Estrogen Patches

Special information if you are pregnant or breastfeeding

Estrogens should not be used during pregnancy or immediately after childbirth. Use of estrogens during pregnancy has been linked to reproductive tract problems in the children. If you are pregnant or plan to become pregnant, notify your doctor immediately. Estrogens decrease the quantity and quality of breast milk. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

Recommended dosage

If you are a postmenopausal woman with a uterus, progestin may be prescribed as well in order to reduce the risk of endometrial cancer. Your doctor will determine the dosage that is right for you. Typically, hormone replacement therapy should be started at the lowest possible dose and for the shortest duration needed to relieve your symptoms. You should be evaluated every 3 to 6 months.

ALORA AND ESTRADERM

The usual starting dose is one 0.05-milligram patch applied to the skin 2 times a week. (For osteoporosis the doctor may prescribe a 0.025-milligram patch.)

CLIMARA

The usual starting dose is one 0.025-milligram patch applied to the skin once a week. (For osteoporosis, the doctor may prescribe a 0.025-milligram patch.)

ESCLIM

The usual starting dose is one 0.025-milligram patch applied to the skin 2 times a week.

VIVELLE AND VIVELLE-DOT

The usual starting dose to relieve symptoms of menopause is one 0.0375-milligram patch applied to the skin 2 times a week. (For osteoporosis, the doctor may prescribe a 0.025-milligram patch.) The patch may be used continuously, or left off every fourth week.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

• Symptoms of estrogen overdose may include:
  Nausea, vomiting, withdrawal bleeding