Raloxifene (Evista) and bisphosphonates alternatives for hormone replacement therapy
(alendronate, calcitonin)
Selective Estrogen Receptor Modulators Tamoxifen, toremifene, raloxifene -- provide estrogen benefits
(SERMs) while avoiding its drawbacks
Dysfunctional uterine bleeding 10-14 day course of progestin
Amenorrhea treatment progestin helps induce menstrual flow
Amenorrhea estrogen levels are low give progestin for 5-10 days
Long term progestin therapy protection against endometrial cancer
Estradiol most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch lower total estrogen dose. less n/v. less fluctuation of
estrogen blood levels. lower r/f DVT, PE and stroke
NR 566 Final Exam.pdf NR 566 Final Exam.pdf NR 566 Final Exam.pdf