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Duavee vs. Prempro

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Duavee

(conjugated estrogens / bazedoxifene)

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Prempro

 

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Summary for Duavee

Prescription only

Duavee (conjugated estrogens / bazedoxifene) treats vasomotor symptoms of menopause like hot flashes and night sweats. It can also help prevent osteoporosis in people who've gone through menopause. This combination medication has two active ingredients. The estrogen helps restore estrogen levels in the body while the selective estrogen receptor modulator (SERM) helps protect against bone loss. The dosage is 1 tablet taken by mouth once every day. Side effects can include muscle spasms, nausea, and diarrhea.

Indications for Duavee

Pros and Cons for Duavee

Pros

  • Relieves bothersome menopause symptoms, such as hot flashes and night sweats
  • Contains an ingredient (bazedoxifene) that helps lower the risk for uterine cancer (no need to take an additional progestin medication)

Cons

  • Not a first-choice option for preventing osteoporosis in people who've gone through menopause
  • Not recommended for people who haven't gone through menopause, people 75 years or older, or people with kidney problems

Common Side Effects for Duavee

  • Muscle spasms or twitching (9%)
  • Nausea (8%)
  • Diarrhea (8%)
  • Indigestion (7%)
  • Upper stomach pain (7%)
  • Throat pain (7%)
  • Dizziness (5%)
  • Neck pain (5%)

Warnings for Duavee

  • Risk for blood clots and related complications (e.g., heart attack, stroke)
  • Risk for uterine cancer (also called endometrial cancer)
  • Unknown risk for breast cancer or ovarian cancer
  • Risk for dementia
  • Gallbladder or liver problems in certain people
  • Changes in vision
  • High triglyceride (fat) levels
  • Low thyroid hormone levels in people who take thyroid hormone replacement therapy
  • Buildup of fluids in the body (fluid retention)
  • Worsening of other medical conditions

Summary for Prempro

Prescription only

Prempro is a combination estrogen/progestin medication that relieves menopausal symptoms like vaginal dryness and hot flashes. It's also used for preventing osteoporosis after menopause. This hormone replacement therapy is an option for people with a uterus. The medication is brand only since there is no generic available. Follow your prescriber's instructions for the correct dose. Prempro is taken by mouth once a day with the same dose each day. Premphase is also taken daily but contains two types of tablets: one with estrogen and one with conjugated estrogens plus medroxyprogesterone, taken on different days. Common side effects include breast pain, headaches, and menstrual cramps.

Indications for Prempro

Pros and Cons for Prempro

Pros

  • Only need to take once a day by mouth
  • Relieves multiple menopausal symptoms
  • Includes a progestin which helps protect your uterus
  • Lowers your risk of fractures by keeping your bones healthy

Cons

  • Raises your risk of certain cancers, blood clots, and strokes
  • Has more possible side effects than similar alternatives
  • Not safe if you have liver problems
  • Can't be used if you have a history of breast cancer

Common Side Effects for Prempro

  • Breast pain (up to 36%)
  • Headaches (up to 19%)
  • Stomach pain (up to 17%)
  • Menstrual cramps (up to 13%)
  • Gas (up to 8%)
  • Nausea (up to 8%)
  • Depression (up to 8%)
  • More vaginal discharge than usual (up to 8%)

Warnings for Prempro

  • Risk of blood clot
  • Breast cancer
  • Uterine (endometrial) cancer
  • Dementia
  • Gallbladder and liver problems
  • Changes in calcium levels in the blood
  • Vision problems
  • High triglycerides
  • Low thyroid hormone levels (hypothyroidism)
  • Fluid Retention
  • Severe allergic reaction
  • Worsening of other medical conditions

Prices with our coupons for Duavee vs. Prempro

Price Card Drug Icon
Duavee30 tablets / 0.45mg/20mg
$30.30$241.99
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Price Card Drug Icon
Prempro1 package / 28 tablets of 0.3mg/1.5mg
$98.84$303.03
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