Thursday, November 3, 2011

About Premarin


For decades, Premarin was the most popular drug in the United States, with an estimated 22 million women taking the drug to treat menopausal symptoms in 2002. Because Premarin is made with estrogens extracted from pregnant mares’ urine (PMU), thousands of mares are used to produce this bitter pill, contributing to the unnecessary overbreeding of horses.
What happens to PMU mares?For approximately six months from fall through spring, the pregnant mares live in the "pee barns," forced to stand in stalls with urine Tadanafil collection devices strapped to them. The stalls are deliberately narrow to prevent pregnant mares from turning around and detaching the collection cups. In the last month of their eleven-month pregnancy, the mares are put out to pasture to have their foals. The mares are put in a herd with a stallion, so they quickly become pregnant again. In September, their foals are taken away from them to be sold, whether or not they are fully weaned. The next month, they're back in the barns and the cycle starts again. 
The organization that represents the interests of the PMU ranchers, the North American Equine Ranching Information Council (NAERIC), considers it "a testament to her health and strength" if a mare can have a foal each year for 20 years. Currently, approximately 5,600 PMU mares live on 70 contracted ranches primarily located in Saskatchewan and Manitoba, Canada. The minimum stall width specified in the regulations­ -- even for the largest draft breeds so commonly used -- is a mere five feet. A typical PMU ranch consists of a small family and one hired ranch hand responsible for feeding, cleaning and exercising nearly 100 pregnant mares at a time.
What about the foals who are born every year?The manufacturers of PMU drugs would like us to believe that every single foal born as a result of these pregnancies is sold to be used for companionship, recreation, ranching, shows and competitions – what they call “productive markets.” The fillies sometimes grow up to replace their worn-out mothers, too. But the horse market is oversaturated as it is, and there just aren’t enough homes for another estimated 5,000 foals born from this industry each year. As a result, PMU foals may be at risk for slaughter, their meat shipped to Europe and Japan for human consumption. Read more about the horse slaughter industry here.
What has the pharmaceutical company done to help?One pharmaceutical company alone, Wyeth Pharmaceuticals, produces the hormone therapy drugs that use pregnant mares' urine: Premarin, Prempro, Premphase and other like-sounding drugs. To date, Wyeth has contributed $6.75 million dollars to an industry-run "Equine Placement Fund," a paltry amount in comparison to the approximately one billion dollars in revenue in 2006 from this drug family, and the tens of billions more these drugs have earned Wyeth in past years. And to make matters worse, they've prohibited currently contracted ranchers from working with rescue groups, since they want to avoid the image that any of these horses are in need of rescue.


What about the health risks to women?
A Women’s Health Initiative study revealed that taking PMU drugs like Premarin and Prempro may lead to serious health problems such as heart attack, stroke, dementia and breast cancer. In 2007, studies linked a drop in breast cancer rates with the reduced use of PMU drugs. Six lawsuits have gone to trial alleging that Premarin or Prempro caused illness, and 5,000 lawsuits are pending. Yet Wyeth, the manufacturer of Premarin, continues to market lower-dose versions of the drugs aggressively. 


What makes this current horse crisis more complicated?
At the PMU industry's peak in the late 1990s and early 2000s, there were reports of as many as 70,000 mares involved in the production of hormone drugs, and as many as 422 contracted ranches. When Wyeth cut many contracts with ranches in 2003 and 2005 in response to decreased demand, the former ranchers were left with thousands of unwanted pregnant mares, many of which had received little training and handling, and were difficult to sell. RedRover created PMURescue.org to assist with the placement of these horses. Some of the ranching families had held PMU contracts for generations, and Wyeth didn't do enough to transition these ranchers to new careers. Without other options and training, many former ranchers continue to breed their mares and sell the foals to the slaughter market when they can't find other buyers. Often, rescue or placement groups step in to help ranchers find homes for these horses instead of selling them for meat. Thousands of foals are born each year at these former ranches.
What can women do?

1. Talk to your doctor
 about ways to alleviate menopausal symptoms through lifestyle and diet changes, or discuss synthetic or plant-derived HRT alternatives. And if you decide not to take Premarin or switch from Premarin to an alternative, let RedRover know by joining our I've Switched Campaign. Here are some alternatives to Premarin:
  • Cenestin
  • Estrace
  • Estraderm
  • Ogen
  • OrthoEst
  • Estratab
  • Enjuvia
  • Menest
  • Estinyl
  • OrthoDienestrol
  • Climara
2. Spread the word about the PMU industry and the dangers these drugs pose to women. Our Premarin: The Bitter Truthbrochure contains valuable information and is great to leave behind at your doctor's office. Dowload a PDF. 
3. Sign up for RedRover's email updates to stay informed about Premarin and other animal issues.
4. Contact your legislators to ban horse slaughter for human consumption. Horse slaughter provides a profitable economic incentive to overbreed horses, which enables the PMU industry to operate the way it does. Review common myths and facts about banning horse slaughter here. Find more information about efforts to stop horse slaughter in the United States and in Canada.

PREMARIN CONSUMER


IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical Orexis advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.
ESTROGENS - ORAL
(ES-troe-jenz)
COMMON BRAND NAME(S): Cenestin, Enjuvia, Estrace, Femtrace, Ogen, Premarin
WARNING:Estrogens, either used alone or with another hormone (progestin), have rarely caused very serious side effects. Discuss the risks and benefits of hormone treatment with your doctor. Estrogens should not be used to prevent heart disease or dementia.
Estrogens can increase the risk of cancer of the uterus (endometrial cancer). Taking a progestin as directed by your doctor can help decrease this risk. Tell your doctor right away if you have any unusual vaginal bleeding.
In postmenopausal women, estrogens can increase the risk of cancer of the ovaries, stroke, dementia, and serious blood clots in the legs. Estrogens alone do not appear to increase the risk of breast cancer when used for up to 7 years. Estrogen, when used with a progestin, can increase the risk of heart disease (such as heart attacks), stroke, serious blood clots in the lungs/legs, dementia, and cancer of the breast/ovaries.
The risk for serious side effects may depend on the dose of estrogen and the length of time it is used. Therefore, this medication should be used at the lowest effective dose and for the shortest amount of time. Discuss the use of this medication with your doctor and check with him/her regularly (for example, every 3 to 6 months) to see if you still need to take this medication. If you will be taking this medication long-term, you should have regular complete physical exams (for example, once a year) as directed by your doctor. See also Notes section.
USES:This medication is a female hormone. It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.
Certain estrogen products may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen treatment.
Certain estrogen products may also be used by men and women to treat cancers (certain types of prostate cancer, breast cancer that has spread to other parts of the body) and by women who are not able to produce enough estrogen (for example, due to hypogonadism, primary ovarian failure).
HOW TO USE:Read the Patient Information Leaflet if available from your pharmacist before you start using this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth with or without food as directed by your doctor. You may take it with food or right after a meal to prevent stomach upset.
The dosage is based on your medical condition and response to treatment.
Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day as directed. Follow your dosing schedule carefully. Do not increase your dose or take this medication more often or for a longer time than directed.
Tell your doctor if your condition does not improve or if it worsens.
SIDE EFFECTS:See also Warning section.
Stomach upset, nausea/vomiting, bloating, breast tenderness, headache, or weight changes may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as depression, memory loss), breast lumps, unusual vaginal bleeding (such as spotting, breakthrough bleeding, prolonged/recurrent bleeding), increased or new vaginal irritation/itching/odor/discharge, severe stomach/abdominal pain, persistent nausea/vomiting, yellowing eyes/skin, dark urine, swelling hands/ankles/feet, increased thirst/urination.
This medication may rarely cause serious problems from blood clots (such as heart attacks, strokes, deep vein thrombosis, pulmonary embolism). Get medical help right away if you have any serious side effects, including: chest/jaw/left arm pain, unusual sweating, sudden/severe headache, weakness on one side of the body, confusion, slurred speech, sudden vision changes (such as partial/complete blindness), pain/redness/swelling of legs, tingling/weakness/numbness in the arms/legs, trouble breathing, coughing up blood, sudden dizziness/fainting.
A very serious allergic reaction to this product is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS:Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: vaginal bleeding of unknown cause, certain cancers (such as breast cancer, cancer of the uterus/ovaries), blood clots, stroke, heart disease (such as heart attack), liver disease, kidney disease, family medical history (especially breast lumps, cancer, blood clots, angioedema), blood clotting disorders (such as protein C or protein S deficiency), high blood pressure, diabetes, high cholesterol/triglyceride levels, obesity, lupus, underactive thyroid (hypothyroidism), mineral imbalance (low or high level of calcium in the blood), a certain hormone problem (hypoparathyroidism), uterus problems (such as fibroids, endometriosis), gallbladder disease, asthma, seizures, migraine headaches, a certain blood disorder (porphyria), mental/mood disorders (such as dementia, depression).
Do not smoke or use tobacco. Estrogens combined with smoking further increases your risk of stroke, blood clots, high blood pressure, and heart attack, especially in women older than 35.
Tell your doctor if you just had or will be having surgery, or if you will be confined to a chair or bed for a long time (such as a long plane flight). These conditions increase your risk of getting blood clots, especially if you are taking an estrogen product. You may need to stop this medication for a time or take special precautions.
This drug may cause blotchy, dark areas of the skin on the face (melasma). Sunlight may worsen this effect. Avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.
If you are nearsighted or wear contact lenses, you may develop vision problems or trouble wearing your contact lenses. Contact your eye doctor if these problems occur.
Children may be more sensitive to the side effects of this drug. It may affect their growth/development. Discuss the possible effects of this medication with the doctor, and monitor your child's growth periodically.
This medication must not be used during pregnancy. If you become pregnant or think you may be pregnant, tell your doctor immediately.
This medication passes into breast milk. It may reduce the quality and amount of breast milk produced. Consult your doctor before breast-feeding.