headache, migraine; nausea, abdominal pain, flatulence; breast tenderness, breakthrough bleeding, pain in the pelvic area; change in body weight.

A list of all side effects is presented in the instructions for use.

Overdose:

symptoms: nausea, vomiting, drowsiness, dizziness. Treatment is symptomatic.

Interaction with other drugs: simultaneous use medicines, which are inducers of microsomal liver enzymes (for example, barbiturates, phenytoin, rifampicin, rifabutin, carbamazepine), may weaken the estrogenic effect of Femoston. Ritonavir and nelfinavir, although known as inhibitors of microsomal metabolism, may act as inducers in simultaneous reception with steroid hormones. Herbal preparations containing St. John's wort can stimulate the exchange of estrogens and progestogens.

Special instructions:

Before prescribing or restarting HRT, it is necessary to collect a complete medical and family history and conduct a general and gynecological examination to identify possible contraindications and conditions requiring precautions. During treatment with Femoston, women are recommended to be examined periodically. In addition, it is advisable to carry out breast examination and/or mammography in accordance with accepted standards taking into account clinical indications. The use of estrogens may affect glucose tolerance testing, function tests thyroid gland and liver. Patients who have previously received HRT using only estrogen drugs should be especially carefully examined before starting treatment with Femoston ® in order to identify possible endometrial hyperstimulation. Shelf life: 3 years. Dispensing conditions from pharmacies are by prescription. Full information information about the drug is presented in the instructions for use. IMP from 08/31/2010

To answer this question, it is necessary to consider the composition and mechanism of action of the drug.

First active substance- estradiol, which is an analogue of the hormone synthesized by the ovaries normally. With its help, the deficiency is filled natural hormone, as a result of which hot flashes, excessive sweating, anxiety, dizziness, insomnia, migraines, dryness and discomfort in the vagina, pain during sexual intercourse and urination disappear.
Second active ingredient- dydrogesterone, has the effects of progesterone, is necessary for the prevention of endometrial hyperplasia, which can develop when taking estrogens.

The doctor may prescribe. In this case, the drug is also effective in eliminating menopausal symptoms.

Femoston dosage regimen for hot flashes

It is advisable to start treatment with the minimum effective dose.

The drug is available in blisters of 28 tablets in three dosages.

Femoston 1/5 is taken 1 tablet per day. Suitable only for women who have been postmenopausal for more than 1 year.
Femoston 1/10 is taken as follows: starting from the 1st day of the cycle - 1 white tablet, from the 15th to 28th day - 1 sulfur tablet. The difference in color of the tablets implies a different composition: in the first 14 days of the cycle, estrogen is physiological for the body, followed by a combination of estrogen and progestogen.
A similar regimen is used for Femoston 2/10. The package contains 14 pink and 14 yellow tablets for use in the first and second half of the cycle, respectively.

If menstruation continues, it is recommended to start treatment on the first day of the menstrual cycle. At irregular cycle It is advisable to start treatment with progestogen for 14 days. With absence menstrual flow more than 1 year, treatment can be started any day.

Important! It is necessary to take tablets at the same time of day, regardless of meals, but always without a break between packs.

Hot flashes while taking Femoston

When taking estrogen-containing drugs, typical symptoms regress quite quickly. In most patients, the condition stabilizes within one to two weeks of regular use of Femoston. There is an improvement in mood, normalization of sleep and disappearance of hot flashes.

If hot flashes occur while taking Femoston, you should consult your doctor to find out the reasons. In case of insufficient estrogen dosage, it is advisable to consider switching to a higher dosage. A situation is possible when on Femoston 1/10 the tides do not pass during turning for quite a long time. In this case, the appearance of hot flashes may be affected by Femoston 2/10. However, first of all, subjective reasons should be excluded, such as violation of the regimen and regimen.

On a note! We should not forget about drug interactions. Some anticonvulsants antimicrobials, and herbal remedies, containing St. John's wort, enhance the metabolism of estrogens and gestagens, which is clinically manifested by a decrease in the effectiveness of Femoston when taken simultaneously with these groups of drugs.

Hot flashes after discontinuation of Femoston

The human estrogen analogue is metabolized and excreted primarily by the kidneys within 24 hours. There is no cumulative effect. Consequently, after discontinuation of Femoston, the occurrence of hot flashes and other symptoms that were disturbing before the start of use is noted.

Femoston for hot flashes: reviews from doctors and patients

Reviews from patients who took Femoston are mostly positive. The advantages are always ease of use, quick onset of the expected result (often you don’t have to wait long for Femoston to help: hot flashes and chills, headaches go away in some cases within a few days).

Sometimes women who drink Femoston 1/5 conti say that hot flashes do not go away. But it should be remembered that this is a low-dose drug, and before making a conclusion about its ineffectiveness in this particular case, it is necessary to switch to taking Femoston 2/10 and evaluate whether the hot flashes persist.

The development of side effects common to all is quite rare. combination drugs containing estrogen and progestogen:

soreness of the mammary glands, increase in their size
short-term increase in blood pressure
headache
spotting bloody issues from the vagina
increased appetite, weight gain

Doctors who use Femoston in their practice note positive influence drug on the quality of life of women suffering from postmenopausal phenomena. It is important to note that in addition to alleviating subjective symptoms, vascular damage by atherosclerosis is slowed down, which is very important for disease prevention of cardio-vascular system, bone mineral density increases, and the risk of developing postmenopausal osteoporosis decreases. These aspects do not always attract the attention of patients, but they play a significant role in assessing the risk/benefit ratio before prescribing treatment.

A clear and convenient regimen for taking pills increases compliance, that is, adherence to treatment: women are more willing to follow the doctor’s instructions and instructions, which certainly has a positive effect on achieving the desired result.

Elena Kravets, general practitioner, especially for the site