Activella and femhrt

• Warning signs of serious side effects may include:
  Breast lumps, changes in speech or vision, chest pain, dizziness, fainting, pains in your legs, severe headaches, shortness of breath, unusual vaginal bleeding, vomiting

Why should Activella not be prescribed?

Do not take Activella if you have:

If you've had your uterus removed, you don't need the progestin in this product, and should take a different type of hormone replacement therapy.

Special warnings about Activella

Tell your doctor about your complete medical history, especially if you have any of the following: problems with your heart, liver, thyroid, or kidneys; asthma; epilepsy or a history of seizures; migraine headaches; endometriosis; lupus; high cholesterol; high blood pressure; diabetes; a history of smoking; or high levels of calcium in your blood. Also tell your doctor if you are going to have surgery or be on bed rest; you may need to stop taking estrogen.

In addition to increasing the chances of uterine cancer, estrogen replacement therapy may also raise the odds of breast cancer if taken at high doses or for long periods of time. Be sure to get regular breast exams and mammograms, and see your gynecologist for yearly checkups.

Estrogen replacement therapy typically doubles the chances of gallbladder disease. Notify your doctor if you experience pain, tenderness, or swelling in your abdomen.

Estrogen replacement increases the risk of blood clots in the veins, especially during the first year of therapy. Call your doctor immediately if you experience any of the following warning signs: bulging eyes, changes in vision or speech, coughing up blood, dizziness, double vision, faintness, migraine headaches, pains in the calves or chest, severe headache or vomiting, sudden shortness of breath, sudden vision loss, weakness or numbness of an arm or leg.