Are you a post-menopausal woman who has recently experienced a bone fracture or loss of height you may be suffering from post-menopausal osteoporosis but worry not because relaxed feed is here relaxified is indicated for the treatment and prevention of osteoporosis in postmenopausal women and the reduction in risk of invasive breast cancer in postmenopausal
Women at high risk of invasive breast cancer so what is raloxophene and how does it work riloxifene is a selective estrogen receptor modulator it slows bone loss and keeps the bones strong it also may lower your chance of getting breast cancer roloxephene is not estrogen but acts as an estrogen agonist in bones and acts like an estrogen antagonist in the
Breast and endometrium unfortunately just like any other medication there are some adverse effects to taking relaxified the most common side effect patients experience is hot flashes during the first four months there is an increased risk for a patient to develop a dvt or deep vein thrombosis after the first four months the risk is still present it’s just not
As high patients with a coronary artery disease or patients at risk of a coronary event have an increased risk of stroke or death by stroke while taking relaxified cardiovascular effects include chest pain and peripheral edema some cns effects could include headache migraine depression insomnia and vertigo gi effects can include nausea vomiting dyspepsia or
Indigestion vomiting and abdominal pain do not take relaxating if you are pregnant breastfeeding or planning on becoming pregnant as there is possibility for harm to the fetus if you have or ever have had venous thromboembolism you should not take veloxifene as there is increased risk of vte and death from stroke while on this medication the safety of use
Of raloxifene is not known in pre-menopausal women and in men and should not be used talk to your doctor if you have coronary artery disease have increased risk for strokes or any liver or kidney impairment you may require increased monitoring or may be advised not to take this medication you should discuss the risks and benefits with your healthcare provider
Before starting relaxating raloxaphane may interact with multiple different drugs it’s always it’s important to talk to your doctor before and thinking about starting roloxene therapy cholesteramine which is a bile acid sequestrant to help lower cholesterol may cause significant reduction of raloxifene absorption levothyroxine which is a thyroid hormone therapy
When taken with raloxophene may decrease the levothyroxine absorption warfarin an anticoagulant when taken with raloxophene may cause an increased effect of the warfarin it’s important to continuously have blood draws and follow-ups especially to monitor the prothrombin time and inr feminist femciclovir another antiviral when taken with raloxifene may decrease
The effects of fancy clavier it’s important to talk to your doctor if you have any or current symptoms of a virus or have tested positive for any sorts of virus that this could interact and decrease the effects of the antiviral you should always talk to your doctor before starting relaxifiine if you take any of these medications you may need to find alternate
Therapies especially for lipothyroxine warfarin pham cyclovir the first teaching point to talk with your patient about is to take the reloxafin as prescribed it should be taken with a full glass of water at the same time each day and this is a once daily medication so we want to encourage our patients to only take this one time a day do not split your doses you
Should also inform your provider of all the medications you’re currently taking and before taking any new medications this includes multivitamins or herbal supplements just to make sure there’s no interaction the calcium supplement with vitamin d d is sometimes recommended because it helps your body absorb the medication and it also helps with your bone density
Now one of the contraindications for veloxifen is pregnancy so we want to educate our patients about not taking this drug during pregnancy or if you plan to become pregnant you should also maybe use a backup birth control method just to help prevent pregnancy and they also do not recommend breastfeeding while taking this medication another important thing to
Educate your patient about is watching for signs of blood clots if your patient develops sudden shortness of breath or chest pain they should go to the emergency room immediately and if they notice any severe pain redness or swelling in one arm or leg you should notify your physician within 24 hours of when you notice the symptoms and then if you experience any
Unmanageable or unusual side effects you should definitely contact your provider as well while educating our patient patients we should also talk to them about getting plenty of exercise keeping moving can decrease the chance of developing a blood clot it can also strengthen your bones and increase your energy level if they are out in the sun they should wear
Spf 15 or higher otherwise try to avoid sun exposure you should be sure to keep all of your follow-up appointments including gynecologic exams bone mineral density scans mammograms blood work etc and we should also encourage our patients to stop smoking and drinking alcohol these are both known to contribute to bone loss if if you are a post-menopausal woman
Worried about osteoporosis or interested in reducing your risk of developing breast cancer riloxifen may be right for you talk to your doctor about relaxified today
Transcribed from video
Raloxifene By J Foudray