Who should not take femhrt?
Do not take femhrt if you have had your uterus removed (hysterectomy).

femhrt contains a progestin to decrease the chances of getting cancer of the uterus. If you do not have a uterus, you do not need a progestin and you should not take either dose of femhrt.

Do not start taking femhrt if you:

• have unusual vaginal bleeding
• currently have or have had certain cancers
  Estrogens may increase the chances of getting certain types of cancers, including cancer of the breast or uterus. If you have or have had cancer, talk with your healthcare provider about whether you should take femhrt.
• had a stroke or heart attack in the past year
• currently have or have had blood clots
• currently have or have had liver problems
• think you may be pregnant
• are allergic to femhrt or any of its ingredients.

See the PATIENT INFORMATION section for a list of ingredients in femhrt.

How should I take femhrt?
One tablet should be taken each day at around the same time, regardless of whether or not you have eaten. Be sure to follow the specific directions provided by your healthcare provider.

Before you initiate any HT, be sure to discuss with your healthcare provider your health history as well as the benefits and risks involved with HT. To help provide just the right amount of estrogen/progestin therapy your body needs, femhrt is available in two different doses; (0.5 mg/2.5 mcg and 1 mg/5 mcg). Low-Dose femhrt 0.5/2.5 offers the lowest effective dose of NA/EE to treat menopausal symptoms.

As with all HT, femhrt 1/5 and Low-Dose femhrt 0.5/2.5 should only be used as long as you need it. Be sure to review your treatment progress and goals with your healthcare provider regularly, every three to six months.

What are the possible side effects of femhrt 1/5 and Low-Dose femhrt 0.5/2.5?
Less common but serious side effects include: breast cancer, cancer of the uterus, stroke, heart attack, blood clots, dementia, gallbladder disease, ovarian cancer.

These are some of the warning signs of serious side effects: breast lumps, unusual vaginal bleeding, dizziness and faintness, changes in speech, severe headaches, chest pain, shortness of breath, pains in your legs, changes in vision, vomiting. Call your healthcare provider right away if you get any of these warning signs, or any other unusual symptom that concerns you.

Common side effects of estrogens and progestins include:

• Headache
• Breast pain
• Irregular vaginal bleeding or spotting
• Stomach/abdominal cramps, bloating
• Nausea and vomiting
• Hair loss

In clinical studies with femhrt the following side effects were observed:
headache, runny nose, abdominal pain, sinusitis, breast pain, viral infection, muscle pain, diarrhea, nausea and/or vomiting, upset stomach, and back pain. These are not all the possible side effects of femhrt. For more information, ask your healthcare provider or pharmacist.

Tell your healthcare provider:

• if you are breastfeeding
  The hormone in femhrt can pass into your milk.
• about all of your medical problems
  Your healthcare provider may need to check you more carefully if you have certain conditions, such as asthma (wheezing), epilepsy (seizures), migraine, endometriosis, lupus, problems with your heart, liver, thyroid, kidneys, or have high calcium levels in your blood.
• about all the medicines you take
  This includes prescription and nonprescription medicines, vitamins, and herbal supplements. Some medicines may affect how femhrt works. femhrt may also affect how your other medicines work.
• if you are going to have surgery or will be on bed rest
  You may need to stop taking estrogens and progestins.

For more information, refer to the PATIENT PRODUCT INFORMATION.