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Dr. Natasha
Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine, Ivy League trained
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I am taking Clonidine 25mcg tablets two twicea day for the

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I am taking Clonidine 25mcg tablets two twicea day for the heavy night sweats and hot flushes. The symptoms are about 50% better after two months of the tablets, but I suffer from severe vaginal dryness and lack of libido.Would Livial be of any help?

Dr. Natasha : Hello!
Dr. Natasha : welcome to the chat


Dr. Natasha : You can use Livial, but if you just want to target libido and dryness an estrogen cream may be better
Dr. Natasha : Livial is used more for systemic symptoms like flushing

Can you recommend a particular brand of the estrogen cream and can I use it with the Clonidine?

Dr. Natasha : Sure

Is the Clonidine equivalent to the Livial that I am hearing about?

Dr. Natasha : estrace,
Dr. Natasha : There are no reported interactions with it and clonidine
Dr. Natasha : did you get that?
Dr. Natasha : there is also a vaginal ring
Dr. Natasha : called estring which is great
Dr. Natasha : because you don't need to do anything for 3 months
Dr. Natasha : Did you see that

Are there any side effects that I need to know about with either the cream or the ring?

Dr. Natasha : headache, breast tenderness, stomach cramps, bloating
Dr. Natasha : sometimes vaginal irritation
Dr. Natasha : but with creams the side effects are much lower than oral meds
Dr. Natasha : because you are using it at targeted area
Dr. Natasha : same side effects for the ring

Thank you doctor that's been very helpful

Dr. Natasha : you are welcome
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