Brand Name Femastin
Type Tablet
Weight 1 mg
Generic Estriol (Oral)
Manufacturer Square Pharmaceuticals Ltd.
Price Unit: ৳ 8.03 (3 x 10: ৳ 240.90) Strip: ৳ 80.30

About Femastin

Femastin Tablet (Square Pharmaceuticals Ltd.) is a brand medicine containing the generic Estriol (Oral) . Current listed price in Bangladesh: Unit: ৳ 8.03 (3 x 10: ৳ 240.90) Strip: ৳ 80.30.

Medical information for Femastin Tablet 1 mg

Uses, dosage, side effects, and safety details below apply to Femastin Tablet 1 mg (generic: Estriol (Oral)). This is general information — consult a doctor before use.

Introduction

Estriol is a naturally occurring estrogen hormone and a hydroxylated metabolite of estradiol and estrone. It is the predominant estrogen produced during pregnancy, with large amounts synthesized by the placenta, and is the major estrogen excreted in urine. Estriol contributes to the regulation of female reproductive tissues and has been used in hormone replacement therapy to help relieve menopausal symptoms, particularly hot flashes. It is available through compounding pharmacies in some regions and has been widely used in Europe and Asia for the management of postmenopausal symptoms.

Uses

Estriol is a weak estrogen used to treat vaginal dryness and estrogen deficiency conditions, such as vaginitis and vulvar itching.

Used as a test to determine the general health of an unborn fetus.

Associated Conditions

  • Cervicitis
  • Menopausal and Postmenopausal Disorders
  • Hypoestrogenism
  • Estrogen Replacement Therapy

Pharmacodynamics

Estriol (also oestriol) is one of the three main estrogens produced by the human body. It is only produced in significant amounts during pregnancy as it is made by the placenta. In pregnant women with multiple sclerosis (MS), estriol reduces the disease's symptoms noticeably, according to researchers at UCLA's Geffen Medical School.

Mechanism of Action

Estriol levels can be measured to give an indication of the general health of the fetus. DHEA-S is produced by the adrenal cortex of the fetus. This is converted to estriol by the placenta. If levels of "unconjugated estriol" are abnormally low in a pregnant woman, this may indicate a problem with the development of the child. The drug interacts with a target cell receptor. When the estrogen receptor has bound its ligand it can enter the nucleus of the target cell, and regulate gene transcription which leads to formation of messenger RNA. The mRNA interacts with ribosomes to produce specific proteins that express the effect of estriol upon the target cell. Estrogens increase the hepatic synthesis of sex hormone binding globulin (SHBG), thyroid-binding globulin (TBG), and other serum proteins and suppress follicle-stimulating hormone (FSH) from the anterior pituitary.

Toxicity

ORAL (LD50): Acute: >2000 mg/kg [Rat].

Dosage

It is important that the total daily dose is taken at one time. It may be taken with or without food.
  • Atropy of the lower urogenital tract: 4-8 mg/day for the first weeks, followed by a gradual reduction, based on relief of symptoms, until a maintenance dosage (e.g. 1-2 mg/day) is reached.
  • Pre and postoperative therapy in postmenopausal women undergoing vaginal surgery: 4-8 mg/day in the 2 weeks before surgery; 1-2 mg/day in the 2 weeks after surgery.
  • Climacteric complaints such as hot flushes and night sweating: 4-8 mg/day during the first weeks, followed by a gradual reduction. For maintenance therapy the lowest effective dosage should be used.
  • A diagnostic aid in case of a doubtful atrophic cervical smear: 2-4 mg/day for 7 days before taking the next smear.
  • Infertility due to cervical hostility: In general 1-2 mg/day on days 6-15 of the menstrual cycle. However, for some patients dosages as low as 1 mg/day are sufficient, whereas others may need up to 8 mg/day. Therefore, the dosage should be increased each month until an optimal effect on the cervical mucus is obtained.

Medical review

Last reviewed: 24 Jul 2026

Medically reviewed by:

This is general information, not personal medical advice. Consult a doctor before taking any medicine.

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