Generic Name: drospirenone and estradiol (droe SPYE re none and ES tra DYE ole)
Brand Names: Angeliq
Medically reviewed: January 31, 2018
What is Angeliq?
Angeliq contains a combination of drospirenone and estradiol. Drospirenone is a female hormone that helps regulate ovulation and menstruation. Estradiol is a female hormone involved in development and maintenance of the female reproductive system.
Angeliq is for use only if you have a uterus (if you have not had a hysterectomy).
You should not use Angeliq if you have: undiagnosed vaginal bleeding, coronary artery disease, a bleeding disorder, kidney disease, liver disease, an adrenal gland disorder, if you have major surgery, if you have had a hysterectomy, or if you have ever had a heart attack, a stroke, a blood clot, or cancer of the breast, uterus/cervix, or vagina.
Do not use Angeliq if you are pregnant.
Angeliq may increase your risk of developing a condition that may lead to uterine cancer. Report any unusual vaginal bleeding right away.
Taking this medicine can increase your risk of blood clots, stroke, or heart attack. Angeliq should not be used to prevent heart disease, stroke, or dementia. Long-term use may also increase your risk of breast cancer.
Before taking this medicine
You should not use Angeliq if you are allergic to drospirenone or estradiol, or if you have:
unusual vaginal bleeding that a doctor has not checked;
a bleeding disorder;
coronary artery disease;
a history of heart attack, stroke, or blood clot;
an adrenal gland disorder;
a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina; or
if you have had your uterus removed (hysterectomy).
Do not use Angeliq if you are pregnant. Tell your doctor right away if you become pregnant during treatment.
Taking this medicine can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, if you are overweight, or if you smoke.
Angeliq should not be used to prevent heart disease, stroke, or dementia, because this medicine may actually increase your risk of developing these conditions.
To make sure Angeliq is safe for you, tell your doctor if you have ever had:
heart disease, high blood pressure;
a thyroid disorder;
high triglycerides (a type of fat in the blood);
epilepsy or other seizure disorder;
endometriosis or uterine fibroid tumors;
high levels of calcium or potassium in your blood, or low sodium levels;
hereditary angioedema (an immune system disorder); or
porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system).
Long-term use of Angeliq may increase your risk of breast cancer. Talk with your doctor about your risk before using this medicine long term.
This medicine lowers the hormone needed to produce breast milk and can slow breast milk production. You should not breast-feed while taking Angeliq.
How should I take Angeliq?
Take Angeliq exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Do not crush, chew, break, or dissolve an Angeliq tablet. Swallow it whole.
Take this medicine at the same time each day.
Angeliq may increase your risk of developing a condition that may lead to uterine cancer. Your doctor may prescribe a progestin to help lower this risk. Report any unusual vaginal bleeding right away.
If you need major surgery with long-term bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using Angeliq.
Your doctor should check your progress on a regular basis to determine whether you should continue this treatment. Self-examine your breasts for lumps on a monthly basis, and have regular mammograms while using Angeliq.
Store at room temperature away from moisture and heat.
Angeliq dosing information
Usual Adult Dose for Postmenopausal Symptoms:
One 0.25 mg drospirenone/0.5 mg estradiol tablet orally once a day
One 0.5 mg drospirenone/1 mg estradiol tablet orally once a day
Vulvar and vaginal atrophy:
One 0.5 mg drospirenone/1 mg estradiol tablet orally once a day
-Treatment is continuous.
-Women not on estrogens, or those on a continuous combination product may start treatment anytime.
-Women switching from continuous sequential or cyclic hormone therapy should complete their current cycle before switching.
-When used solely for vulvar and vaginal atrophy, consider using topical vaginal products.
Uses: Treatment of moderate to severe vasomotor symptoms and vulvar and vaginal atrophy due to menopause
See also: Dosage Information (in more detail)
What happens if I miss a dose?
Take the missed dose as soon as you remember. If you are more than 24 hours late, skip the missed dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
What should I avoid while taking Angeliq?
Avoid smoking. It can greatly increase your risk of blood clots, stroke, or heart attack while using this medicine.
Angeliq side effects
Get emergency medical help if you have signs of an allergic reaction to Angeliq: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Stop taking this medicine and call your doctor at once if you have:
unusual vaginal bleeding;
swelling or tenderness in your stomach;
jaundice (yellowing of the skin or eyes);
a breast lump;
memory problems confusion, unusual behavior;
high potassium - nausea, weakness, tingly feeling, irregular heartbeats, loss of movement;
signs of a stroke - sudden numbness or weakness (especially on one side of the body), sudden severe headache, slurred speech, problems with vision or balance;
signs of a blood clot - sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, pain or warmth in one or both legs;
high levels of calcium in your blood - nausea, vomiting, constipation, increased thirst or urination, muscle weakness, bone pain, lack of energy; or
increased blood pressure - severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed.
Common Angeliq side effects may include:
headache, mood changes;
vaginal itching or discharge, changes in your menstrual periods, breakthrough bleeding;
nausea, diarrhea, stomach pain; or
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
What other drugs will affect Angeliq?
Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.
Other drugs may interact with drospirenone and estradiol, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Angeliq only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2018 Cerner Multum, Inc. Version: 5.01.
More about Angeliq (drospirenone / estradiol)
- Side Effects
- During Pregnancy
- Dosage Information
- Drug Interactions
- Support Group
- Pricing & Coupons
- En Español
- 24 Reviews – Add your own review/rating
- Drug class: sex hormone combinations