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Premarin vs. Provera

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

Key takeaways

Premarin (conjugated estrogens) and Provera (medroxyprogesterone) are both prescription medications used for hormone-related conditions, but they serve different purposes and belong to different drug classes. Premarin is an estrogen replacement therapy primarily used to relieve menopausal symptoms like hot flashes and vaginal dryness as well as treat low estrogen levels due to other conditions, and manage certain cancers and osteoporosis. On the other hand, Provera is a progestin that helps regulate menstrual cycles and protects the uterus in postmenopausal women taking estrogen therapy. While Premarin is taken daily or in cycles, Provera is typically taken for a specific number of days each month. Premarin can cause side effects like headaches, stomach pain, and breast pain, whereas Provera may lead to spotting, breast tenderness, and nausea. Both medications carry serious risks, including blood clots and cancer, especially when used long-term or in combination with estrogen. Premarin is available only as a brand-name medication, while Provera has a generic form.

Premarin tablet

 

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Medroxyprogesterone

(Provera)

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Summary for Premarin

Prescription only

Premarin (conjugated estrogens) oral tablet is an estrogen hormone replacement therapy (HRT) used to treat menopause symptoms, such as hot flashes and vaginal dryness, and other conditions caused by low estrogen levels. It can also help prevent osteoporosis after menopause and treat certain advanced breast or prostate cancers. Depending on why you're taking it, you might take it by mouth every day or in cycles. Common side effects include headache, stomach pain, nausea, and breast pain.

Indications for Premarin

Pros and Cons for Premarin

Pros

  • Relieves multiple menopause symptoms
  • Available in multiple strengths
  • Comes as a tablet that you take by mouth

Cons

  • Raises your risk of blood clots, stroke, and certain cancers
  • Some people might need to take it with another hormone called progestin
  • Can cause vaginal bleeding and spotting

Common Side Effects for Premarin

  • 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%)

Warnings for Premarin

  • Blood clots, heart attacks, and strokes
  • Uterine (endometrial) cancer
  • Breast cancer
  • Dementia
  • Ovarian cancer
  • Liver or gallbladder problems
  • Changes in calcium levels in the blood
  • Vision problems
  • High triglycerides (fat) levels
  • Low thyroid hormone levels
  • Buildup of fluids in your body (fluid retention)
  • Worsening of certain other health conditions

Summary for Provera

Prescription only

Medroxyprogesterone (Provera) can help make your menstrual cycles more regular. It also helps protect the uterus from harm in people who've gone through menopause and are taking estrogen replacement medications. When taken with estrogen therapy, it has some serious risks that you should consider if you need treatment for a long time.

Indications for Provera

  • Lack of menstrual periods due to hormone imbalance
  • Irregular periods due to hormone imbalance
  • Protection of the uterus in postmenopausal women who are taking estrogen medications

Pros and Cons for Provera

Pros

  • Taken once a day
  • Helps protect the uterus from damage if taking estrogen medications after menopause
  • A good alternative to progesterone (Prometrium) if you have a peanut allergy

Cons

  • Need to remember to take on certain days of the month
  • Can have spotting or breakthrough bleeding, even if you've gone through menopause
  • Shouldn't be used in people with liver problems

Common Side Effects for Provera

  • Spotting or breakthrough bleeding
  • Heavier or lighter periods
  • Breast tenderness
  • Nausea

Warnings for Provera

  • When taken with estrogen medications:
  • Blood clots and their complications (heart attack, stroke)
  • Breast cancer
  • Dementia
  • Uterine and ovarian cancer
  • Vision problems
  • Higher blood pressure and cholesterol levels
  • Swelling (fluid buildup)

Prices with our coupons for Premarin vs. Provera

Price Card Drug Icon
Premarin30 tablets / 0.625mg
$99.00$261.42
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Medroxyprogesterone10 tablets / 10mg
$10.36$19.55
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