Drospirenone; Estradiol
Drospirenone, Estradiol Oral tablet
What is this medicine?
DROSPIRENONE; ESTRADIOL (dro SPY re nown; es tra DYE ole) is used as hormone replacement in menopausal women who still have their uterus. This medicine is used to treat some of the symptoms of menopause like hot flashes and vaginal dryness.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
blood vessel disease or blood clots
breast, cervical, endometrial, or uterine cancer
diabetes
endometriosis
fibroids
gallbladder disease
heart disease or recent heart attack
high blood cholesterol
high blood pressure
high level of calcium in the blood
hysterectomy
kidney disease
liver disease
mental depression
migraine headaches
porphyria
stroke
systemic lupus erythematosus (SLE)
tobacco smoker
vaginal bleeding
an unusual or allergic reaction to estrogens, progestins, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine at the same time each day. Do not take your medicine more often than directed.
A patient package insert for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following medications:
aromatase inhibitors like aminoglutethimide, anastrozole, exemestane, letrozole, testolactone, vorozole
This medicine may also interact with the following medications:
antibiotics like clarithromycin, erythromycin
carbamazepine
female hormones, like estrogens or progestins and birth control pills, patches, rings, or injections
grapefruit juice
griseofulvin
itraconazole
ketoconazole
medicines that treat or prevent blood clots like warfarin
other medicines or supplements for menopause or female problems
phenobarbital
rifampin
ritonavir
St. John's Wort
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medicine?
Visit your health care professional for regular checks on your progress. You should have a complete check-up every 6 months. You will need a regular breast and pelvic exam. You should also discuss the need for regular mammograms with your health care professional, and follow his or her guidelines.
This medicine can make your body retain fluid, making your fingers, hands, or ankles swell. Your blood pressure can go up. Contact your doctor or health care professional if you feel you are retaining fluid.
If you have any reason to think you are pregnant; stop taking this medicine at once and contact your doctor or health care professional.
Tobacco smoking increases the risk of getting a blood clot or having a stroke, especially if you are more than 35 years old. You are strongly advised not to smoke.
If you wear contact lenses and notice visual changes, or if the lenses begin to feel uncomfortable, consult your eye care specialist.
If you are going to have elective surgery, you may need to stop taking this medicine beforehand. Consult your health care professional for advice prior to scheduling the surgery.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
breast tissue changes or discharge
breathing problems
changes in vision
chest pain
feeling faint or lightheaded, falls
high blood pressure
leg, arm or groin pain
migraine
problems with balance, talking, walking
stomach pain
vaginal bleeding
vomiting
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in appetite
changes in sexual desire
mood changes, anxiety, depression, frustration, anger, or emotional outbursts
nausea, stomach upset
skin rash, acne, or brown spots on the skin
vaginal itching, irritation or discharge
weight gain
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Where should I keep my medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
Updated:  
March 21, 2017
Sources:  
U.S. FDA-approved Package Insert