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  • Full Prescribing Information, including BOXED WARNING and Patient Information
  • Important Safety Information
  • Indication

    Indication

    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.

  • For Healthcare Professionals
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  • About Premarin Vaginal Cream
    • Why Premarin Vaginal Cream?
    • Getting Started
    • Possible Side Effects
  • Sex After Menopause
    • Stages of Menopause
    • About Painful Sex
    • Is Treatment Right for You?
  • Support & Resources
    • Sign Up for Support
    • FAQs
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Resources for you
before and during treatment

Her Source is a support program that provides you with information about Premarin (conjugated estrogens) Vaginal Cream. When you sign up for the Her Source support program, you'll get savings, helpful tips and tools, and treatment support delivered right to your inbox. 

Sign up for Her Source

Do you already have a prescription for Premarin Vaginal Cream?
You can save on your prescription by enrolling in our Savings Card Program and registering for the Her Source support program at the same time. Would you like to sign up for both the Savings Card and Her Source?

CONTINUE

Answers to frequently asked questions

What do I need to know about vaginal symptoms after menopause?

How common are vaginal symptoms after menopause?

Up to 40% of postmenopausal women experience vaginal atrophyVaginal atrophy: The thinning, drying, and inflammation of the vaginal walls. This can occur when your body has less estrogen due to menopausal changes. For many women, vaginal atrophy makes intercourse painful., and painful intercourse is a common symptom. Other symptoms of vaginal atrophy may include dryness, burning, and itching in and around the vagina.

How can I tell if it’s painful intercourse due to vaginal atrophy?

With vulvar and vaginal atrophy (VVA)Vaginal atrophy: The thinning, drying, and inflammation of the vaginal walls. This can occur when your body has less estrogen due to menopausal changes. For many women, vaginal atrophy makes intercourse painful., you may experience dryness, burning, and itching in and around the vagina. And having intercourse may be painful. If you’re experiencing painful intercourse, make an appointment to see your doctor and ask them about Premarin Vaginal Cream. To prepare for your appointment, print your Doctor Discussion Guide.

Do vaginal symptoms ever go away?

Vaginal symptoms like moderate to severe painful intercourse are unlikely to go away on their own and may even worsen over time. Talk to your doctor about whether Premarin Vaginal Cream may be right for you.

Can I use one of those “personal lubricants”?

Premarin Vaginal Cream helps rebuild vaginal tissue and make intercourse more comfortable. There is no generic equivalent, so ask your doctor about prescription Premarin Vaginal Cream and see if it may be right for you. Learn more about how Premarin Vaginal Cream can help. 

When should I talk to my doctor?

Talking with your healthcare provider can be your first step in finding relief. Your doctor can properly diagnose your condition. Download our Doctor Discussion Guide to help get the conversation started.

What do I need to know about Premarin (conjugated estrogens) Vaginal Cream?

How often do I need to use Premarin Vaginal Cream?

You should apply the cream in accordance with your prescribed dosing regimen. It can be applied at any time of day that's convenient for you.

To treat moderate to severe painful intercourse due to menopause, Premarin Vaginal Cream can be applied twice a week (for example, you might choose Monday and Thursday evening) or in a cyclic regimen of 21 days of therapy, followed by 7 days off therapy, using a 0.5 g dose.

A single tube of prescription Premarin Vaginal Cream can last up to 6 months using the 0.5 g twice weekly dosing regimen.

Estrogens should be used at the lowest effective dose, for the shortest duration consistent with treatment goals and risks for the individual woman. You and your doctor should talk regularly to decide how long you need treatment.

How do I apply Premarin Vaginal Cream?

Premarin Vaginal Cream comes with its own applicator to help apply the cream directly. The applicator is designed to help measure your prescribed dosage. Be sure to apply Premarin Vaginal Cream as directed by your doctor. For step-by-step instructions on how to apply Premarin Vaginal Cream, click here.

How much should I use?

Your doctor will prescribe the dosage that’s right for you. Estrogens, with or without a progestin, should be used at the lowest effective dose for the shortest duration of time. A single tube of Premarin Vaginal Cream can last up to 6 months depending on the dosing regimen prescribed. To see how to apply and dosing information, click here.

How long until I start to feel a difference in painful intercourse with Premarin Vaginal Cream?

In a clinical study, patients taking Premarin Vaginal Cream had significantly more relief of moderate to severe painful intercourse at 12 weeks than patients taking placebo. Keep in mind, individual results may vary.

Is there a generic equivalent for Premarin Vaginal Cream?

There is only one Premarin Vaginal Cream and no generic equivalent is currently available.

What are the most common side effects of Premarin Vaginal Cream?

Common side effects include headache, pelvic pain, breast pain, vaginal bleeding, and vaginitis. These are not all the possible side effects of Premarin Vaginal Cream. For more information, ask your healthcare provider or pharmacist for advice about side effects. You may report side effects to Pfizer Inc. at 1-800-438-1985 or to FDA at 1-800-FDA-1088. To view other side effects of Premarin Vaginal Cream, click here.

How can I save on my Premarin Vaginal Cream prescription?

Learn More

Helpful resources

Premarin Vaginal Cream offers a variety of resources to support you now and throughout treatment.

Download step-by-step instructions to learn how to apply Premarin Vaginal Cream
Start a conversation about your symptoms with this Doctor Discussion Guide
Learn about how Premarin Vaginal Cream may help

IMPORTANT SAFETY INFORMATION AND INDICATION

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. 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 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.

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.

Estrogens should be used at the lowest dose possible, only for as long as needed. You and your healthcare provider should talk regularly about whether you still need treatment.

Premarin 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. In general, the addition of a progestin is recommended for women with a uterus to reduce the chance of getting cancer of the uterus.

If you take thyroid medication, consult your healthcare provider, as use of estrogens may change the amount needed.

Serious, but less common side effects include heart attack, stroke, blood clots, dementia, breast cancer, cancer of the lining of the uterus, cancer of the ovary, high blood pressure, high blood sugar, gallbladder disease, liver problems, enlargement of benign tumors of the uterus (fibroids), and severe allergic reaction.

Call your healthcare provider right away if you get any of the following warning signs or any other unusual symptoms that concern you: new breast lumps; unusual vaginal bleeding; changes in vision or speech; sudden new severe headaches; severe pains in your chest or legs with or without shortness of breath, weakness and fatigue; swollen lips, tongue, and face.

Less serious, but common side effects include headache, breast pain, irregular vaginal bleeding or spotting, stomach/abdominal cramps/bloating, nausea and vomiting, hair loss, fluid retention, vaginal yeast infection, reactions from Premarin Vaginal Cream such as vaginal burning, irritation, and itching.

INDICATION

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.

Please see full Prescribing Information, including BOXED WARNING and Patient Information.

IMPORTANT SAFETY INFORMATION AND INDICATION

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. 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 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.

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.

Estrogens should be used at the lowest dose possible, only for as long as needed. You and your healthcare provider should talk regularly about whether you still need treatment.

Premarin 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. In general, the addition of a progestin is recommended for women with a uterus to reduce the chance of getting cancer of the uterus.

If you take thyroid medication, consult your healthcare provider, as use of estrogens may change the amount needed.

Serious, but less common side effects include heart attack, stroke, blood clots, dementia, breast cancer, cancer of the lining of the uterus, cancer of the ovary, high blood pressure, high blood sugar, gallbladder disease, liver problems, enlargement of benign tumors of the uterus (fibroids), and severe allergic reaction.

Call your healthcare provider right away if you get any of the following warning signs or any other unusual symptoms that concern you: new breast lumps; unusual vaginal bleeding; changes in vision or speech; sudden new severe headaches; severe pains in your chest or legs with or without shortness of breath, weakness and fatigue; swollen lips, tongue, and face.

Less serious, but common side effects include headache, breast pain, irregular vaginal bleeding or spotting, stomach/abdominal cramps/bloating, nausea and vomiting, hair loss, fluid retention, vaginal yeast infection, reactions from Premarin Vaginal Cream such as vaginal burning, irritation, and itching.

INDICATION

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.

Please see full Prescribing Information, including BOXED WARNING and Patient Information.

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Patients should always ask their doctors for medical advice about adverse events. 
You are encouraged to report an adverse event related to Pfizer products by calling 1-800-438-1985 (US only). If you prefer, you may contact the US Food and Drug Administration (FDA) directly.

The FDA has established a reporting service known as MedWatch where healthcare professionals and consumers can report serious problems they suspect may be associated with the drugs and medical devices they prescribe, dispense, or use. Visit MedWatch or call 1-800-FDA-1088. 
The product information provided in this site is intended for residents of the United States. The products discussed herein may have different product labeling in different countries.

The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient.

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November 2024
PP-PVC-USA-0993
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