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Estropipate

Brand Name Manufacturers Ogen by Pharmacia/Upjohn
Generic Manufacturers Caremark
Duramed
Goldline
Ortho-est by Ortho Pharm
Qualitest
Rugby
Schein
URL
Warner Chilcott
Watson
Pharmacology Sulfate of estrone, stabilized with piperazine. Apparently acts on receptors the same as endogenous estrogen.
Delivery Oral 0.75, 1.5, 3mg tablets
Typical dosage Pre-op ?
Post-op Oral 1.5-9mg/day
Availability Approved by U.S. FDA
Indications Estrogen replacement therapy in females
Contraindications Active blood clotting disorders. Known or suspected breast cancer, unless that is the target. Known or suspected estrogen dependent tumors.
Adverse reactions
CNS
Dizziness. Headache. Mental depression. Migraine. Spasms of limb and facial muscles.
Eyes
Intolerance to contact lenses. Steepening of corneal curvature.
Gastrointestinal
Abdominal cramps. Bloating. Cholestatic jaundice. Nausea. Vomiting.
Skin
Blood eruptions from skin. Blotchy skin pigmentation. Increase of body and facial hair. Loss of scalp hair. Red skin patches from capillary congestion.
Other
Blood clotting disorders. Breast tumors. Elevated blood pressure. Fluid retention. Gall bladder disease. Increased calcium level in blood. Increased sensitivity to light. Reduced carbohydrate tolerance.
Comments Since estropipate is a quot;natural estrogenic substance prepared from purified crystalline estrone", the source is likely to be pregnant mares, the same as for conjugated and esterified estrogens. Refuting or confirming evidence would be appreciated.
Additional Info: Ogen Product Insert (PDF file on this site)

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