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Your doctor will tell you which strength you need to take depending on your symptoms and risks. All women go through the menopause. This usually occurs between the ages of 45 and As you approach this age, your ovaries will produce less and less oestrogen. This has the effect of stopping the menstrual cycle, but the change in hormone levels can lead to several symptoms which may have a substantial impact on day-to-day life.
The hormonal change can also cause distressing psychological effects such as irritability, insomnia and depression. Experiences with menopausal symptoms vary significantly depending on the individual. They can begin multiple years prior to the menopause itself, and remain for many years. Women will, on average, experience symptoms for about four years. Hormone Replacement Therapy eases the symptoms of menopause by supplementing the levels of hormones which the body can produce naturally.
If you have had a hysterectomy an operation to remove the uterus, oestrogen is the only hormone you will be required to replace. Talk to your GP if this continues after more than a few months of treatment. Women under 50 are considered fertile until two years after their final menstrual cycle for women over 50, this is reduced to one year. Swallow the tablet whole with a sip of water. This can be done with or without food.
If, for any reason, you forget to take a tablet, take it as soon as possible.
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This is essential not least because information about drugs and associated legislation is constantly changing. New drugs come on the market, and others are withdrawn or reclassified. Reliable sources of information are the British National Formulary, the British Pharmacopoeia and summaries of product characteristics supplied by medicines manufacturers. Official bodies concerned with the use, quality and safety of medicines are the Commission on Human Medicines, the Medicines and Healthcare Products Regulatory Agency and the National Institute for Health and Clinical Excellence.
Antihistamines, aminophylline, salbutamol and corticosteroids may also be necessary. Adjuncts to radiography include peripherally acting analgesics and possibly codeine for pain after injection or other procedures and topical anaesthetics prior to injection. For abdominal examinations using barium contrast agents, laxatives and bowel evacuants are necessary to empty the bowel. The most commonly used preparation for this purpose is Picolax, which is a combination of a stimulant laxative and an osmotic laxative. Buscopan or glucagon is used to inhibit gastrointestinal activity while imaging is taking place.
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Table Intravenous iodine contrast agents are used together with X-rays to image the gall bladder (cholecystographycholangiography), the bladder and kidneys, blood vessels (angiography), lymphatics. Arthrography can be used to aid assessment prior to podiatric surgery.
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