| Hot flushes, Palpitation, chest pain, Irritabilityu, weight gain, vaginal soreness. Treatment Tab. Lynoral 0.01 mg x Transdermal patch x to be applied to a clean non hair area of skin, below waist x to be changes every 4 days. Other drugs: Tab. PREMARIN 0.625mg 1-2 tabs/ day. Inj. Mixigen 1ml IM x every 3 weeks. Tab. ALPRAZOLAM 0.25mg bf If vaginal mucosa is atrophic, dry with dysparenunia: Dienostrol 1% cream to be applied intravaginally with the applicator once saily x till vaginal mucosa becomes normal. If patient has osteoporosos, Tab. Sandocal 500mg 1 OD. Calcirol 1 gm sachet (60,000 IU) x once a week x 8. Tab. PREMARIN 0.625mg x 1 bd. Tab. Osteofos 10mg OD If patient has irritability, palpitations: Tab. REstyl 0.25mg bd (Alprazolan) Cap. GLA-120 x 1 1 bd after meals x 10 days. If depressive symptoms. Cap. FLUDAC 20mg OD H.R.T Preventive Hormone replacement therapy in post-menopausal age: Tab. PREMARIN 0.625 mg 1 OC x 1st to 25th day every month. Tab. PROVERA 2.5mg HS x 14th to 25th day to counter Estrogen side effects. Intermittent course of calcium tablets and aledronate to prevent psetoporasis. Educate every peri andpost menopausal patient. Self breast examination every month. Report if any lump, discharge or skin change. Yearly P.V. and Pap smear examination Stress importance of reporting immediately, if P.V. bleeding or discharge after menopause. All these drugs being Estrogens, should never be advised to patients with carcinoma breast, Fibrocystic breast, thrombo embolic, disorders, carcinoma endometrium and undiagnosed vaginal bleeding. Tab. Lynoral Inj. Mixigen Tab. ALPRAZOLAM Tab. Sandocal Calcirol 1 gm Tab. Osteofos Cap. GLA-120
RESTYL ALPRAZOLAM FLUDAC PREMARIN PROVERA |
