Estradiol Transdermal Patch
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Endometrial cancer risk is increased by estradiol (cancer of the lining of the uterus [womb]). With continued estradiol use, an increased risk of endometrial cancer arises. If you haven’t undergone a hysterectomy, a treatment to remove the uterus, you should be given a progestin in addition to transdermal estradiol. The chance of developing certain other diseases, like breast cancer, may rise, but your risk of developing endometrial cancer may decrease. Before beginning to use transdermal estradiol, let your doctor know if you have cancer, have ever had cancer, or experience abnormal vaginal bleeding. Call your doctor as soon as possible if you suffer irregular or unexpected vaginal bleeding while taking transdermal estradiol. Your doctor will keep a close eye on you to help ensure that you don’t develop endometrial cancer during or after your treatment.
A significant study found that women who used oral oestrogens and progestins together had a higher risk of heart attacks, strokes, blood clots in the lungs or legs, breast cancer, and dementia (loss of ability to think, learn, and understand). Women who use transdermal estradiol, either alone or in conjunction with progestins, may also be at higher risk of developing these diseases. Tell your doctor if you smoke or use tobacco, have ever suffered a heart attack or stroke, have a history of breast cancer in your family, or have ever experienced a blood clot. Inform your doctor if you have ever had breast lumps, an abnormal mammogram, high blood pressure, high cholesterol, high fat or blood sugar levels, diabetes, heart disease, lupus (a condition in which the body attacks its own tissues, causing damage and swelling), breast cancer, or any other conditions (x-ray of the breast used to find breast cancer).
Any of the symptoms listed below can be a sign of one of the serious medical conditions indicated above. Call your doctor straight away if you have any of the following symptoms while using transdermal estradiol: A sudden severe headache, vomiting, and headache of equal severity are all accompanied by speech difficulties, dizziness or faintness, sudden complete or partial vision loss, double vision, numbness or weakness in one arm or leg, crushing chest pain or chest heaviness, coughing up blood, sudden shortness of breath, difficulty thinking clearly, remembering, or learning new things, breast lumps or other breast changes, discharge from nipples, or pain, tenderness, or redness in one leg.
When using transdermal estradiol, you can take precautions to lower your risk of serious health problems. Transdermal estradiol should not be used alone or in conjunction with a progestin to prevent dementia, cardiac disease, heart attacks, or strokes. Only use the smallest dose and for the shortest amount of time necessary to control your symptoms should you use transdermal estradiol. See your doctor every three to six months to find out if you need to use a lower dose of transdermal estradiol or stop using the medication.
You should check your breasts monthly and have a mammogram and breast exam performed by a doctor once a year to help discover breast cancer as early as possible. Your doctor will give you advice on how to correctly examine your breasts and whether you need to have them checked more regularly than once a year if you have a personal or family history of illness.
Inform your doctor if you are having surgery or will be placed on bed rest. Your doctor could advise you to stop using transdermal estradiol 4-6 weeks before the procedure or put you on bed rest to lower your chance of developing blood clots.
Talk to your doctor frequently about the benefits and drawbacks of transdermal estradiol use.
Why is this medication prescribed?
For the treatment of hot flashes (also known as hot flushes, which are unexpected experiences of mild to strong body heat in menopausal women), transdermal estradiol (Climara, Minivelle, Vivelle-Dot) is utilised (change of life; the end of monthly menstrual periods). Women going through menopause can also utilise transdermal estradiol (Climara, Vivelle-Dot) to relieve dryness, itchiness, and burning in their vagina. In women who are going through or have gone through menopause, transdermal estradiol (Climara, Menostar, Minivelle, Vivelle-Dot) is also used to prevent osteoporosis (a condition in which the bones become brittle and weak and break easily). Women who have not yet reached menopause and who do not naturally make enough oestrogen can also use transdermal estradiol (Climara, Vivelle-Dot) as a source of oestrogen. A topical oestrogen medication may be more advantageous for women whose sole annoying symptoms are vaginal dryness, itching, or burning. Women who simply need to take a prescription to prevent osteoporosis might do better with a different, non-estrogen medication. As an oestrogen hormone, estradiol belongs to a group of drugs. It operates by displacing the body’s natural production of oestrogen.
How should this medicine be used?
Transdermal estradiol is available as a skin patch. Depending on the brand of patch being used, transdermal estradiol is often applied once or twice a week. Some women wear a patch continuously, while others wear one on a rotating schedule that alternates 3 weeks of wearing the patch with 1 week of not wearing it. Every week, always apply your transdermal patch on the same day(s). You may be able to keep track of your patch change schedule on a calendar located on the inner flap of your drug box. Ask your doctor or chemist to explain any instructions on your prescription label that you are unsure about following. Transdermal estradiol should be applied exactly as prescribed. Apply the patches only as directed by your doctor, not more frequently or less often.
Transdermal estradiol will likely be prescribed to you at a modest dosage by your doctor, with the possibility of an increase if your symptoms continue to be troublesome. Your doctor will explain how to switch from the oestrogen medicine you are taking or using to transdermal estradiol if you are currently taking or using one. Make sure you comprehend these directions. Consult your doctor about the effectiveness of transdermal estradiol for you.
Apply the estradiol patches to the clean, dry, and cool skin on your lower abdomen, just below your waist. The upper buttocks can also receive some types of patches. The optimal location(s) to apply the brand of patches you received can be determined by consulting your doctor or chemist or by reading the manufacturer’s information included with your patches. Applying estradiol patches on skin that is greasy, damaged, cut, or irritated is not advised. Applying tight clothing or sitting down could rub the estradiol patches off at the waistline or the lower buttocks, respectively. Be sure there are no lotions, creams, or powders on the skin in the area where you intend to apply an estradiol patch. Wait at least a week after putting one patch to a specific location before applying another.
If you’re using an estradiol transdermal patch, ask your doctor or pharmacist if you need to be cautious when bathing, showering or using a sauna. You can also check the manufacturer’s advice that came with your prescription. While some patch brands may loosen as a result of these activities, others are less likely to be harmed.
Try pressing the patch back into place with your fingertips if it becomes loose or comes off before it needs to be replaced. While doing this, take care to avoid touching the adhesive side of the patch with your fingertips. If the patch cannot be pressed back on, fold it in half so that it sticks to itself, dispose of it carefully where children and dogs cannot get it, and then apply a new patch to a separate spot. On your subsequent day of scheduled patch changes, replace the new patch.
Each brand of transdermal estradiol patch should be placed in accordance with the detailed instructions provided in the patient’s information provided by the manufacturer. Before using estradiol transdermal and each time you get a refill on your prescription, carefully read the following instructions. If you have any inquiries, speak with your physician or pharmacist. When using any kind of transdermal estradiol patch, the general instructions listed below can help you keep in mind a few key steps.
- Pull the pouch apart with your fingertips. Avoid using scissors as they could harm the patch. Wait until you are prepared to apply the patch before opening the pouch.
- From the pouch, remove the patch. To keep the patch dry within the pouch, there may be a silver foil sticker present. This sticker should remain in the pouch.
- Press the patch’s sticky side against your skin in the location you’ve chosen to wear it by removing the patch’s protective lining. A liner on some patches is designed to come out in two sections. If your patch has that kind of liner, you should peel back a portion of it and press the patch’s exposed skin with that side. The second side of the patch should now be pressed against your skin after you have folded back the first side and peeled off the remaining liner. Avoid touching the adhesive side of the patch with your fingers at all times.
- For 10 seconds, apply pressure on the patch using your palm or fingers. Be certain that the patch is well adhered to your skin, particularly around its edges.
- Until it is time to take it off, wear the patch constantly. Peel the patch slowly off of your skin when it’s time to remove it. Put the patch in a suitable disposal container that is out of reach of children and animals by folding it in half so that the sticky sides are pressed together.
- After removing the patch, you should wait 15 minutes before using an oil or lotion to eliminate any sticky residue that may have remained on your skin.
For a copy of the manufacturer’s information for the patient, ask your chemist or doctor.
Other uses for this medicine
Ask your doctor or chemist for more details if you believe this drug should be used for something else.
What special precautions should I follow?
Before using transdermal estradiol,
- If you have an allergy to any transdermal estradiol brand, any other oestrogen products, any drugs, any adhesives, or any of the substances in estradiol transdermal patches, let your doctor and chemist know right away. Get a list of the ingredients from your chemist.
- Inform your doctor and chemist about any prescription and over-the-counter drugs, vitamins, and dietary supplements you are currently taking or intend to take. Mention any of the following medications: phenobarbital, carbamazepine (Carbatrol, Epitol, Tegretol, and others), clarithromycin, erythromycin (E.E.S., Eryc, Ery-Tab), itraconazole (Sporanox, Tolsura), ketoconazole, other estrogen-containing pharmaceuticals, rifampin (Rifadin, Rimactane), r (Levoxyl, Synthroid, Tirosint). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects. Tell your doctor about all the drugs you are taking, even those not on this list, as many other drugs may also interact with estradiol transdermal patches.
- Please let your doctor know if you are taking any herbal supplements, especially St. John’s wort.
- If you have or have ever had a blood condition, asthma, or seizures, let your doctor know; headaches from migraines, endometriosis (a condition in which tissue from the uterus [womb] grows in other parts of the body), uterine fibroids (growths in the uterus that are not cancerous), yellowing of the skin or eyes, particularly during pregnancy or while using an oestrogen product, extremely high or extremely low calcium levels in your blood; Angioedema, a condition that causes hives, breathing problems, and painful swelling of the face, lips, throat, tongue, hands, or feet, as well as gallbladder, thyroid, pancreas, liver, or kidney disease. Porphyria, a condition in which abnormal substances accumulate in the blood and cause problems with the skin or nervous system.
- Inform your doctor if you are nursing a baby or want to become pregnant. Call your doctor if you become pregnant while using transdermal estradiol.
- See your doctor about additional methods of preventing osteoporosis if you are using transdermal estradiol, such as exercise, vitamin D supplementation, and/or calcium supplementation.
What special dietary instructions should I follow?
If you plan to consume grapefruits or grapefruit juice while taking this medication, consult your doctor.
See your doctor about strategies to improve the amount of calcium and vitamin D in your diet.
What should I do if I forget a dose?
As soon as you remember, apply the forgotten patch. then proceed to apply the following patch in the usual manner. Applying multiple patches to make up for a missing patch is not advised.
What side effects can this medication cause?
Side effects from transdermal estradiol are possible. If any of these symptoms are severe or do not go away, let your doctor know right once:
- Breast discomfort or tenderness
- Loss or increase of weight
- Hair fall
- Inflammation or redness of the skin under the estradiol patch
- Vaginal edoema, redness, stinging, itchiness, or irritation
- Vaginal oozing
- Gruelling menstrual cycles
- Variations in mood
- Alterations in sexual drive
- Muscular, neck, or back ache
- Nose bleeds or congestion
- Darkening of the face’s skin (may not go away even after you stop using transdermal estradiol)
- Excessive hair growth
- Using contact lenses is challenging
- Joints hurt
Some adverse effects may be severe. Call your doctor right away if you have any of the following symptoms or any of the ones detailed in the IMPORTANT CAUTION section:
- Eyes or skin that have a yellow tint
- Reduced appetite
- Stomach ache, agony, or tenderness
- Rash, skin blisters, or other skin modifications
- Edoema of the lower legs, hands, feet, ankles, tongue, throat, eyes, face, lips, and/or throat
- Breathing or swallowing challenges
Your chance of getting gallbladder disease and ovarian cancer, both of which may require surgery to address, may increase if you use transdermal estradiol. Discuss the dangers of using transdermal estradiol with your doctor.
Children who utilise high dosages of transdermal estradiol for an extended period of time may experience slowed or early growth. When your kid receives transdermal estradiol medication, her doctor will keep a close eye on her progress. The hazards of giving your child this medication should be discussed with your child’s doctor.
Further negative effects of transdermal estradiol are possible. If you experience any strange issues while taking this drug, call your doctor right away.
You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).
What should I know about storage and disposal of this medication?
Keep estradiol patches away from children and tightly wrapped in their original pouches. Keep the patches away from excessive heat and moisture at room temperature (not in the bathroom).
Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your chemist or the garbage/recycling agency in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medications website at http://goo.gl/c4Rm4p for additional information.
Although many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org
In case of emergency/overdose
Too much oestrogen may be absorbed into your system if you apply patches too frequently or for too long. You might then encounter signs of an overdose.
Remove the skin patches in the event of an overdose, then dial 1-800-222-1222 to reach your local poison control centre. Moreover, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.
Overdose symptoms could include:
- Uterine bleeding
- Breast sensitivity
- Abdomen ache
- Sluggishness or exhaustion
What other information should I know?
Keep all of your appointments with your physician and the lab. At least once every year, you should get a full physical assessment, which should include a pelvic exam. To monitor your body’s reaction to transdermal estradiol, your doctor could request specific lab tests.
Inform the lab staff and your doctor that you are using transdermal estradiol prior to any laboratory test.
Do not share your medication with anybody else. Any queries you may have regarding prescription refills should be directed to your chemist.
You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.