- Side Effects
- Patient Information Leaflet
What is Femoston
Femoston is a hormone replacement therapy (HRT). It is considered suitable for postmenopausal women who require estrogen replacement therapy and those who have not yet had a hysterectomy (have not had their uterus removed). During the menopausal transition, estrogen levels in a woman’s body begin to decrease rapidly, which triggers vasomotor symptoms like hot flushes.
The drug can also deter osteoporosis (bone loss and fragility) among postmenopausal women – especially those at risk of getting fractures easily. Only women who have not had their period for at least six months should use Femoston.
Femoston contains estradiol and dydrogesterone, which are synthetic derivatives of the female sex hormones, also referred to as oestrogen and progesterone. These hormones supplement the female body with adequate levels of female sex hormones, alleviating postmenopausal symptoms.
Can I Buy Femoston Online?
Yes, Femoston can be purchased online through Click Pharmacy. In addition, we offer consultations which help determine which dose would be appropriate for each customer.
How Effective is Femoston?
The effectiveness of Femoston varies. If you take medication regularly, then, Femoston is considered one of the most effective treatments for menopause, especially when taking no Femoston or HRT at all. Taking combined HRT tablets for a year can decrease the occurrence of menopausal symptoms such as hot flushes, vaginal dryness, and night sweats.
How Does Femoston Work?
As mentioned, Femoston is an HRT that contains the hormones oestradiol and dydrogesterone Oestradiol is a natural female sex hormone called oestrogen. It is the hormone that your ovaries produce naturally before the menopausal transition. Similarly, Dydrogesterone is a hormone commonly referred to as a progestogen. The effects are quite similar to the natural female hormone known as progesterone, also produced by the ovaries before menopause.
Menopause is a natural process that occurs intrinsically in a woman`s life. Women between the ages of 45 to 55 are bound to go through it. After menopause, the body simply does not produce as much oestrogen as it did before. This leads to unpleasant symptoms like excessive warmth in the face, neck and chest, hot flushes (sudden intense feelings of heat throughout the body), sleeping disorder(s), irritability and depression.
Femoston relieves and prevents such symptoms. The oestrogen present in the medication aids in balancing the levels of hormones that the female body loses on its own. At the same time, progestogens such as dydrogesterone stimulate the growth of the lining of the uterus (called the endometrium). Before menopause, the uterus lining is eradicated during the menstrual cycle through the action of a natural progestogen that the body produces.
There are four types of Femostons available on our website. Femoston Conti is a prescription-based medication that is available as either 0.5/2.5mg (known as the low dose) or 1/5mg tablets. Each of these tablets contains both oestradiol and dydrogesterone. They should be taken every day at an interval. Femoston Conti is usually prescribed to postmenopausal women who have not had a natural menstrual bleed for the past 12 months but have an intact uterus. You will not experience a monthly bleed when you are taking Conti.
Femoston 1/10 & Femoston 2/10
Femoston 1/10 and 2/10 are referred to as combined cyclical HRT. This implies that within each pack, you will get 14 tablets that contain just Estradiol (for the first 14 days) and 14 tablets that contain both Estradiol and Dydrogesterone that will be taken for the rest of the month. Cyclical HRT has this feature since it works differently from the Conti. Cyclical HRT uses hormones to imitate the body’s natural menstrual cycle to relieve postmenopausal symptoms. Most women tend to experience a monthly bleed when taking Femoston 1/10 and 2/10.
Similarly, Femoston 1/10 and 2/10 are prescribed to postmenopausal women who have not experienced a natural menstrual bleed for about 6 months – but still have an intact uterus.
How Should I Take Femoston?
Women or people with uteruses who are not currently taking hormone replacement therapy and those who are amenorrhoeic may start their treatment on any day convenient for them. Similarly, people switching from a continuous combined hormone replacement therapy can begin taking Femoston whenever they want. However, people who are transferring from a cyclic or continuous sequential HRT regimen should start their treatment the day following the completion of the previous regimen.
During the first 14 days of the standard 28-cycle, you will take one tablet containing oestradiol daily; during the next 14 days, you will take one tablet containing oestradiol and dydrogesterone daily.
After you have successfully completed a cycle of 28 days, you must continue the next cycle on the 29th day. You should take the treatment continuously without a break between packs.
Under any circumstances, if you miss a dose, it should be taken as soon as possible. However, when more than 12 hours have elapsed, it is advised to take the next dose and skip the forgotten one.
Before taking Femoston Conti or Femoston 1/10 or 1/20, you must go over and familiarise yourself with the directions in the Patient Information Leaflet.
Femoston Conti Dosage
Each tablet of Femoston Conti comes in blister packing marked with the days of the week. These markings are convenient since you can take one tablet at the same time each day. You can also begin your first pack on whatever day you desire.
Femoston 1/10 & 2/10 Dosage
From days 1-14, you should take 1 tablet daily, which contains 1 or 2 mg of oestradiol. Keep in mind that you have to start from the part of the pack marked with the arrow one.
From days 15-28, you should take 1 tablet daily, which contains 1 or 2 mg of oestradiol as well as 10 mg of dydrogesterone. This would start from the part of the pack marked with the arrow 2.
What Does Femoston Contain?
Femoston contains the active ingredients estradiol and dydrogesterone. It relieves the discomfort that many women experience during and after menopause. These active ingredients aid in the prevention of the thinning of the bones.
Are There Any Side Effects of Femoston?
Just like any other HRT medication, Femoston has common side effects. For example, you may experience irregular vaginal bleeding, painfully tender or swollen breasts, pain resembling periods, vaginal itching, increased fluid discharge, and swelling in the lower legs, ankles, fingers or abdomen. Furthermore, you may have to deal with nausea, abdominal cramps, vomiting, heartburn, flatulence, diarrhoea, headache, migraine, a sudden spike in blood pressure, vertigo, depression, anxiety, sudden mood changes, difficulty sleeping, worsening of epilepsy, pain in back, change in libido, fluctuation in weight, acne, itchy or dry skin as well as skin discolouration.
Seek medical attention if you have signs of an allergic reaction, experience a severe headache out of nowhere, sudden loss of coordination, blurred vision or loss of vision, bulging of the eyeball, slurred speech, numbness in a limb, agonising swelling in the calves or thighs, chest pain, coughing up blood, pain or sensitivity in the abdomen, yellow colour to the skin or eyes, dark coloured urine or light coloured stool.
Ingredients of Femoston vary slightly depending on the type of Femoston.
Femoston 1/10 mg: The first 14 white tablets of Femoston 1/10 mg contain 1 mg of oestradiol in each tablet. The second 14 grey tablets contain about 1 mg of oestradiol and 10 mg of dydrogesterone in each tablet. In addition, Femoston 1/10 mg contains other ingredients, such as hypromellose, macrogol 400, Macrogel 3350, talc, titanium dioxide, Polyvinylalcohol, and black iron oxide.
Femoston 2/10 mg: The first 14 brick red tablets contain 2 mg of oestradiol in each medicine tablet. The second 14 grey tablets contain about 2 mg of oestradiol and 10 mg of dydrogesterone in each tablet. The other ingredients include talc, macrogol 400, hypromellose, and titanium dioxide. Also, there are black, red, and yellow iron oxides.
Femoston Conti ⅕ mg: The active ingredients in every tablet are 1 mg of oestradiol and 5 mg of dydrogesterone, including lactose monohydrate, hypromellose, maize starch, colloidal anhydrous silica along with magnesium stearate. Also, it consists of titanium dioxide, iron oxide yellow, iron oxide red, hypromellose, and macrogol.
Femoston Conti 0.5/2.5 mg: The active ingredients in all tablets of Femoston Conti 0.5/2.5 mg is 0.5 mg oestradiol and 2.5 mg dydrogesterone, respectively. Other ingredients are titanium dioxide, iron oxide yellow, polyvinyl alcohol, and macrogol. In addition, there is also talc lactose monohydrate, hypromellose, maize starch, along with colloidal anhydrous silica magnesium stearate.
Who can use Femoston?
Most people can use Femoston. However, you should not use Femoston if you:
- Are allergic to any of the ingredients
- Have a history of breast cancer
- Have or have had endometrial cancer
- Have or have had tumours sensitive to oestrogen
- Have or have had untreated thickening of the uterus
- Have or have had blood clots/blood clotting disorder
HRT alternatives of Femoston
Various types of HRT available for women may be better suited for you. Each serves a slightly different purpose and fulfils different needs. However, it is crucial to consult your doctor when considering taking different HRT medicines, as each has different risks and benefits.
HRT are available in the forms of vaginal creams, gels, tablets and pessaries, topical skin gels, and patches. Other HRT medicines most popular include Livial, Evorel Conti, Kliovance, Premarin and Estradot.
Warnings & Precautions
Note that HRT is not appropriate for every single individual. Therefore, it is vital to consider every aspect of your health before taking any specific HRT. In addition, your GP should ensure that the benefits outweigh the risks. In order to do this, your GP will evaluate your risk factors and family history before issuing a prescription.
You should not take Femoston or HRT if:
- You have had breast cancer
- You have had endometrial cancer
- You have excessive womb lining thickening
- You have had a blood clot
- You have a clotting disorder
- You have had a stroke
- You have had a heart attack or even an angina
- You are allergic to any of the listed ingredients in the medicine
- You have liver disease
Similarly, Femoston may be unsuitable for you if you have the following:
- High blood pressure
- Increased risk of blood clots
- History of heart disease
- History of cancer and blood clotting
- Diabetes or at-risk of diabetes
- Liver and kidney problems or disorders
- Epilepsy or a history of epilepsy
Does Femoston cause weight gain?
Yes. You may experience weight gain as a potential side effect of Femoston.
What is the key difference between Femoston and Femoston Conti?
Femoston contains a 28-day cycle of 14 tablets of only oestrogen pills. This is combined with 14 days of oestrogen and progestogen tablets. On the other hand, Femoston Conti only contains a continuous dose of a combination of oestrogen and progestogen.
Do I Need a Prescription for Femoston?
Yes. Femoston should only be taken by those who have been prescribed the medication. In addition, it should only be taken by postmenopausal women. Otherwise, it can lead to serious health complications.
Can Femoston Prevent Pregnancy?
No, it is not an oral contraceptive. This drug is for women nearing or going through menopause. However, if it has been less than 12 months since your last menstrual period and you are currently under 50, you may still be required to use additional contraception to prevent pregnancy.
Can I Take Femoston If I am Pregnant?
First and foremost, Femoston is not prescribed during pregnancy. So, in any case, if pregnancy occurs during the time that you are using Femoston, it is better to withdraw the treatment immediately.
Can I Take Femoston If I am Lactating?
Do not take Femoston post-birth or during breastfeeding. Taking Femoston during lactation is strongly advised against.
Does Femoston Affect the Ability to Drive and Use Machinery?
No, Femoston contains hormones only. It does not consist of any ingredient that would impact your judgement or senses. Femoston does not have any influence over one’s ability to drive and use machines.
Can Other Medicines Interfere with Femoston?
Yes. There are several medicines which should never be collaborated with Femoston. It is best to let your doctor know which medication you are currently using when discussing whether you should start Femoston. Some of these medications are:
- Herbal medicines containing St. John’s Wort.
- Specific medicines to treat epilepsy such as phenytoin, phenobarbitone and carbamazepine.
- Some common antibiotics and anti-infectives.
● Abnormal vaginal bleeding
● Vagina spotting
● Tender or swollen breasts
● Pain resembling period cramps
● Itching in the vagina
● Inflammation or fluid discharge
● Fluid retention which can cause swelling in the lower legs, ankles, fingers or abdomen
● Depression or anxiety
● Mood swings
● Sleeping disorder
● Weight gain