Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Premarin (conjugated estrogens) and Depo-Estradiol (estradiol cypionate) are both estrogen replacement medications, but they have some key differences. Premarin is available as an oral tablet and is used to treat menopausal symptoms, low estrogen levels due to other conditions, and certain types of cancers in advanced stages. It is also used to prevent osteoporosis, but it isn't usually a first choice. In contrast, Depo-Estradiol is an injection used primarily for treating menopausal symptoms, including severe hot flashes and low estrogen levels due to other conditions. Premarin can be taken daily or in cycles, while Depo-Estradiol is injected once a month. Premarin is made from estrogens found in the urine of pregnant horses, whereas Depo-Estradiol is a synthetic form of estrogen. Both medications can increase the risk of certain cancers, blood clots, and strokes. Premarin can cause headahces and different types of pain, including breast, stomach, and back pain, whereas Depo-Estradiol can cause pain or tenderness around the injection site area as well as headaches or mirgraines. Premarin and Depo-Estradiol are both only as a brand-name medication.
Premarin
Depo-estradiol (estradiol cypionate)
Premarin
Depo-estradiol (estradiol cypionate)
Summary of Premarin vs. Depo-Estradiol
Summary for Estrogen replacement
Prescription only
Premarin (conjugated estrogens) is an oral estrogen hormone tablet that's used to treat various conditions in adults. Most commonly, it relieves menopausal symptoms such as vaginal dryness and hot flashes. The medication is also used for treating low estrogen levels, certain advanced stages of breast or prostate cancers, and osteoporosis after menopause. Depending on what you're using it for, the medication can be taken daily or in cycles. Side effects include headache, stomach pain, nausea, and breast pain.
Summary for Estrogen replacement
Prescription only
Depo-Estradiol (estradiol cypionate) injection is a hormone replacement therapy (HRT). It's used to relieve certain menopause symptoms, such as hot flashes and vaginal dryness. It can also raise estrogen levels in people who aren't making enough hormones. It's injected into the muscle about once every month. You can store Depo-Estradiol (estradiol cypionate) vials at room temperature, away from light. Some side effects of this medication include injection-site pain, headaches, and breast tenderness.
•If you have your uterus, you have to use Depo-Estradiol (estradiol cypionate) with another hormone called progestin to lower your risk of uterine cancer.
Common Side Effects of Premarin vs. Depo-Estradiol
Common Side Effects for
•Headache (13-14%)
•Abnormal vaginal bleeding (2-13%)
•Breast pain (7-12%)
•Stomach pain (8-11%)
•Passing gas (4-6%)
•Vaginal discharge (4-5%)
•Back pain (3-5%)
•General pain (3-5%)
•Nausea (3-5%)
•Insomnia (3-5%)
•Depression (3-5%)
•Weakness (2-5%)
Common Side Effects for
•Injection-site pain
•Breast tenderness or growth
•Nausea or vomiting
•Headaches
•Stomach cramps
•Vaginal spotting or irregular bleeding
Warnings of Premarin vs. Depo-Estradiol
Common Side Effects for
•Uterine (endometrial) cancer
•Breast cancer
•Blood clots and stroke
•Heart disease and heart attacks
•Dementia
•Gallbladder and liver problems
•Vision problems
•High triglycerides
•Low thyroid hormone levels (hypothyroidism)
•Fluid Retention
•Changes in calcium levels in the blood
•Worsening of other health conditions
Common Side Effects for
•Uterine or endometrial cancer
•Breast cancer
•Blood clots, heart attacks, and strokes
•Risk of dementia
•Gallbladder problems
•Changes in calcium levels in the blood
•Vision problems
•Low thyroid hormone levels (hypothyroidism)
•Fluid Retention
•Higher risk of side effects
•High triglycerides
•Worsening of other medical conditions
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