Generic Name: conjugated estrogens (synthetic b) (KON-joo-GAY-ted ES-troe-jenz)
Brand Name: Enjuvia
Enjuvia increases the chance of getting cancer of the uterus. Report any unusual vaginal bleeding right away while using Enjuvia. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus. Your doctor should check any unusual vaginal bleeding to find out the cause.
Do not use Enjuvia with or without progestins (eg, medroxyprogesterone) to prevent heart disease, heart attacks, strokes, or dementia. Using estrogens with or without progestins may increase your chance of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens, with or without progestins, may increase your risk of dementia, based on a study of women 65 years old or older. You and your doctor should talk regularly about whether you still need treatment with Enjuvia.
Enjuvia is used for:
Treating a variety of symptoms due to menopause (eg, hot flashes; vaginal itching, burning, or dryness; painful intercourse). It may also be used for other conditions as determined by your doctor.
Enjuvia is a mixture of estrogen hormones. It works by replacing natural estrogens in a woman whose ovaries can no longer produce enough estrogen.
Do NOT use Enjuvia if:
- you are allergic to any ingredient in Enjuvia
- you are pregnant or suspect you may be pregnant
- you have known, suspected, or a history of breast cancer (unless directed by your doctor) or other cancers that are estrogen-dependent
- you have abnormal vaginal bleeding of unknown cause
- you have liver problems, the blood disease porphyria, blood clots, or circulation disorders
- you have recently (within the last year) had a stroke or heart attack
Contact your doctor or health care provider right away if any of these apply to you.
Before using Enjuvia:
Some medical conditions may interact with Enjuvia. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have an abnormal mammogram
- if you have asthma (wheezing), a benign breast nodule, bone cancer, depression, diabetes, endometriosis or endometrial (uterine) cancer, epilepsy (seizures), gallbladder disease, heart problems, high blood pressure, kidney problems, a history of yellowing of the skin or eyes, lupus, migraines, obesity, pancreatitis, or uterine fibroids, thyroid problems, or if you have high calcium levels in the blood
- if you use tobacco, you are going to have surgery, or you will be on bed rest
- if you have a family history of breast cancer or high cholesterol, lipid, calcium, or triglyceride levels
Some MEDICINES MAY INTERACT with Enjuvia. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Hydantoins (eg, phenytoin) or rifampin because they may decrease Enjuvia's effectiveness
This may not be a complete list of all interactions that may occur. Ask your health care provider if Enjuvia may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Enjuvia:
Use Enjuvia as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Enjuvia comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Enjuvia refilled.
- Take Enjuvia by mouth with food or immediately after a meal to prevent stomach irritation.
- Take Enjuvia on a regular schedule to get the most benefit from it. Taking Enjuvia at the same time each day will help you remember to take it.
- Discuss with your doctor stopping Enjuvia 4 to 6 weeks before surgery.
- If you miss a dose of Enjuvia, take it as soon as possible. If it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Enjuvia.
Important safety information:
- Enjuvia may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Enjuvia with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Smoking while using Enjuvia may increase your risk of stroke, heart attack, blood clots (especially in women more than 35 years old), high blood pressure, or other diseases of the heart and blood vessels.
- Before using Enjuvia, you will need to have a complete medical and family history exam, which will include blood pressure; breast, stomach, and pelvic exams; and a Pap smear.
- You should have periodic mammograms as instructed by your doctor. Follow your doctor's instructions for examining your own breasts, and report any lumps immediately.
- Your doctor should reevaluate you every 3 to 6 months to determine if you need to continue taking Enjuvia.
- If you are only being treated for vaginal menopause symptoms, products applied locally, such as vaginal creams, tablets, or rings, should be considered before products taken by mouth or absorbed through the skin are used. If you have other medical conditions and are prescribed estrogens for more than one condition, consult your doctor about your treatment plan and its options.
- Nondrug therapy to help prevent bone loss includes a weight-bearing exercise plan and adequate daily calcium and vitamin D intake. Consult your doctor of pharmacist for more details.
- Enjuvia may cause dark skin patches on your face (melasma). Exposure to the sun may make these patches darker, and you may need to avoid prolonged exposure to the sun, tanning booths, or sunlamps. Consult your doctor regarding the use of sunscreens and protective clothing.
- If you wear contact lenses and you develop problems with them, contact your doctor.
- If you will be having surgery or will be confined to a chair or bed for a long period of time (eg, a long plane flight), notify your doctor beforehand. Special precautions may need to be taken in these circumstances while you are taking Enjuvia.
- Diabetes patients - Enjuvia may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
- Enjuvia may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Enjuvia.
- Lab tests, including a lipid profile, may be performed while you use Enjuvia. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Enjuvia should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
- Enjuvia may affect growth in CHILDREN. They may need regular growth checks while they take Enjuvia.
- PREGNANCY and BREAST-FEEDING: Do not use Enjuvia if you are pregnant. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. Enjuvia is found in breast milk. If you are or will be breast-feeding while you use Enjuvia, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Enjuvia:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Bloating; diarrhea; dizziness; gas; headache; increased/decreased interest in sex; lightheadedness; nausea; stomach pain; weight changes.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal bleeding from the vagina; breast lumps; breast pain; changes in vision or speech; chest pain; depression; fainting; mental/mood changes; pain in the calves; severe headache; severe or persistent stomach pain; sudden shortness of breath; swelling of the hands or feet; unusual vaginal discharge/itching/odor; vomiting; weakness or numbness of an arm or leg; yellowing of the skin or eyes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include excessive vaginal bleeding 2 to 7 days following overdose; nausea and vomiting.Proper storage of Enjuvia:
Store Enjuvia at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Enjuvia out of the reach of children and away from pets.
- If you have any questions about Enjuvia, please talk with your doctor, pharmacist, or other health care provider.
- Enjuvia is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take Enjuvia or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Enjuvia. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Enjuvia. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Enjuvia.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.