Primiwal E4 10 Tablets

Babies: Safe if prescribed. Lactating mothers: Primiwal is not recommended in breastfeeding because it is secreted in breast milk and may harm the infant. Avoid breastfeeding while on the medication. Pregnancy: Primiwal is contraindicated in pregnancy.
Driving: Primiwal doe not affect the ability to drive. Alcohol: Avoid alcohol consumption while taking primiwal tablets as it may increase the risk of side effects. Liver: Primiwal tablet should be used in caution with patients suffering from liver disease. You may require a dose adjustment and regular monitoring of liver function.
Seek doctor advice before using this medication. Kidney: Primiwal tablet should be used in caution with patients suffering from kidney disease.
You may require a dose adjustment and regular monitoring of kidney function. Seek a doctor's advice before using this medication.
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Edema Hirsutism Weight gain Stomach bloating Nausea Stomach cramp Vomiting Headache Migraine Depression Disorder of menstruation Breast tenderness Withdrawal bleeding Hypertension Disorders of gall bladder Pancreatitis Venous thromboembolism Breast cancer Ovarian cancer Jaundice .

Primiwal tablet works by replacing the estrogen that the body usually produces..

If you miss a dose, take it as soon as possible. If it is near the time of the next dose, then skip the missed dose.
Take the prescribed dose on your regular time daily. Don't double the dose to catch up with the missed dose..

• Avoid smoking as it increases the risk of cardiovascular adverse effects. • If you have any unusual vaginal bleeding or spotting, abnormal vaginal discharge, or vaginal discomfort while taking an primiwal tablet, please notify your doctor. • It may increase the risk of developing breast cancer. Examine your breasts regularly. • If you notice unexplained swelling and pain in your limbs, shortness of breath, chest pain, or changes in your vision, stop taking this medication and contact your doctor immediately.
These symptoms could be the result of a blood clot in a vein. • Do not stop the medication suddenly without informing your doctor..

Contraindicated • Primiwal + Tranexamic acid: Concurrent use may lead to increased risk of thrombotic events Serious • Primiwal + Abametapir: Concurrent use may lead to increased plasma concentrations of abametapir by inhibiting its metabolism • Primiwal + Amifampridine: Concurrent use may lead to increased risk of seizures • Primiwal + Aminophylline: Concurrent use may lead to increased thiophylline toxicity • Primiwal + Amoxicilline: Concurrent use may lead to decreased contraceptive effectiveness • Primiwal + Amprenavir: Concurrent use may lead to decreased amprenavir plasma concentrations and loss of contraceptive efficacy • Primiwal + Betamethasone: Concurrent use may lead to increased corticosteroid effects • Primiwal + Bupropion: Concurrent use may lead to increased risk of seizures • Primiwal + Carbamazepine : Concurrent use may lead to decreased plasma concentrations and efficacy of primiwal • Primiwal + Darunavir: Concurrent use may lead to reduces hormonal contraceptive exposure and efficacy Monitor closely • Primiwal + Amiodarone: Concurrent use may lead to increased hormonal contraceptive exposure • Primiwal + Atazanavir: Concurrent use may lead to increased hormonal contraceptive exposure • Primiwal + Chinese gingseng root: Concurrent use may lead to additive estrogenic effects • Primiwal + Diazepam: Concurrent use may lead to diazepam toxicity.