Contraindicated in:
Use Cautiously in:
CV: THROMBOEMBOLISM, ↑ BP, edema.
Derm: hot flash .
EENT: retinal vascular thrombosis.
F and E: hypocalemia.
GI: cholestatic jaundice, diarrhea, dyspepsia, gall bladder disease, nausea, oropharyngeal pain, upper abdominal pain.
MS: muscle spasms, neck pain.
Drug-Drug:
Drug-Natural Products:
Drug-Food:
Therapeutic Classification: bone resorption inhibitors, hormones
Pharmacologic Classification: selective estrogen receptor modulators, estrogens
Bazedoxifene
Absorption: 6% absorbed following oral administration.
Distribution: Unknown.
Protein Binding: 9899%.
Metabolism/Excretion: Undergoes extensive metabolism by UGT enzymes in the intestinal tract and liver, undergoes biliary excretion with enterohepatic recycling and elimination in feces (85%).
Half-life: 30 hr.
Conjugated Estrogens
Absorption: Well absorbed following oral administration.
Distribution: Widely distributed; higher concentrations found in sex hormone target organs; enters breast milk.
Metabolism/Excretion: Primarily metabolized by the liver via the CYP3A4 isoenzyme; some metabolites are hormonally active. Metabolites are renally excreted.
Half-life: 17 hr (estrone).
(effect on vasomotor symptoms)
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
PO | within 4 wk | 12 wk | duration of treatment |
effects on osteoporosis were noted at 1224 mo and lasted throughout treatment (5 yr).