Undiagnosed abnormal uterine bleeding
Known, suspected, or past history of breast cancer
Known or suspected estrogen-dependent neoplasia
Active or past history of venous thromboembolism
Active or past history of arterial thromboembolism
Hypersensitivity (angioedema, anaphylaxis) to estrogens, bazedoxifene, or any ingredients
Known hepatic impairment or disease
Known protein C, protein S, or antithrombin deficiency or other known thrombophilic disorders
Pregnancy, women who may become pregnant, and nursing mothers
Pregnancy Category X. This tablet must not be used in women who are or may become pregnant. No studies were performed on animals to evaluate the effects on reproduction with conjugated estrogens/bazedoxifene. This tablet should not be used by lactating women. It is not known whether this drug is excreted in human milk. Detectable amounts of estrogens have been identified in the milk of mothers receiving conjugated estrogens. Estrogen administration to nursing mothers has been shown to decrease the quantity and quality of the milk
Women taking this tablet should not take progestins, additional estrogens or additional estrogen agonist/antagonists
Cardiovascular disorders, including venous thromboembolism, pulmonary embolism, stroke, and retinal vascular thrombosis
Malignant neoplasms, including endometrial cancer, breast cancer, and ovarian cancer
Estrogens increase the risk of gallbladder disease
Discontinue estrogen if loss of vision, severe hypertriglyceridemia or cholestatic jaundice occurs
Monitor thyroid function in women on thyroid replacement therapy
Pediatric Use: This tablet is not indicated for use in children.
Geriatric Use: This tablet was not studied in women aged 75 or older; use in this population is not recommended. An increased risk of probable dementia in women over 65 years of age was reported in the Women’s Health Initiative Memory ancillary studies of the Women’s Health Initiative.
Renal Impairment: This tablet was not studied in women with renal impairment; use in this population is not recommended.
Body Mass Index: Women with BMI >27 kg/m 2 may have an increased risk of endometrial hyperplasia.
In case of overdosage, there is no specific antidote, and the treatment should be symptomatic. Symptoms of overdosage of estrogen-containing products in adults and children may include nausea, vomiting, breast tenderness, dizziness, abdominal pain, drowsiness/fatigue; withdrawal bleeding may occur.
Female Sex hormones
Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.