The following information is NOT intended to endorse any particular medication. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners. Reviews may be moderated or edited before publication to correct grammar and spelling or to remove inappropriate language and content.
Reviews that appear to be created by parties with a vested interest in the medication will not be published.Helpful trick for applying Estrogen patches!
As reviews and ratings are subjective and self-reported, this information should not be used as the basis for any statistical analysis or scientific studies. Estradiol Patch estradiol for Postmenopausal Symptoms: "On estradiol with no problems at all - just with no insurance a bit pricey". I cut mine in half and put a waterproof bandaid on. Must be on progesterone also.
A must. I went on the estraderm patches which were a 5 layer gel patch, you could actually see the gel medication. They were the first estradiol patch produced and have probably been out of production 7 years. They were replaced by all these much cheaper to produce single layer patches with just a sticky adhesive side which is supposedly the drug delivery system.
Transvaginal delivery didn't work either. I don't believe in oral estrogens so now I inject myself IM every 2 weeks with estradiol valerate. Estrofem estradiol for : "I used estrofem to delay ovulation which in turn also delays menstruation. Took 2 mg on days 2,3,4, and 5 of my cycle.
Lengthened my cycle from approx 23 days Estradot estradiol for Postmenopausal Symptoms: "This medication took away my premature ovarian failure symptoms Hot flashes, night sweats, etc, and brought back libido, energy, decreased digestion problems, etc. Only problem it caused was weight redistribution and due to the fact it is transdermal - made me worried about working out or walking in hot weather increase in medication absorbed.
For Postmenopausal Symptoms: "This drug has become prohibitive in price. The company needs to do something about this? There was a mix up at the pharmacy and I was switched to the Mylan brand of estradiol patches. Unbeknownst to me switching patches can cause bleeding in some people. I had bleeding and had to have an ultra sound to make sure I was ok, which I was.
The Mylan 0. It sticks well and I have never noticed a smell. I only worry that this generic could change and I'd have another scary transition. For Postmenopausal Symptoms: "Dotti estradiol transdermal by amneal 0. My agitation, hot flashes I cannot afford that wish we get get this much cheaper". My favorites have been the Vivelle Dot and the Sandoz patch. Does anybody have a suggestion on a patch estrogen that Priority Health pays for?Let me answer all of your medication questions.
I am a registered pharmacist with experience in hospital, community and veterinary pharmacy. At last, help available without confusing jargon. Post a Comment Leave your comments or questions here! I have been asked this countless times. So here is an easy to understand answer! Both are used for HRT in menopausal women. Both have an oestrogen bit oestradiol and progesterone bit norithesterone. The second half of the month you use the next 4 patches and change every 4th day but these patches have BOTH oestrogen plus progesterone.
Women often experience bleeding at the end of a cycle of Sequi because of the withdrawal of the progesterone component. So why do we sometimes use it? But some women are sensitive to the progesterone so providing a progesterone free period helps reduce uncomfortable side effects such as nausea and swelling. Generally a woman needs to become tolerant to the progesterone to be able to use this patch.
Got more questions? Post me! Posted by Leanne at PM Find this helpful? No comments:. Newer Post Older Post Home.
Subscribe to: Post Comments Atom. Great webhosting Got a website name but don't know who to host it with? Plus, a review of the current feedback over the internet shows a lot of these companies don't have very good customer service. I use 3ix - they are an American site, but don't let that put you off.My prescription in US is Estradiol 0. The only thing I can get in Mexico is Estradiol 3.
I don't know whether or not to go ahead and use the Evorel as it seems to be a much bigger dose. Label says 50 mcg as well as 3. Ok, the 3. Minivelle doesn't tell you that. The 50 mcg is what you get daily. That is what the 0.Silencerco octane 45k accessories
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Skip to Content. Estradiol Patch - Is Evorel 50 equivalent to Minivelle.Gpi to usb
Asked 11 Mar by grannyannes Updated 11 March Topics estradiol patchevorelpostmenopausal symptomsestradiolprescriptionpatchminivellebrand My prescription in US is Estradiol 0. Answer this question. Responses 1. Thank you kaismama. I should have been able to figure that out! When does this Minivelle patch start to work? Weight gain and estradiol patch- Minivelle? Estradiol Patch - Anyone experience joint pain and swelling with Minivelle?
Hot flushes whilst taking Evorel Estradiol 75 patch - is this normal?This leaflet answers some common questions about the menopause "change of life"hormone replacement therapy and Estradot. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. The information in this leaflet was last updated on the date listed on the final page. More recent information on the medicine may be available.
You should ensure that you speak to your pharmacist or doctor to obtain the most up-to-date information on the medicine. You can also download the most up-to-date leaflet from www. Those updates may contain important information about the medicine and its use of which you should be aware.
All medicines have risks and benefits. Your doctor has weighed the risks of you using Estradot against the benefits they expect it will provide. If you have any concerns about using this medicine, ask your doctor or pharmacist. Do not use Estradot or other oestrogens, with or without a progestogen to prevent heart attacks, stroke or dementia.
A study called the Women's Health Initiative indicated increased risk of heart attack, stroke, breast cancer, and blood clots in the legs or lungs in women receiving treatment with a product containing conjugated oestrogens 0. The researchers stopped the study after 5 years when it was determined the risks were greater than the benefits in this group.
There are no comparable data currently available for other doses of conjugated oestrogens and MPA or other combinations of oestrogens and progestogens. Therefore, you should assume the risks will be similar for other medicines containing oestrogen and progestogen combinations.
Talk regularly with your doctor about whether you still need treatment with Estradot. Treatment with oestrogens, with or without progestogens should be used at the lowest effective dose and for the shortest period of time. Estradot is a type of treatment called hormone replacement therapy HRT. It is a stick-on patch that contains a hormone called oestradiol. HRT should not be used for the long-term maintenance of general health or to prevent heart disease or dementia.
Oestradiol is a natural female sex hormone called an oestrogen. It is the same hormone that your ovaries were producing before the menopause. The menopause occurs naturally in the course of a woman's life, usually between the ages of 45 and It may happen sooner if the ovaries are removed by surgery e. After menopause, your body produces much less oestrogen than it did before. This can cause unpleasant symptoms such as a feeling of warmth in the face, neck and chest, "hot flushes" sudden, intense feelings of heat and sweating throughout the bodysleep problems, irritability and depression.
Some women also have problems with dryness of the vagina causing discomfort during or after sex. Oestrogens can be given to reduce or eliminate these symptoms. Estradot releases oestradiol in a continuous and controlled way just as your ovaries were doing before. Because the medicine does not have to pass through your stomach and liver, it allows you to take a much lower dose of oestrogen than would be needed in a tablet and helps to avoid some unpleasant side effects.
Ask your doctor if you have any questions about why this medicine has been prescribed for you. Some of the symptoms of an allergic reaction may include shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue or other parts of the body; rash, itching or hives on the skin. If you had a severe skin reaction in the past, you could have a very serious reaction if you use any type of oestrogen patch, tablet, cream, etc.
If you are not sure whether any of the above conditions apply to you, your doctor can advise you. If you still have a uterus wombdo not use Estradot unless you are also taking another drug called a progestogen. Women who still have a uterus must take both oestrogen and progestogen as part of HRT.Evorel patches contain the active ingredient estradiol, which is a naturally occurring form of the main female sex hormone, oestrogen.
Evorel patches are available as 25, 50, 75 or - containing varying amounts of estradiol. Ovaries gradually produce less and less oestrogen in the period up to the menopause, and oestrogen blood levels decline as a result. The declining levels of oestrogen can cause distressing symptoms, such as irregular periods, hot flushes, night sweats, mood swings and vaginal dryness or itching.Historical railroad maps
Oestrogen can be given as a supplement to replace the falling levels in the body and help reduce these distressing symptoms of the menopause. This is known as hormone replacement therapy HRT. HRT is usually only required for short-term relief from menopausal symptoms and its use should be reviewed at least once a year with your doctor.
HRT is also sometimes used to prevent osteoporosis in postmenopausal women. The declining level of oestrogen at menopause can affect the bones, causing them to become thinner and more prone to breaking. Oestrogen supplements help prevent bone loss and fractures that may occur in women in the years after menopause.
Evorel patches are a continuous, oestrogen-only form of HRT. They release estradiol through the skin into the bloodstream at a constant rate and are designed to be changed twice a week. For example, you could change your patch every Monday and Thursday.Koreader ios
Each fresh patch should be applied to a slightly different area to avoid irritating the skin. Leave at least a week before applying a patch to the same site. Write the day you need to change your patch on the medication box or mark on your calendar to help you remember when to change the patch.
They should not be exposed to sunlight. If a patch falls off before you are due to change it, for example because you have been doing vigorous exercise, sweating excessively, or wearing clothes that rub the patch, you should replace it with a new one. If a patch falls off in the bath, wait for your skin to cool down before applying a new one. Change the new patch on your normal patch change day.
Then carry on as before with your usual patch change days. However, you may experience spotting or breakthrough bleeding during the first few months of treatment. Spotting or breakthrough bleeding is more likely if you forget to change a patch on schedule.
If any bleeding continues after a few months of using the medicine, or after stopping treatment, you should consult your doctor. Your need for continued HRT should be reviewed with your doctor at least once a year. This risk needs to be weighed against the personal benefits to you of taking HRT. You should discuss these with your doctor before starting HRT. Women on HRT should have regular breast examinations and mammograms. The risk is higher if you have existing risk factors such as personal or family history of blood clots, smoking, obesity, certain blood disorders and needs to be weighed against the personal benefits to you of taking HRT.
For this reason, your doctor may recommend that you stop using HRT for a period of time usually four to six weeks prior to any planned surgery, particularly abdominal surgery or orthopaedic surgery on the lower limbs, or if you are to be immobile for long periods.Send the page " " to a friend, relative, colleague or yourself. We do not record any personal information entered above.
Administration of HRT should generally be avoided in women 65 years of age and older, and HRT should not be used to prevent or treat dementia or preserve cognition memory. Overall risk vs. According to the Beers Criteria, oral, topical patch, or other systemic forms of estrogens with or without progestinsare considered potentially inappropriate medications PIMs for use in geriatric patients and should be avoided due to evidence of carcinogenic potential i.
Additionally, the Beers expert panel recommends avoiding oral or transdermal estrogen in elderly women with any type of urinary incontinence due to lack of efficacy. Estradiol is available in many topical dosage forms, including transdermal systems, topical emulsions, topical gels, and topical sprays. Estradiol topical gels and sprays are alcohol-based and thus are potentially flammable.
Patients should be advised to avoid fire, flame, or smoking until the gel or spray has dried after application. Patients should be advised to carefully read and follow administration directions in order to avoid accidental exposure of estradiol hormone to others, including children and pets.
In Julythe FDA released an advisory notice warning of inadvertent exposure to Evamist brand topical spray through skin contact with patients using the product. Adverse events including premature puberty, nipple swelling and breast development in females, and breast enlargement in males were reported. To reduce the risk of exposure, patients applying this product should avoid contact of the treated area to children and pets. If direct contact cannot be avoided, the treated area should be covered with a garment.
If inadvertent exposure occurs, the skin of the child or pet should be washed immediately with soap and water. Patients should be aware that if a child under their care shows signs of exposure including breast development or other sexual changes, the child should be examined by a healthcare professional.
Once exposure is removed, symptoms of exposure should resolve. Estradiol is the principal human estrogen Multiple dosage forms are available: oral, topical, transdermal, vaginal, and parenteral Used primarily to treat vasomotor and genitourinary symptoms associated with natural or surgical menopause, to prevent osteoporosis, for female hypogonadism and other conditions associated with estrogen deficiency. Usual initial dose: 1 or 2 mg PO once daily.
Use the lowest effective dose. Administration should be cyclic e. In women with an intact uterus, estrogen may be given cyclically or combined with a progestin for at least 10 to 14 days per month to minimize the risk of endometrial hyperplasia.
However, taking estrogens with progestins may have additional health risks for the patient; risk must be determined individually. Continuous, unopposed estrogen administration is acceptable in women without a uterus. Reevaluate periodically as clinically indicated to determine if use is still appropriate. The North American Menopause Society NAMS Guidelines support the initiation of hormone replacement therapy HRT around the time of menopause if no contraindications to use exist and use is acceptable to the individual patient, as hormone therapy is the most effective treatment for vasomotor and genitourinary symptoms and has been shown to prevent bone loss and fracture.
Early initiation of HRT and continuation of use at until the median age of menopause 52 years is recommended in women with premature natural or surgically induced menopause. For women who initiate HRT more than 10 or 20 years from menopause onset or are aged 60 years or older, the benefit-risk ratio is less favorable due to known risks for HRT e.
Decisions regarding whether to continue systemic HRT in women aged older than 60 years should be made on an individual basis for quality of life, persistent vasomotor symptoms, or prevention of bone loss and fracture, with consideration given to alternative treatments for prevention of bone loss and other health issues.
Usual initial dose is 0. A switch between transdermal system types can be done immediately; if on oral therapy, begin a week after oral treatment stopped or when symptoms reappear. Generally, when used in a postmenopausal woman with an intact uterus, a progestin should also be considered to reduce the risk of endometrial hyperplasia. Use lowest effective dose. A switch between transdermal system types can be done immediately; if on oral therapy, begin 1 week after oral treatment is discontinued or when symptoms reappear.
Initially, one 0. Subsequent dosage adjustments may be made based upon the individual patient response; 0. Initially, apply 1 actuation of the pump 0. Adjust based upon the individual patient response.Oestrogen patches are one of the safest forms of HRT. For example, they do not have any effect on clotting risk eg.
DVT or pulmonary embolism and so are safer than oral oestradiol for women at risk of clotting. There have been tremendous supply problems with oestrogen patches since late in Australia, which has caused much confusion amongst doctors, chemists and women using these patches. These have been in short supply, however, 3 rd generation patches such as Climara used once a week and Estraderm MX used twice a week are still available.
The Climara and Estraderm are larger patches than Estradot but work in a similar way. An alternative transdermal therapy is Sandrena Gel, one sachet daily, which is approximately equivalent to using a This system is similar to the use of a generic. For example, if your GP gives you a script for Amoxil mg, then the chemist often offers you the choice of generic amoxycillin mg without the need for a new prescription.
Estradot currently represents the best of transdermal therapy but because of ongoing supply problems, you may need to use Estraderm or Climara patches for the foreseeable future. Otherwise, Sandrena Gel is an alternative.
Sandrena Gel transdermal oestradiol gel gives similar results to using an oestrogen patch at a dose of The package insert that comes with Sandrena Gel suggests that the product should be spread over the thigh or the abdomen.
Unfortunately, this is not very practical as the alcohol-based gel takes 30 minutes to dry. In Europe, especially in France, transdermal gels are used extensively and most of the French women, for example, apply the gel to their forearm.
The sachet is opened and the contents are then squeezed onto the inner aspect of the forearm where the skin is thinner.
The gel is then spread rather than rubbed all over the inner aspect of the forearm. It takes minutes for the gel to evaporate and dry leaving the oestradiol hormone in the skin. The gel needs to be applied once daily. If used with Prometrium, it is suggested that both products are used at night, as there is some evidence that Prometrium has a sleep stabilising effect.
Once Sandrena Gel has been applied daily for about a month, then the effect can be assessed. Then the rest of the contents of the gel can be applied over the top of the original gel, thus doubling the concentration of oestradiol in that area of forearm. For more information see our Health Information section.