WARNING

Taking Vivelle, like any medication, comes with potential risks and side effects. It’s essential to be aware of these risks and discuss them thoroughly with your healthcare provider before starting the medication. Here are some potential risks associated with Vivelle:

• Increased Risk of Blood Clots: Estrogen-containing medications, including Vivelle, may increase the risk of blood clots. This risk is higher in individuals with a history of blood clots.
• Increased Risk of Stroke and Heart Attack: Estrogen use may be associated with a slightly increased risk of stroke and heart attack, especially in women over the age of 60.
• Increased Risk of Breast Cancer: Long-term use of estrogen-alone therapy in postmenopausal women has been associated with a slightly increased risk of breast cancer.
• Endometrial Cancer Risk: If estrogen is used without a progestin in women who have not had a hysterectomy, it may increase the risk of endometrial cancer.
• Gallbladder Disease: Estrogen use may be associated with an increased risk of gallbladder disease.
• Fluid Retention: Estrogen can cause fluid retention, leading to swelling or bloating.
• Liver Problems: Estrogen use may affect liver function. Inform your healthcare provider if you experience symptoms of liver problems, such as yellowing of the eyes or skin (jaundice) or persistent nausea.
• Interactions with Other Medications: Vivelle may interact with other medications, so it’s important to inform your healthcare provider about all the drugs, vitamins, and supplements you are taking.
• Skin Irritation: Some individuals may experience skin irritation or redness at the site of patch application.
• Mood Changes: Changes in mood or mood swings may occur.

It’s crucial to weigh the potential benefits of Vivelle in managing menopausal symptoms against these risks. Individual responses to medication can vary, and your healthcare provider will consider your medical history, overall health, and specific circumstances when prescribing Vivelle or any other medication. Regular follow-up appointments and open communication with your healthcare provider are essential to monitor your response to the medication and address any concerns. If you have specific questions or concerns about the risks associated with Vivelle, discuss them with your healthcare provider.

Why is this medication prescribed?

Vivelle is a prescription medication that contains estradiol, which is a form of estrogen, a female sex hormone. It is commonly prescribed to treat symptoms of menopause, such as hot flashes, vaginal dryness, and other symptoms related to the decrease in estrogen levels.

How should this medicine be used?

Here are some general guidelines for using Vivelle, but it’s important to note that specific instructions may vary depending on the individual patient and their medical condition. Always follow your healthcare provider’s instructions and read the medication guide provided with the prescription:

• Dosage: Your healthcare provider will prescribe the appropriate dosage of Vivelle based on your individual needs. The dosage may vary depending on factors such as the severity of your symptoms, your overall health, and whether you have had a hysterectomy.
• Application: Vivelle is typically available as a transdermal patch, which means it is applied to the skin. The patch is designed to release a controlled amount of estrogen into the bloodstream over a specific period.
• Placement: The usual application site for Vivelle is the lower abdomen, below the waistline. However, your healthcare provider may recommend a different site. It’s important to rotate application sites to minimize skin irritation.
• Frequency: The patch is usually applied once or twice a week, as directed by your healthcare provider. Follow the prescribed schedule for changing the patch.
• Clean and Dry Skin: Before applying the patch, make sure the skin is clean, dry, and free from lotions, oils, or powders. Avoid applying the patch to irritated or damaged skin.
• Avoid the Breast Area: Do not apply the patch to the breasts. Choose an area where the patch is less likely to be rubbed off by tight clothing.
• Monitoring: Regularly check the patch to ensure it is secure and has not fallen off. If a patch falls off, replace it with a new one.
• Disposal: Used patches should be folded in half with the sticky sides together and properly disposed of in accordance with local regulations. Make sure to keep used patches away from children and pets.

It’s crucial to attend follow-up appointments with your healthcare provider to monitor your response to Vivelle and discuss any concerns or changes in your health. Additionally, inform your healthcare provider of any other medications or supplements you are taking, as they can interact with Vivelle.

Always use Vivelle exactly as prescribed by your healthcare provider and consult them if you have any questions or concerns about its use. This information is for general informational purposes and should not be considered as specific medical advice.

Other uses for this medicine

In addition to treating symptoms of menopause, Vivelle, containing estradiol, may also be used for other medical conditions. However, the use of Vivelle for conditions other than menopausal symptoms is determined by your healthcare provider based on your individual health needs. Some other uses of Vivelle may include the treatment of certain estrogen deficiency conditions.

What special precautions should I follow?

Special precautions should be taken when using Vivelle, and it’s important to discuss your medical history with your healthcare provider before starting this medication. Here are some general precautions:

• Medical History: Inform your healthcare provider about your complete medical history, including any history of breast cancer, uterine cancer, blood clots, heart disease, liver problems, and any other medical conditions.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Vivelle with your healthcare provider. Estrogen medications should be used cautiously during pregnancy.
• Allergies: Inform your healthcare provider about any allergies you may have, especially if you are allergic to estradiol or any other ingredients in Vivelle.
• Interactions: Inform your healthcare provider about all medications, vitamins, and supplements you are taking, as Vivelle may interact with certain drugs. This includes herbal supplements and over-the-counter medications.
• Smoking: If you smoke, inform your healthcare provider, as smoking while using estrogen-containing medications may increase the risk of blood clots, stroke, and heart attack.
• Regular Check-ups: Regularly attend follow-up appointments with your healthcare provider for monitoring. Your provider may need to adjust your dosage based on your response and any changes in your health.
• Blood Clot Risk: Estrogen-containing medications like Vivelle may increase the risk of blood clots, especially in individuals with a history of blood clots. Inform your healthcare provider if you have a history of clotting disorders.
• Breast Exams: Perform regular breast self-exams and have regular mammograms as recommended by your healthcare provider.
• Side Effects: Be aware of potential side effects and report any unusual or severe symptoms to your healthcare provider promptly.

Remember, these are general precautions, and individual circumstances may vary. Always follow your healthcare provider’s instructions and consult them if you have any concerns or questions about the use of Vivelle. If you experience severe side effects or a medical emergency, seek immediate medical attention.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Vivelle. However, maintaining a healthy lifestyle, including a balanced diet and regular exercise, is important for overall well-being. If you have any concerns about your diet while taking Vivelle, discuss them with your healthcare provider or a registered dietitian.

What should I do if I forget a dose?

If you forget to apply a Vivelle patch, take the following steps:

• Timing: Apply the missed patch as soon as you remember. If it is almost time for your next scheduled application, skip the missed dose and continue with your regular schedule.
• Double Dosing: Do not apply two patches at once to make up for a missed dose. This can lead to an overdose of estrogen.
• Consult Your Healthcare Provider: If you are unsure about what to do or if you miss multiple doses, consult your healthcare provider for guidance.

What side effects can this medication cause?

Vivelle, like any medication, can cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects that are not listed. Additionally, the severity and duration of side effects can vary from person to person. If you are prescribed Vivelle, it’s crucial to discuss potential side effects with your healthcare provider. Here are some common side effects associated with the use of Vivelle:

Common Side Effects:

• Skin Irritation: Some individuals may experience skin irritation or redness at the site of patch application.
• Breast Tenderness: Estrogen-containing medications, including Vivelle, can sometimes cause breast tenderness or enlargement.
• Headache: Headaches are a relatively common side effect.
• Nausea: Some individuals may experience nausea or stomach upset.
• Vaginal Discomfort: In some cases, vaginal discomfort, itching, or discharge may occur.
• Changes in Menstrual Cycle: Irregular bleeding or changes in menstrual flow may occur, especially during the first few months of treatment.
• Fluid Retention: Estrogens can cause fluid retention, leading to swelling or bloating.
• Mood Changes: Changes in mood or mood swings may occur.

Serious Side Effects:

While less common, some individuals may experience more serious side effects that require immediate medical attention. Contact your healthcare provider if you experience any of the following:

• Signs of Blood Clots: Seek immediate medical attention if you experience symptoms such as chest pain, shortness of breath, leg swelling, or sudden severe headache.
• Breast Lumps: Report any unusual breast lumps to your healthcare provider.
• Severe Allergic Reactions: If you experience symptoms such as rash, itching, swelling, severe dizziness, or difficulty breathing, seek emergency medical attention.
• Liver Problems: Inform your healthcare provider if you experience symptoms of liver problems, such as yellowing of the eyes or skin (jaundice) or persistent nausea.
• Unusual Vaginal Bleeding: Report any unusual or persistent vaginal bleeding to your healthcare provider.

It’s important to remember that this is not an exhaustive list of side effects, and individual responses to medication can vary. Always consult your healthcare provider if you have concerns about side effects or if you experience any unusual symptoms while using Vivelle. If you experience a medical emergency, seek immediate medical attention.

What should I know about storage and disposal of this medication?

Storage and Disposal of Vivelle:

• Storage: Store Vivelle patches at room temperature, away from heat, moisture, and direct light. Do not store them in the bathroom. Keep them out of reach of children and pets.
• Unused or Expired Patches: Dispose of unused or expired patches properly. Follow your healthcare provider’s instructions or the medication guide for specific disposal guidelines. Do not flush them down the toilet.
• Patch Disposal: Fold used patches in half with the sticky sides together and dispose of them in a secure container. Dispose of the container according to local regulations. Keep used patches away from children and pets.

In case of emergency/overdose

In case of an emergency or suspected overdose of Vivelle, seek immediate medical attention or contact your local poison control center. Overdose symptoms may include nausea, vomiting, and vaginal bleeding.

What other information should I know?

• Follow Healthcare Provider’s Instructions: Always use Vivelle exactly as prescribed by your healthcare provider. Do not alter the dosage or frequency without consulting your healthcare provider.
• Regular Check-ups: Attend follow-up appointments with your healthcare provider to monitor your response to Vivelle and discuss any concerns or changes in your health.
• Inform Healthcare Providers: Inform all healthcare providers involved in your care, including dentists and surgeons, that you are using Vivelle. This is important information for any medical procedures or surgeries.
• Routine Exams: Have regular check-ups and examinations, including breast exams and mammograms, as recommended by your healthcare provider.
• Review Medications: Periodically review all medications, vitamins, and supplements you are taking with your healthcare provider to ensure there are no potential interactions.
• Lifestyle Considerations: Adopt a healthy lifestyle, including a balanced diet, regular exercise, and avoidance of smoking, to promote overall well-being.
• Contact Information: Keep contact information for your healthcare provider and emergency services readily available.

Always consult with your healthcare provider for personalized advice and information related to your specific situation. This information is for general informational purposes and should not be considered as specific medical advice.