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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

 

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Medroxyprogesterone

(Provera)

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Summary for Premarin

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.

Indications for Premarin

Pros and Cons for Premarin

Pros

  • Relieves multiple menopausal symptoms
  • Available in multiple strengths, allowing you to customize your dose
  • Comes as a tablet that you take by mouth

Cons

  • Raises your risk of certain cancers, blood clots, and strokes
  • Some people might need to take it with another hormone called progestin
  • Not a first-choice medication for treating bone loss after menopause

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

  • 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

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$261.61
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Price Card Drug Icon
Medroxyprogesterone10 tablets / 10mg
$9.86$19.66
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