PREMARIN® (conjugated estrogens) Vaginal Cream comes with its own applicator that helps you apply it directly to your vaginal tissue – to treat the underlying cause of painful intercourse at its source.
The applicator is designed to help you measure your prescribed dosage neatly and precisely and should be comfortable and easy to use.
Remove cap from tube.
Screw nozzle end of applicator onto tube (Figure A).
Gently squeeze tube from the bottom to force sufficient cream into the barrel to provide the prescribed dose. Use the marked stopping points on the applicator to measure the correct dose, as prescribed by your healthcare provider (Figure B).
Unscrew applicator from tube.
Lie on back with knees drawn up. To deliver medication, gently insert applicator deeply into vagina and press plunger downward to its original position (Figure C).
TO CLEANSE: Pull plunger to remove it from barrel. Wash with mild soap and warm water (Figure D).
DO NOT BOIL OR USE HOT WATER.
IMPORTANT SAFETY INFORMATION
Using estrogen-alone may increase your chance of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using PREMARIN® (conjugated estrogens) Vaginal Cream. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find out the cause.
Do not use estrogens, with or without progestins, to prevent heart disease, heart attacks, strokes or dementia (decline in brain function). Using estrogens, with or without progestins, may increase your chance of getting dementia, based on a study of women 65 years of age or older.
Using estrogen-alone may increase your chances of getting strokes or blood clots. Using estrogens with progestins may increase your chances of getting heart attacks, strokes, breast cancer, or blood clots.
You and your healthcare provider should talk regularly about whether you still need treatment with PREMARIN® (conjugated estrogens) Vaginal Cream.
PREMARIN® (conjugated estrogens) Vaginal Cream should not be used if you have unusual vaginal bleeding; have or had cancer; had a stroke or heart attack; have or had blood clots or liver problems; have a bleeding disorder; are allergic to any of its ingredients; or think you may be pregnant.
Common side effects include headache, pelvic pain, breast pain, vaginal bleeding and vaginitis.
PREMARIN® (conjugated estrogens) Vaginal Cream is used after menopause to treat menopausal changes in and around the vagina and to treat moderate to severe painful intercourse caused by these changes.
Each gram contains 0.625 mg of conjugated estrogens, USP.
Please see Full Prescribing Information including Boxed Warning and Patient Information.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.