Premarin (Conjugated Estrogens)

Premarin is a mixture of conjugated estrogens obtained from natural sources (specifically, the urine of pregnant mares). Estrogens are female sex hormones essential for the development and maintenance of the female reproductive system and secondary sex characteristics. Premarin helps replace estrogen when the body's natural levels drop during and after menopause.

Dosage by Body Weight

Dosage must be individualized based on the specific indication and patient response. It is typically administered cyclically (e.g., 21 days on, 7 days off) or continuously. Patients should be treated with the lowest effective dose for the shortest duration necessary to achieve treatment goals.

  1. Body Weight
    Below 5 kg
    Dose
    Not indicated
    Frequency
    Not applicable
    Tracking Notes
    Premarin is not indicated for pediatric use or infants in this weight range.
  2. Body Weight
    5-7 kg
    Dose
    Not indicated
    Frequency
    Not applicable
    Tracking Notes
    Estrogen therapy is not recommended for children in this weight category.
  3. Body Weight
    8-10 kg
    Dose
    Not indicated
    Frequency
    Not applicable
    Tracking Notes
    Estrogen therapy is not recommended for children in this weight category.
  4. Body Weight
    11-15 kg
    Dose
    Not indicated
    Frequency
    Not applicable
    Tracking Notes
    Estrogen therapy is not indicated for pediatric use in this weight category unless specifically prescribed by a specialist for rare endocrine conditions.
  5. Body Weight
    16-20 kg
    Dose
    Not indicated
    Frequency
    Not applicable
    Tracking Notes
    Premarin dosing is not determined by body weight and is highly restricted in pediatric populations.

Formulation

TabletVaginal CreamInjectable Solution

Purpose

Hormone replacement therapy (HRT) used to treat moderate to severe vasomotor symptoms (hot flashes) and vulvar/vaginal atrophy associated with menopause. It is also used to prevent postmenopausal osteoporosis and treat hypoestrogenism caused by hypogonadism, castration, or primary ovarian failure.

Generic Name

Conjugated Estrogens

Scheduled Drug

No. This medicine is generally not treated as a scheduled/prescription-only drug in common consumer references, but local rules may vary.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.