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Menest Warnings and Precautions
Before beginning hormone replacement therapy with Menest, warnings and precautions for the medication should be reviewed with your healthcare provider. Menest may worsen certain medical conditions, so be sure to tell your healthcare provider about any existing conditions you have, including endometriosis, high blood pressure, or hypocalcemia. You should not take Menest if you are pregnant, have liver disease, or have had a blood clot.
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You should talk with your healthcare provider prior to using Menest® (esterified estrogens) if you have:
- Had a heart attack or stroke
- Heart disease or heart problems of any kind
- Had a blood clot, including blood clots in the legs or lungs
- High cholesterol
- High blood pressure (hypertension)
- Unexplained vaginal bleeding
- Cancer (or if you have had cancer in the past)
- Diabetes
- Had yellowing of the whites of the eyes or skin (jaundice) during a prior pregnancy or estrogen use
- Gallbladder disease
- Liver disease, such as liver failure, cirrhosis, hepatitis, or liver tumors
- Kidney disease, including kidney failure (renal failure)
- Congestive heart failure (CHF)
- An underactive thyroid (hypothyroidism)
- Low calcium levels in the blood (hypocalcemia)
- Endometriosis
- Any allergies, including allergies to drugs, foods, preservatives, or dyes.
Also, let your healthcare provider know if you:
- Have an upcoming surgery
- Smoke cigarettes
- Are pregnant or thinking of becoming pregnant
- Are breastfeeding.
Make sure to tell your healthcare provider about any other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD



