Soon thereafter, a visiting nurse discovered the cut patch, immediately removed it, and called the agency to notify the physician about. Then, you may want to consider cutting a patch in half to reduce the dosage further. Levonorgestrel is a form of progesterone, a female hormone important for regulating ovulation and menstruation estradiol and levonorgestrel is a combination medicine used to treat menopause symptoms such as hot flashes, and to prevent osteoporosis in menopausal women. Women wore the patches in a cyclical fashion three weeks on and one week off. Ugh so i asked the pharmacy if they would call the doctors office tomorrow and get the orders for the generic patch. Medicare coverage and pricing details for climara pro. Question for climara estradiol patch usewhat do i do if peels off. Climara pro estradiollevonorgestrel transdermal system is an adhesivebased matrix transdermal patch designed to release both estradiol and levonorgestrel, a progestational agent, continuously upon application to intact skin. Estradiol is a form of estrogen, a female sex hormone that regulates many processes in the body. John eden talks about alternatives for the australian shortage of. Yesterday, my obgyn gave me samples of climara estradiol patches, and she also gave me a prescription for generic estradiol tablets so i could try both to see which i like better. I started reducing my dose by trimming a little off the patch each time i changed it. Do not use scissors as you may accidentally cut the patch. Where is the best place to put climara estradiol pro.
Climara should be pressed firmly in place with the fingers for at least 10 seconds, making sure there is good contact, especially around the edges. Otherwise, a 100g patch of any of the three can be used and cut in half. I thought provera was to keep the endometrium from over growth thus preventing hyperplasia. It has relieved all of my menopausal symptoms and it helps with my knees. I started miniville when they first came out and so i will try them again. Hrt some truths and what worked for me hrt hormone. This medicine is used to relieve the symptoms of menopause. Learn about climara pro, dosing, proper use and what to know before beginning treatment. Since natural menopause takes years, this process can take awhile too. Im using climara pro patch ber and started spotting and. Climara should be applied immediately after opening the pouch and removing the protective liner.
Avoid injured, irritated, calloused, or scarred areas. It also helps to prevent osteoporosis in postmenopausal women. Lately some of them are difficult to use right out of the package because the temporary backing is stuck on and is very difficult to remove. The climara and estraderm are larger patches than estradot but. No indicators or adverse effects whatsoever not that i expected any. The climara pro is more expensive and is very difficult to get the backing off, so i end up touching the patch and it doesnt stick then.
Climara releases oestradiol in a continuous and controlled way just as your ovaries were doing before. My symptoms worsened with each cut and i soon felt like i was back to no estrogen at all. Im using climara pro patch ber and started spotting and now bleeding. Rather than keeping the patches on for 2 or 3 weeks, you might want to cut the patches into, say 2 or 3 pieces the estrogen and progestin are in the glueso cutting patches is fine, and apply a half or a third of a patch every weekthat way, you will get longer use out of your patch, and much smoother hormonal levels, which can have an impact on mood. Apply the patch to an area of clean, dry skin on your lower abdomen. I am postmeno and taking 1mg of estriol,and feel so good. I was on climara pro for 6yrs dr quit practicing csuse of family illness went to hrr psrtner brief ly for 6 monthes put me on prempto 0. Apply the patch, sticky side to the skin, to an area that is clean, dry and hairless. If you are looking to treat your moderate to severe hot flashes due to menopause, ask your doctor if climara pro, a onceweekly combination patch for a woman with an intact uterus, may be right for you. May 11, 2009 im using climara pro patch ber and started spotting and now bleeding.
Wait at least 1 week before applying a patch to the same area. Climara estradiol patch is a treatment for low estrogen that is used only once weekly, and it may have fewer side effects than oral estrogen pills. Find medication information including related drug classes, side effects, patient statistics and answers to frequently asked questions. Stopping estrogen treatment sometimes called hrt the. My obgyn told me that it was fine to cut the patch to get half. Prescribing information climara estradiol transdermal. For postmenopausal symptoms i was forced by my insurance plan to switch to climara pro because my new insurance plan wouldnt cover it. Do not put a patch on the same site for at least 7 days. I mean, with h working in the pharmaceutical industry, i like to give pharmacists the benefit of the doubt, but im pretty sure my gyn told me i could cut it in. In a case recently reported to the institute for safe medication practices ismp, a physician instructed staff from a hospice health care agency to cut a 50 mcgh fentanyl transdermal system patch in half and apply it to a patient to deliver a 25 mcgh dose. Nov 01, 2017 change your climara pro patch 1 time each week or every 7 days. It relieves my hot flashes, night sweats, anxiety, mood swings and poor sleep. Climara pro estradiollevonorgestrel transdermal system. Estrogen will keep in fat tissue, and fine, ve got a tiny storage depot around my center and also within my thighs.
I have consistently cut my patch in half and used half as much as. An example of this type of system is vivelledot estradiol novartis. Practical considerations for optimal transdermal drug delivery. The contact area of the patch and the skin should be proportional to the intended dose i. Typically, a climara pro dosage is applied continuously, without any breaks in between patches. If you already have the gel kind of estrogen patch, then you need to switch to get a prescription so you can switch to the matrix patch or estrogen gel. Climara pro and continuous bleeding that is bad side effects. Climara pro medicare coverage and copay details goodrx. Some women find that trying a different brand can make a world of difference such as switching from vivelledot or minivelle 3 day patch to climara 7 day patch. I have used a lot of different hrt,and the side effects were awful. Theoretically, cutting the patch will reduce the amount of medication delivered, proportionate to the reduced patch size.
All the info i read and the advice i was given was that fluid retention was caused from too much estrogen. John eden talks about alternatives for the australian. And i will then call him myself and ask if i can cut it in half. Climara pro complete drug information, side effects and. Climara patch belongs to the class of medications known as estrogen replacement therapy. Which makes it easier to cut it into smaller and smaller pieces.
Im on the climara pro patch which is estrogen and a progestin. They have different adhesives that can affect uptake of the estrogen. Put patch on clean, dry, healthy skin on the lower belly or upper buttocks. Buy climara patch online from canadian pricepro pharmacy. We switched to climara brand name, not generic and i noticed the patch is much bigger.
Cheat sheet for dos and donts with patches modifymeds. She told me the problem that woman have with the climara pro patch is that it. The climara pro estradiol levonorgestrel patch is effective at treating menopause symptoms, and it can be a good choice for women who need estrogenprogestin combination medications but prefer to use a patch once a week instead of pills every day. Next peel away the other half with the right hand and apply. The climara and estraderm are larger patches than estradot but work in a similar way. Estradiol is a form of estrogen, a female sex hormone thats produced by the ovaries estradiol comes in an oral form, a transdermal skin patch, a vaginal ring, or as a topical gel, spray, or. All i know about stopping hrt so far menopause goddess blog. Is this normal and, if so, will it go away with time. It is used for the management of menopausal symptoms such as abnormal uterine bleeding, hot flushes, sweating, and chills. However, cutting this may decrease the adhesiveness of the patch, and may cause local irritation if medication leaks from the cut. It relieves my hot flashes, night sweats, anxiety, mood swings and. Because of that, if we cut our patch in half, we now have two smaller patches, each of which delivers roughly half of what the original patch did.
Im using climara pro patch ber and started spotting and now. Most fentanyl patches are available as reservoir membranemodulated systems. The vivelle dot is a matrix patch so it can be cut. Estradiol transdermal route proper use mayo clinic. Where is the best place to put climara estradiol pro patch. According to one manufacturer, only about 9 percent of users developed significant skin irritation about half that of estraderm reservoir patch users. Levonorgestrel is used as hormone replacement in menopausal women who still have their uterus. Climara pro estradiol levonorgestrel patch basics, side. The danger with cutting medication patches american. If you stop using your climara patch or forget to apply a. Prescribing information estradiollevonorgestrel transdermal. Started climara estradiol pro patch a week ago and have been extremely tired.
Should any adhesive remain on the skin after removal of the climara system, allow the area to dry for 15 minutes. What are the possible side effects of estradiol and levonorgestrel climara pro. In past few days, have developed breast tenderness, and swelling of anklesfeet and some bloating. Estradiol estrace side effects, dosage, interactions. If you forget to apply a new climara patch, you should apply. The patch is an acrylic matrix type that can be cut to modify the dose. Limited data indicate cutting some estradiol patches is safe e. The patch can fall off, especially if you like to regularly swim, take baths or use saunas or steamrooms. Before doing that, observe the area where the old patch was applied. Climara is a medicated patch that contains the hormone. Fold the patch in half with the sticky side together and place it in a sturdy childproof container.
Thank you for writing about your tricks with the climara pro patch. In past few days, have developed breast tenderness, and swelling of answered by a verified ob gyn doctor. Soon thereafter, a visiting nurse discovered the cut patch. The vivelledot did not work well for me and i didnt know any better to try climara. During treatment, all subjects used diaries to record the number and severity of. Then gently rubbing the area with an oilbased cream or lotion should remove the adhesive residue. Fold the old patch in half with the sticky side together and throw away in the trash away from children and pets. After one week, you will need to replace the patch. Climara pro estradiol levonorgestrel transdermal system is an adhesivebased matrix transdermal patch designed to release both estradiol and levonorgestrel, a progestational agent, continuously upon application to intact skin. Common questions and answers about climara hormone patch dosage. Do not apply the skin patches to your breasts or around the waistline. Jul 19, 2012 have been on climara pro patch for 2 weeks.
I rarely have any problem with the patch falling off. Climara transdermal patch weekly drug information, side. Apply your climara pro patch to a clean, dry area on your lower abdomen or buttocks. You can ask for information about climara that is written for. The danger with cutting medication patches american pharmacists. That means that half of your patch will deliver roughly half of your dose, one quarter of your patch will deliver one quarter of your dose, all the way down to 1% of your patch delivering 1% of the dose. You may be advised to use a weekly patch which releases estradiol 0. Apr 16, 2020 practical considerations for optimal transdermal drug delivery. Climara pro and continuous bleeding healthboards women. Daughters using climara estradiol 100mg patch cut in half, replaced every 7 days. Do not use it on skin areas that have cuts, scrapes, or burns. Do not use patches that are cut or do not look right. If you are using climara pro to relieve menopause symptoms, you should only use it for the shortest time necessary. More potential side effects than medications with one ingredient since climara pro estradiol levonorgestrel patch exposes your whole body to.
Use climara estradiol transdermal weekly patch at the same time of day. Learn more about medicare prescription drug plans and savings with goodrx. Product labeling clearly notes that these patches should never be cut or altered. Climara is an adhesive patch, which delivers oestradiol through the skin and into the blood stream. Considerations for optimal transdermal drug delivery. What is the most important information i should know about estradiol and levonorgestrel climara pro. If the patch does not stick completely, put on a new patch but continue to follow your original schedule for changing your patch.
For postmenopausal symptoms i have been using this climara pro patch for about 4 months after. Alora is a transdermal patch that supplies humanidentical estradiol. Combipatch cut in half doctor answers on healthcaremagic. Here is an example of how to decrease the estrogen using a patch. Half of the pouches were put in airtight plastic bags, air pressed and sealed with a zipper perkinelmer. In the last couple years, i have tried to stop using it and my symptoms came right back. Make sure that you are on the lowest dose of the patch first.
Dailymed climara pro estradiol and levonorgestrel patch. Cutting the patch may be possible, but it may also reduce the efficacy of the adhesive. The matrix patch was first introduced in 1995, when the climara patch came out. Never cut the pouch with scissors you might damage the patch inside. Since used patches may still contain active hormones, fold the patch in half so that it sticks to itself prior to disposal. Negative 20 ive been using the climara pro patch for four years. The bleeding turned out to be caused by a uterine polyp and not the patch. I live in florida and receive my climara pro patches by mail. Climara patch estradiol 17b dosage and side effects. If it has become red, irritated, or inflamed, try to apply the new patch on a new site. Each patch should be carefully folded in half so that it. After you take off a skin patch, be sure to fold the sticky sides of the patch to each other. Climara patch estradiol17b dosage and side effects. If a patch falls off, just put it back on a different area.
What should i discuss with my healthcare provider before using estradiol and levonorgestrel climara pro. Tear open the pouch at the notched corner and remove the patch. 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. If you get the generic estradiol patch, it is a lot bigger. Be sure to save the pieces you cut off for later use as your dose decreases. Nov 15, 2017 climara pro estradiollevonorgestrel transdermal system is an adhesivebased matrix transdermal patch designed to release both estradiol and levonorgestrel, a progestational agent, continuously upon application to intact skin. Removal of climara should be done carefully and slowly to avoid irritation of the skin. I anticipate no true change for the initial week or so. For example, if you have been prescribed estradot 50g patches, then climara 50g or estraderm 50g may be substituted. Using the other half of the backing as a handle, apply the. This patch also doesnt work as well as the one i was on. Now, i cut my patch in half and fastened the nonadhesive finish with waterproof tape. A year later, the makers of the estraderm patch came out with their version of a matrix patch, vivelle.
All the aches and pains that vivelle dot reduced but never quite took away, climara took away. Change your climara pro patch 1 time each week or every 7 days. I have gone without the patch and have found that i have problems with my knees and joints. Also if you, mary, had built up such a thick endometrium why didnt your body just shed it instead of letting it build or did you just take the provera for a short period of time. When replacing your patch, make sure to apply the new patch to a different area. The first year i had a problem with bleeding and getting the patch to stick.
I had my hysterectomy ovaries out in january and after nine weeks my hot flashes were pretty constant. Climara pro estradiol levonorgesterol once a week buttock, lower abdomen, hip, side or lower back. All i know about stopping hrt so far menopause goddess. Do not peel the square silver sticker inside the pouch as this contains the desiccant. I started with a full patch, then after a few months, 34 patch per week, then 12 for a month or two, then 14 patch.
After i put my new patch on my period started the next day and ive been on it ever since, 3 weeks. I was with out my patch for just a day and a half and had only been off my period for about 2 days. Use a different site each time to prevent skin irritation. One hint is to make sure you dont use lotion before applying it. Dispose of the pouch once the climara patch has been. Apply your climara pro patch to a different area of your abdomen or your buttocks each.770 1023 941 1250 1242 1649 1202 827 1613 542 1239 905 1660 489 1632 480 288 34 247 226 580 153 634 1105 251 1392 67 1158 284 1365 837