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Evista

Evista prevents and treats issues of bone loss and bone descaling in women during the menopause. When women go into the menopause stage of their life, they often experience a number of side effects caused by a change to the hormones in their bodies. The most common complaint during this transition is that they have weaker and more brittle bones, which can make breaks and fractures more likely. This is due to a decrease in estrogen levels. The active substance in Evista, raloxifene, belongs to a group of medications called selective estrogen receptor modulators. These medications can help to mimic the effects of estrogen in the body, and therefore reduce the side effects of lost estrogen in women. Evista is not a hormone, but it can inhibit and reduce the breakdown of bones, while helping to make them stronger. Evista is the brand name of the drug raloxifene, a substance prescribed to women by doctors to prevent and manage bone loss and bone scaling. In most cases, it can assist with preventing and reducing osteoporosis after menopause and help bones to remain strong.

What is Evista?

Evista prevents and treats issues of bone loss and bone descaling in women during the menopause. When women go into the menopause stage of their life, they often experience a number of side effects caused by a change to the hormones in their bodies. The most common complaint during this transition is that they have weaker and more brittle bones, which can make breaks and fractures more likely. This is due to a decrease in estrogen levels. The active substance in Evista, raloxifene, belongs to a group of medications called selective estrogen receptor modulators. These medications can help to mimic the effects of estrogen in the body, and therefore reduce the side effects of lost estrogen in women. Evista is not a hormone, but it can inhibit and reduce the breakdown of bones, while helping to make them stronger.

When is Evista used?

Evista is not intended as a complete treatment for the menopause, because it cannot assist with other symptoms such as night sweats and hot flushes. However, it is effective at treating osteoporosis and other kinds of bone loss after the menopause takes place. It maintains the density and strength of bones in the female body, reducing the risk of break or fracture. In some cases, doctors may also prescribe Evista to help prevent the risk of getting a certain form of invasive breast cancer after menopause. Although raloxifene is not a form of estrogen, it can mimic the effects of this hormone in the body. In other parts of the body, such as the breasts and uterus, Evista also acts as an estrogen blocker.

How do you use Evista?

Evista tablets come in blister packs with calendar dates on them, so you can make sure that you are taking a tablet every day. You will need to take the raloxifene Evista tablet at a fixed time each day, as this will help you to get the best results. Read the medication leaflet provided by your doctor or pharmacist before you begin taking Evista, and make sure that you do not take more or fewer of these tablets than your doctor recommends.

You can take Evista with or without food, although it is recommended to take them with a glass of water. Make sure that you do not chew the tablet or allow it to dissolve in your mouth. Do not take a double dose of Evista to make up for a missed dose, and ensure that you get enough lime and vitamin D into your diet when you are taking this pill. A doctor giving you Evista may request that you take calcium and vitamin D tablets to ensure that you maintain a good level of general health while using the pills. Because this medication can be absorbed through the lungs and skin, it could potentially harm an unborn baby. With that in mind, women who may become pregnant when using Evista are not advised to use this medication. Your doctor will generally only prescribe this drug if you are no longer capable of getting pregnant.

What dosages are available?

Your doctor will tell you which dose of raloxifene Evista to take based on your condition. The most common dose is one tablet per day. Each single tablet of Evista contains approximately 60 mg of raloxifene. Make sure that you follow the instructions given by the doctor. Remember, if you miss a dose of Evista, it is important to take it as soon as you remember. However, if you are close to the time of your next dose, skip the missed dose completely and take your next pill at the usual time.

What are the side effects of Evista?

All medications, including raloxifene Evista, can sometimes cause side effects, and it is important to be aware of these side effects before you begin taking any medication. If you notice anything that is not on this list, or you are concerned about your health after taking Evista, make sure that you contact an emergency healthcare professional. If any of the following dangerous side effects occur, you must stop taking this drug immediately and seek emergency attention:

  • Severe migraine headache;
  • Coughing blood;
  • Loss or change in speech;
  • Loss or change in vision;
  • Loss or change in coordination;
  • Numbness or pain in the chest, legs or arms;
  • Shortness of breath;
  • Bloody urine;
  • Chest pain or difficulty breathing;
  • Burning or painful urination.

There are some more common side effects that are associated with raloxifene Evista which may go away on their own. These include fever; a frequent urge to urinate; infection in the body; leg cramping; rashes on the skin; swelling of the ankles, feet or hands, and vaginal itching. If these conditions do not get better, or worsen, seek the advice of your doctor. You may also notice abdominal pain; aching body issues; loss of appetite; nausea; trouble swallowing; weakness; difficulty with decreased vision; hoarseness of voice or diarrhoea.

There are also side effects associated with raloxifene Evista that do not require medical attention. Usually, these will diminish naturally during your treatment, and they will just be a sign of your body adjusting to the medication. If you are at any point concerned about any response your body has to a medicine, however, you can talk to a healthcare professional or pharmacist.

The most common symptoms of Evista include:

  • Trouble sleeping;
  • Unexplained weight gain;
  • Swollen joints;
  • Problems with gas;
  • Upset stomach;
  • Vomiting;
  • Depression;
  • Muscle or joint pain;
  • Increased vaginal discharge;
  • Increased hot flushes.

When should you not use Evista?

Evista is only one of many available treatments used to manage issues of bone loss and descaling in patients with the menopause. Your doctor will conduct a full medical review with you to make sure that the drug you are taking is right for you and your background. With that in mind, it is important to tell your doctor about your full medical history, as well as any symptoms that you are currently having during the menopause. It should not be used with people with a history of endometrial cancer, liver or renal failure.

This medication can increase the risk of blood clots in some people – particularly if you spend a lot of time off your feet. You will need to tell your doctor if you have ever had a blood clot in your lungs or legs, or had a stroke. If you will be off your feet for any period of time when taking raloxifene Evista, for example if you are having surgery, tell your doctor. Patients on bed rest will usually be asked to stop taking Evista temporarily as their risk of blood clots will be increased. Tell your doctor if you or anyone in your family have a history of kidney or liver disease. You will also need to tell your healthcare professional if you may be pregnant before you begin this treatment. Evista and raloxifene are not suitable for pregnant women or those who intend to become pregnant. It is not a good idea to breastfeed when using raloxifene Evista. Typically, your doctor will advise against nursing if you are using any medication for hormone replacement, as these drugs can pass through the skin and into the blood.

Does Evista interact with any other medications?

Whenever you begin taking a new medication, it is important to tell your doctor about all of the existing substances that you are exposed to. This includes recreational drugs, even if they are illegal. Make sure that you tell your doctor about over-the- counter medications that you are taking, and prescription drugs. Additionally, it is important to discuss any herbal medications or supplements, as these can all have an impact on the way that Evista works.

Because your chances of getting a blood clot can be a little higher with Evista, it is usually not a good idea to take this medication with aspirin or drugs containing aspirin unless your doctor recommends otherwise. Additionally, some studies suggest that acid-binding resins (including colestipol and cholestyramine) can interact negatively with Evista. Do not take Evista with other estrogen-based medications. In some cases, this drug may interfere with the results of certain laboratory tests, which leads to false test results. Make sure that all of your doctors are aware that you are using this drug before you are exposed to any tests.

Where can you buy Evista?

Evista should be available to purchase from any typical online or offline pharmacy. It is not available over the counter, although you may be able to arrange for this medication to be prepared ready for you to collect after you have received a prescription. We can offer you a consultation with a registered healthcare professional to help you speed up the process.

Can you get Evista without a prescription?

Evista will not be suitable for everyone suffering from side-effects as a result of the menopause. You will need to speak to your doctor about your conditions and symptoms to ensure that this medication is safe for you. Evista is not available without a prescription due to the nature of the medication. Your doctor will need to conduct a complete medical review to ensure that you are well suited to this drug. Do not attempt to self-treat any condition with Evista without a doctor’s advice.

References:

Drugs.com, Online, 2019, raloxifene Side Effects, [accessed on 8 August 2019], Available at: https://www.drugs.com/sfx/raloxifene-side-effects.html

EMedicine Health, Online, 2019, raloxifene, [accessed on 8 August 2019], Available at: https://www.emedicinehealth.com/drug-raloxifene_oral/article_em.htm

IBM Micromedex, Online, 2019, Mayo Clinic, raloxifene Oral Route, [accessed on 8 August 2019], Available at: https://www.mayoclinic.org/drugs-supplements/raloxifene-oral-route/side-effects/drg-20065760

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