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Inform postmenopausal women of possible less serious but common adverse reactions of estrogenalone therapy such as headachebreast pain and tendernessnausea and vomiting.

Signs of a blood clotsudden vision lossstabbing chest painfeeling short of breathcoughing up bloodpain or warmth in one or both legs;

Use of estrogen-aloneor in combination with a progestinshould be with the lowest effective dose and for the shortest duration consistent with treatment goals and risks for the individual womanPostmenopausal women should be re-evaluated periodically as clinically appropriate to determine if treatment is still necessary.

Use of estrogen-aloneor in combination with a progestinshould be with the lowest effective dose and for the shortest duration consistent with treatment goals and risks for the individual womanPostmenopausal women should be re-evaluated periodically as clinically appropriate to determine if treatment is still necessary.

Undiagnosed abnormal genital bleeding Knownsuspectedor history of breast cancer Known or suspected estrogen-dependent neoplasia Active DVTPEor a history of these conditions Active arterial thromboembolic diseasefor examplestroke and MIor a history of these conditions Known anaphylactic reaction or angioedema to PREMARIN Vaginal Cream Known liver dys function or disease Known protein Cprotein S or antithrombin deficiency or other known thrombophilic disorders Known or suspected pregnancy.

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