Femoston

Dydrogesterone/estradiol hemihydrate

Femoston is type of combined hormone replacement therapy, used to help relieve the symptoms of the menopause. It is made by Mylan, and is available as a continuous or sequential therapy.

To renew your prescription for HRT and buy Femoston online, click below to take our remote consultation and place your order. Each request for prescription treatment is reviewed by a GMC-registered doctor, before being prepared at our UK pharmacy.

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Conti 1mg/5mg

For use in continuous combined therapy (higher dose). All tablets contain 1mg estradiol and 5mg dydrogesterone.

£ 82
1mg/10mg

For use in sequential combined therapy (lower dose). 14 tablets contain 1mg estradiol; 14 tablets contain 1mg estradiol and 10mg dydrogesterone.

£ 67
2mg/10mg

For use in sequential combined therapy (higher dose). 14 tablets contain 2mg estradiol; 14 tablets contain 2mg estradiol and 10mg dydrogesterone.

£ 67
Order now, and get it by Friday 16th November

Femoston is type of combined hormone replacement therapy, used to help relieve the symptoms of the menopause. It is made by Mylan, and is available as a continuous or sequential therapy.

To renew your prescription for HRT and buy Femoston online, click below to take our remote consultation and place your order. Each request for prescription treatment is reviewed by a GMC-registered doctor, before being prepared at our UK pharmacy.

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Product information

Femoston is a type of pill used in hormone replacement therapy (HRT) for the menopause. It is a combined treatment, containing a form of oestrogen (estradiol) and a form of progesterone (dydrogesterone). Femoston is manufactured by Mylan, and available to buy online from our UK pharmacy. Patients who are already taking it, or who are taking another form of HRT and want to switch, can order it through our secure doctor consultation facility.

Femoston 1/10mg and 2/10mg are sequential or cyclical versions of the pill, with packs containing oestrogen-only and combined hormone tablets. In sequential therapy, the oestrogen only tablets are taken for the first 14 days of the month (or 4-weekly cycle), and the combined pills on the last 14 days of the month (or 4-weekly cycle). This type of treatment is suitable for women who have not had a natural period for at least six months.

Femoston Conti is a continuous version of the pill. Every tablet in the pack contains estradiol and dydrogesterone. These are distributed into the body at a constant rate. Continuous treatment is generally recommended for women who have not had a period for at least a year.

Combined therapies such as this one are preferred in women who have not had a hysterectomy. (Women who have had surgery to remove the womb will normally be advised to use oestrogen-only HRT instead.)

The menopause is natural process which usually occurs in most women between the ages of 45 and 55. For some women though, it can begin at a younger age. During the menopause, a woman will experience changes and fluctuations in hormone production. This can cause a variety of symptoms, such as feelings of sudden heat in the face, neck or chest (called flushes), vaginal dryness, headaches, difficulty sleeping, increased perspiration, and a drop in sex drive. Some women may also experience mood swings, and increased feelings of anxiety. This drop in oestrogen production can also increase the risk of osteoporosis, where bone density is lost and the skeleton becomes more susceptible to breaks and fractures.

Many women may find that these symptoms are not serious enough to warrant treatment. However, where these symptoms begin to impede on everyday life, hormone replacement therapy can help. This works by supplementing the drop in oestrogen a woman experiences, and reducing the severity of symptoms. In combined HRT, a progestogen is given to essentially act as a counter to oestrogen and provide balance (oestrogen administered on its own can increase the risk of certain types of cancer).

Women should see their doctor if they begin to notice the early signs of the menopause, such as irregular menstrual bleeding. A prescription for HRT will usually need to be initiated by a doctor in person in the first instance, as they’ll have to undertake checks and determine the best form of treatment.

Our service enables you to renew your prescription and buy Femoston online from our UK pharmacy. Take our questionnaire to begin your consultation, and your answers will be reviewed by one of our prescribing clinicians. Following authorisation by them, a prescription will be generated and sent to our pharmacy to be fulfilled. Orders are then shipped by 24-hour tracked delivery, so you can expect to have your HRT pill within one working day.

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Page last reviewed:  12/11/2018
Directions

Make sure you read the instructions provided in the leaflet fully before use. If you need any help or are unsure of anything, contact your doctor or pharmacist.

  1. Take as directed by your doctor.
  2. This will normally be one pill, swallowed whole with water, taken at the same time each day.
  3. Take according to the directional arrows on the pill pack.
  4. In the sequential pack versions of this treatment (Femoston 1/10mg or Femoston 2/10mg), the pills containing a progesterone will be a different colour (grey or yellow respectively) than the oestrogen-only tablets (white or red respectively). The oestrogen-only tablets (white or red) are taken for the first 14 days of the 28-day cycle. The combined hormone tablets (grey or yellow) are taken for the last 14 days of the 28-day cycle.
  5. In Femoston Conti packs, the tablets in each pack contain the same amount of progesterone and oestrogen. However, you should still take these according the days and arrows marked on the pack, so you can keep track of when you have taken your pill.
  6. Femoston Conti should not be started any less than 12 months since your last natural menstrual bleed.
  7. Femoston 1/10mg and 2/10mg can be taken no less than 6 months following your last menstrual bleed.
  8. Women not already taking HRT can start taking Femoston on any day which is convenient for them, provided they adhere to the instructions above depending on when their last period was.
  9. Women who are switching from combined continuous HRT can start taking Femoston on any day. Women who are switching from sequential treatment should finish their current course first, and start taking Femoston on the first day of the next 28-day cycle.
  10. If you forget to take Femoston but remember within 12 hours of your missed dose, you can take the dose you have missed when you remember, and carry on taking it as normal.
  11. If you forget to take Femoston and it has been more than 12 hours since your missed dose, you should discard the one you have missed and take your next dose at the usual time.

More detailed instructions can be found in the patient information leaflet.

Page last reviewed:  12/11/2018
Please read the patient information leaflet for this medicine fully before use:

Femoston Conti 1mg/5mg

Femoston 1mg/10mg

Femoston 2mg/10mg

Side effects

Side effects

HRT can increase the risk of blood clots. It is important to be aware of what a blood clot may look like, and seek medical attention immediately if you notice any of these signs: swelling, heat, pain or tenderness in the leg; shortness of breath; or chest pain.

You must seek emergency medical advice if you: develop jaundice (yellowing of the skin or eyes); get a migraine-like headache for the first time; become dizzy, tired or get a headache due to a sharp rise in blood pressure; have irregular, heavy or painful menstrual bleeding; or notice anything indicating a serious allergic reaction, such as hives, swelling of the throat or face, or difficulty breathing.

Very common (1 in 10 or more):

Headache, pain in the abdomen, back pain, tender or painful breasts.

Common (1 in 10 or less):

Thrush in the vagina, depression, anxiety, migraine, feeling dizzy, nausea, vomiting, wind, allergic skin reactions, irregular or painful periods, unexpected bleeding or spotting, pelvic pain, discharge from the vagina, lethargy, oedema, weight gain.

Uncommon (1 in 100 or less):

Cystitis, increase in growths in the womb, change in libido, high blood pressure, peripheral vascular disease, varicose veins, blood clots in the veins of the legs or lungs, indigestion, liver disorders, causing jaundice, asthenia, general malaise and abdominal pain, gall bladder problems, swelling of the breasts, premenstrual tension (PMT), decrease in weight.

Rare (1 in 1,000 or less):

Heart attack, swelling of the skin around the face and neck, red or brown skin patches.

Other side effects:

Benign or malignant tumours sensitive to oestrogens, such as cancer of the womb lining or ovaries, increased size of progestogen-sensitive tumours, drop in red blood cells, lupus, hypertriglyceridemia, loss of memory or concentration, muscle twitches, epilepsy, change in the surface of the eye, intolerance to contact lenses, blood clots in the arteries, pancreatitis, various skin disorders such as chloasma, erythema nodosum or erythema multiforme, leg cramps, urinary incontinence, painful or lumpy breasts, uterine cervical erosion, worsening of porphyria, or increased total thyroid hormones.

This is not an exhaustive list. A more detailed list of side effects can be found in the leaflet supplied.

Warnings

Taking it with other medicines

Tell your prescriber about any other medicines you are using during consultation.

Femoston may interact with the following: epilepsy treatments (such as phenobarbital, phenytoin and carbamazepine); tuberculosis medicines (such as rifampicin and rifabutin); HIV treatments (such as nevirapine, efavirenz, ritonavir and nelfinavir); St John’s Wort; tacrolimus and cyclosporin; fentanyl; and theophylline.

Conditions to look out for

Inform your prescriber of your medical history during consultation, so that they can ensure this treatment is suitable.

You should not use Femoston if you: have or have had breast cancer or suspected breast cancer; have or have had any type of cancer which is sensitive to oestrogens, such as cancer of the endometrium, or have had a suspected case; have or have ever had a progestogen-sensitive tumor such as a tumor of the brain; have unexplained vaginal bleeding; have untreated endometrial hyperplasia; have or have had a blood clot in a vein, such as in the legs or the lungs; have a blood clotting disorder; have or recently have had a disease caused by blood clots in the arteries, such as a heart attack, stroke or angina; have or have ever had a liver disease and your liver function has not returned to normal; have porphyria; are allergic to anything in the treatment.

Femoston may not be suitable for you, or your use of it may need to be closely monitored, if you have or have had any of the following: fibroids inside your womb; endometriosis; endometrial hyperplasia; increased risk of blood clots; increased risk of oestrogen-sensitive cancer; high blood pressure; a liver disorder; diabetes; gallstones; migraine or severe headaches; lupus; epilepsy; asthma; otosclerosis; high triglycerides; water retention.

Regular check-ups

When taking HRT, you will need to have your symptoms and therapy reviewed by a doctor at least once a year to make sure it is working as it should.

HRT and cancer

The hormones used in HRT have been associated with an increased risk of certain types of cancer in some users. More information on this can be found in the patient information leaflet.

Pregnancy and breastfeeding

Do not use this product if you are pregnant, trying to become pregnant, or breastfeeding.

Driving and using machines

Femoston should not affect your capacity to drive or operate machinery. If you experience any side effects that hinder your judgment or co-ordination, do not drive and seek medical advice.

Lactose intolerance

Femoston Conti pills contain lactose.

Page last reviewed:  12/11/2018
Please read the patient information leaflet for this medicine fully before use:

Femoston Conti 1mg/5mg

Femoston 1mg/10mg

Femoston 2mg/10mg

Q&A

Can I still drink alcohol?

Alcohol should not interact with the ingredients in this treatment.

Will I still be able to drive?

You should still be able to drive when using this pill, provided you experience no side effects which affect your ability to do so.

Can I take the medicine while pregnant?

No. Do not take Femoston if you are pregnant or breastfeeding.

How should I store it?

In a safe place out of the reach of children.

Am I allergic to anything in the medicine?

Do not use Femoston if you are allergic to any of the following ingredients, which are contained in the pills:

Femoston 1/10mg and 2/10mg: estradiol hemihydrate, dydrogesterone, lactose, hypromellose, maize starch, colloidal anhydrous silica, magnesium stearate, macrogol 400, titanium dioxide (E171), polyvinylalcohol, macrogol 3350, talc, or black, red, and yellow iron oxides (E172).

Femoston Conti: estradiol hemihydrate, dydrogesterone, lactose monohydrate, hypromellose, maize starch, colloidal anhydrous silica and magnesium stearate, titanium dioxide (E171), iron oxide yellow or red (E172), polyvinyl alcohol, macrogol 3350, talc.

Is it available over-the-counter?

No. A prescription is required for Femoston. You can renew your prescription for Femoston online through our service if you are already taking it, or if you are taking another HRT and want to switch to this one.

How can I buy Femoston online?

Women experiencing menopause symptoms who want to start taking treatment should speak to their doctor or practice nurse initially, to discuss the risks and benefits of each different option.

Our service can help you buy Femoston from a UK pharmacy if you’re already taking it under supervision from a doctor, or are currently using an alternative HRT and want to change. Take our discreet consultation to get started and have your order reviewed by one of our GMC-registered doctors. Confirmed orders are dispensed at our pharmacy and shipped by next-day delivery.

Page last reviewed:  12/11/2018
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