Activella (Estradiol/Norethindrone Acetate) and/or alternatives

General Information On Activella

Activella is a combination of Norethindrone and Estradiol used for treating certain menopause symptoms like hot flushes. Estradiol is a form of estrogen used for maintaining a woman’s reproductive system. Norethindrone is a form of progesterone, which has an important role in the regulation of menstruation and ovulation. Your doctor may also ask you to buy Activella in order to treat vaginal problems like itching, dryness, or burning in or around the vagina and burning or any other difficulty during urination. Activella is available in the form of 0.1/ 0.5mg and 0.5/0.1mg strength tablets.

Side Effects for Activella

Lightheadedness, dizziness, stomach upset, headache, irritability, bloating, nausea, changes in sleep patterns, weight changes, increased or decreased libido, changes in vaginal discharge, and breast tenderness are some common side effects of Activella. You need to contact your doctor if you witness any breast lumps, mental or mood changes, nipple discharge, swelling on the hands or feet, yellowing of the eyes or skin, unusual vaginal bleeding, seizures, and signs of diabetes like increased urination and thirst. Sometimes, Activella can also lead to heart attacks, blood clots, and strokes. In this case, you should watch out for symptoms like chest, left arm, or jaw pain, severe headache, confusion, weakness on one side of the body, slurred speech, calf pain or swelling, coughing up of blood, trouble breathing, sudden vision changes, sudden fainting, or dizziness.

Precautions

You should not use Activella if you are suffering from breast, uterine, or ovarian cancer, liver disease, unknown vaginal bleeding, or if you have a history of heart attack, blood clots, or strokes. You should also inform your doctor if you have a personal or family history of asthma, seizures, diabetes, heart disease, migraine, kidney disease, abnormal levels of calcium in the blood, an underactive thyroid, cholestatic jaundice, toxemia, uterine fibroids, high triglyceride or cholesterol levels, obesity, gallbladder disease, lupus, or a blood disorder like porphyria. As Activella can cause skin patches, you should avoid direct exposure to sunlight and wear protective clothing if you have to go out. Avoid using tobacco or smoking cigarettes as doing so can further increase your risks of blood clots, strokes, heart attacks, or high blood pressure. This drug is also not recommended for pregnant women and breastfeeding mothers.

Activella Dosage

If you have mild or severe vasomotor symptoms associated with menopause, you should take an initial dose of Activella 1.0/0.5mg or Activella 0.5/0.1mg. If you are using it to prevent postmenopausal osteoporosis, you will be recommended to take Activella 1.0/0.5mg or Activella 0.5/0.1mg. For treating vaginal and vulvar atrophy, you will need to take Activella 1.0/0.5mg. The tablet has to be taken only once a day.

Interactions

Before taking Activella, you should tell your doctor if you are taking an anticoagulant or blood thinner like warfarin. You should also not take Activella with exemestane or anastrozole, as serious side effects may occur. Your doctor will not recommend you to buy Activella if you are already taking corticosteroids, drugs that affect liver enzymes, macrolide antibiotics, rifamycins, azole anti-fungals, anti-seizure medications, and St. John’s Wort.

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