Drug Uses

Evista is a prescription medicine used by women after menopause to treat or prevent a condition called osteoporosis. You should take calcium and vitamin D along with Evista if you do not get enough calcium and vitamin D in your diet.

How Taken

The recommended dosage is one 60-mg Evista tablet daily, which may be administered any time of day without regard to meals.

Warnings/Precautions

Before taking this medication, tell your doctor if you have a history of blood clots; stroke; cancer; increased triglycerides (a type of fat in the blood); or liver disease. You may not be able to take Evista, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Evista is in the FDA pregnancy category X. This means that Evista is known to cause birth defects in an unborn baby. Do not take Evista if you are pregnant or if you could become pregnant during treatment. It is not known whether Evista passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

Missed Dose

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

Possible Side Effects

An infrequent but serious side effect of taking Evista is the development of blood clots in the veins. These blood clots can stop blood flow and cause serious medical problems, disability or death. Call your doctor right away if you have or have had any of the following signs of blood clots in the legs, lungs or eyes: leg pain or a feeling of warmth in the calves, swelling of the legs, hands or feet, sudden chest pain, shortness of breath or coughing up blood, sudden change in your vision, such as loss of vision or blurred vision. Most of the side effects of Evista are mild and usually do not cause women to stop taking Evista. The most common side effects of Evista are hot flashes and leg cramps. Hot flashes are more common during the first 6 months after starting treatment. If you have any problems or questions that concern you while taking Evista, ask your doctor or pharmacist for more information.

Storage

Store at controlled room temperature, 20o to 25oC (68o to 77oF); allows excursions between 15o and 30oC (59o and 86oF).

Overdose

Incidents of overdose in humans have not been reported. There is no specific antidote for Evista.

More Information

Before having any surgery, tell your doctor that you are taking Evista. Treatment with Evista may need to be stopped temporarily if you require an extended period of bed rest. Avoid sitting still for long periods of time during travel while taking Evista. Alcohol and cigarette smoking may cause increased bone loss. Discuss with your doctor the use of these products.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Q: Do you deliver Evista to P.O Boxes? A: Sorry we cannot ship Evista to P.O Boxes.


Breast Cancer Getting the facts about breast cancer and mammograms is an important step in taking care of your health. This pamphlet will help you to get the information that you need. It provides information on a woman's risk for breast cancer, the National Cancer Institute's recommendations about mammograms, and the benefits and limitations of the procedure. After skin cancer, breast cancer is the most frequently diagnosed cancer in women in the United States. It is second only to lung cancer in cancer-related deaths. Approximately 180,000 new cases of breast cancer are estimated for 1997, and about 44,000 women are expected to die from the disease. Who Is at Risk for Breast Cancer? Simply being a woman and getting older puts you at some risk for breast cancer. Your risk for breast cancer continues to increase over your lifetime. Several known factors can further increase your risk for breast cancer. Most women who get breast cancer have no known risk factors such as a family history of the disease. Talk to your doctor about the known risk factors for breast cancer. What factors can increase your risk for breast cancer? One or more of the following conditions place a woman at higher than average risk for breast cancer: personal history of a prior breast cancer evidence of a specific genetic change that increases susceptibility to breast cancer (BRCA1/BRCA2 mutations) mother, sister, daughter, or two or more close relatives, such as cousins, with a history of breast cancer (especially if diagnosed at a young age) a diagnosis of a breast condition (i.e., atypical hyperplasia) that may predispose a woman to breast cancer, or a history of two or more breast biopsies for benign breast disease Additional factors can play a role in a woman's risk for breast cancer. Women age 45 or older who have at least 75 percent dense tissue on a mammogram are at some increased risk. A slight increase in risk for breast cancer is associated with having a first birth at age 30 or older. In addition, women who receive chest irradiation for conditions such as Hodgkin's disease at age 30 or younger, remain at higher risk for breast cancer throughout their lives. Not having any of the above risk factors does NOT mean that you are "safe." The majority of women who develop breast cancer do not have a family history of the disease, nor do they fall into any other special high-risk category. What Can You Do? If you are in your 40s or older, get a mammogram on a regular basis, every 1 to 2 years. Talk with your doctor or nurse about planning your personal schedule for screening mammograms and breast exams. Gather as much information as you can about your family history of cancer, breast cancer, and screening mammograms. Call the National Cancer Institute's Cancer Information Service for more information about breast cancer and mammograms at 1-800-4-CANCER (1-800-422-6237). People with TTY equipment, dial 1-800-332-8615. For the latest information on cancer, visit the National Cancer Institute's website for patients and the public at http://rex.nci.nih.gov or CancerNet at http://cancernet.nci.nih.gov. What Are the Benefits of Getting Mammograms? A mammogram can find breast cancer before a lump can be felt. A mammogram is the best method available today to detect breast cancer early. Early detection of the disease may allow more treatment options. What Are the Limitations*of Getting Mammograms? Mammograms may miss cancer that is present. Mammograms may find something that turns out NOT to be cancer. *These limitations occur more often in women under age 5

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