This medication contains hormones (estrogens). Typically, it is used for atrophic vaginitis (thinning and drying of the vagina, often due to aging or menopause). It may also have other uses. It requires several days to take effect.

This medication is to be used vaginally. As this product may leak and stain your underwear, you are advised to wear a sanitary napkin during the treatment. Use the product for the prescribed period of time and follow the directions for use included in the package. When applying this product, you may feel a slight irritation at first. If the irritation becomes severe or continues longer than a few minutes, consult your doctor or pharmacist. WARNING: This product can reduce the effectiveness of some methods of contraception (e.g.: condoms, diaphragms) during treatment and for 72 hours after it is completed. This medication is typically used only once a day. However, your doctor or pharmacist may have suggested a different schedule that is more appropriate for you. Important: Follow the instructions on the label. Do not use more of this product, or more often, than prescribed.

In addition to its desired action, this medication may cause some side effects, notably:

✓ it may cause headaches;
✓ when used, it may cause local irritation;
✓ it may cause nausea or, rarely, vomiting;
✓ it could cause water retention and swelling;
✓ it may increase breast size.

Each person may react differently to a treatment. If you think this medication may be causing side effects (including those described here, or others), talk to your doctor or pharmacist. He or she can help you to determine whether or not the medication is the source of the problem.

As with most medications, this product should be stored at room temperature. Store it in a secure location where it will not be exposed to excessive heat, moisture or direct sunlight. Make sure that any leftover portion is disposed of safely.

Taking this medication during pregnancy may be harmful for the baby. Women of childbearing potential should use an effective contraceptive method. Pregnant women should not use this product. If you’re planning a pregnancy or become pregnant, contact your family doctor.