Evamist pump (Estradiol)

What is Evamist pump?

Evamist, a transdermal spray, is a synthetic form of the female hormone estrogen.

What is Evamist pump used for?

Evamist is used to relieve severe vasomotor symptoms caused by menopause. Such symptoms are known as hot flashes and are characterized by excessive sweating and intense feeling of warmth.

How does Evamist pump work?

Estradiol is the principal intracellular estrogen in a female body and it plays a vital role in the development and maintenance of the female reproductive system. Estrone and estriol are two other metabolites of estrogen found in circulation. However, estradiol is the most potent form of estrogen. Post-menopause, the only forms of estrogen available in the female body are the circulation estrogens, estrone and estriol. In absence of estradiol severe vasomotor symptoms are observed in post-menopausal women. Evamist being a synthetic form of estradiol fills the absence of naturally occurring estradiol and relieves these symptoms.

How to use Evamist pump

Evamist should be used in the manner prescribed by a doctor. Using the spray in larger amounts is not desirable. The dosage depends on your medical condition and response to treatment. Read and follow instructions given along with the product package.

Evamist should be applied on clean, dry and unbroken skin only. The spray is usually applied on the inside of the forearm, exactly below the elbow.  Place the cone of the spray applicator directly on the skin and pump one spray. For subsequent sprays choose a different place in the same region. You should not rub the spray. Allow it to dry for two minutes. Avoid washing the area for at least 30 minutes after application of the spray.

Use exactly the number of sprays your doctor has indicated. Never use the spray on your breasts or on skin that is irritated or red.

You should self-examine your breasts for lumps while using Evamist spray. Also have regular physical exams done.

Do not stop your dose unless otherwise directed by your doctor. However, if your condition does not improve at all or becomes worse consult your doctor immediately.

Evamist pump warnings and precautions

Evamist is not to be used by patients who have any of the following conditions: liver or kidney disease, any type of breast, uterine or hormone-dependant cancer, blood clotting disorder, history of stroke or circulatory problems, or untreated abnormal vaginal bleeding.

Before taking the medication, inform your doctor about your medical conditions, especially if you have undergone hysterectomy or if you have migraines, depression, high levels of cholesterol or triglycerides, angina, high blood pressure, heart disease, seizure disorder, gallbladder disease, diabetes, or asthma. You may need a dose adjustment in such cases.

Estradiol increases the risk of endometrial cancer. Hence Evamist is often prescribed along with a progestin.

Evamist can cause serious harm to a fetus as well as to a nursing baby. Hence pregnant and lactating women are advised against using this medication. You should take proper measures to avoid pregnancy during treatment with Evamist. However, if you do become pregnant inform you doctor immediately.

What do I do if I have missed a Evamist pump dose?

If you have missed an Evamist dose, take it as soon as you remember. If, however, it is almost time for the next dose, the missed dose can be skipped. Do not take a double dose.

What do I do if I have taken a Evamist pump overdose?

If you have taken an overdose of Evamist, seek emergency medical attention.

Evamist pump interactions

Some drugs which may interact with Evamist are: anticoagulants, antifungals, antibiotics, St. John’s wort, ritonavir, carbamazepine, or phenobarbital. It is necessary to inform your doctor about all the prescription/non prescription drugs/herbal medicines that you are taking, before using Evamist.

You should not start taking any new medicine, without consulting your doctor.

Evamist pump side effects

Side effects from Evamist include allergic reactions such as swelling of tongue, face, throat, hives, redness of skin etc. as well as some serious symptoms such as lumps in breast, vision or speech problems, imbalance, pain, swelling or tenderness in stomach; chest pain, sweating, nausea, sudden weakness or numbness, pain or swelling in lower leg, confusion, headache, abnormal vaginal bleeding, or jaundice.

Migraine headaches, loss of appetite, nausea, vomiting, acne, changes in skin color, weight gain, decreased sex drive, vaginal pain, dryness and discomfort, vaginal itching or discharge, breakthrough bleeding, dizziness, depression swollen breasts are also side effects of Evamist.