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The dosage may be gradually titrated upward at 6- to month intervals as needed to achieve appropriate bone age advancement and eventual epiphyseal closure. The number of estrogen cycles needed to produce cyclical monthly bleeding will depend on the responsiveness of the patient's endometrium. Dosage cycles are often repeated for 3- to 6- months to establish a normal menstruation cycle.

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Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine. Metoprolol therapy should be reported to the anaesthetist before the administration of a general anaesthetic. If possible, withdrawal of metoprolol should be completed at least 48 hours before anaesthesia.

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Concomitant administration of warfarin and etodolac results in reduced protein binding of warfarin, but there is no change in the clearance of free warfarin. There is no significant difference in the pharmacodynamic effect of warfarin administered alone and warfarin administered with etodolac as measured by prothrombin time.

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