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Menopause - Management
Other non-oral oestrogens

Age from 40 years onwards
Estradiol 0.06% gel: apply once a day
Oestrogel Pump-Pack 0.06% gel
Apply two measures once a day to the arms, shoulders or inner thighs as directed.
Supply 240 grams.
Age: from 40 years onwards
NHS cost: £7.39
Licensed use: yes
Patient information: Apply the gel to a clean, dry, unbroken area of skin using the template provided The area covered should be twice the size of the template. Apply one measure (half the dose) to each arm, shoulder or thigh. Do not apply the gel on or near the breasts or the vulval region. Let the gel dry for 5 minutes before covering with clothing. Avoid skin contact with another person (especially men), and avoid using other skin products or washing the area for an hour after application. The dose may be increased if necessary (after at least 1 months trial) to 3 or 4 measures once a day.
Estradiol 0.1% gel sachets: apply once a day
Sandrena 1mg gel sachets
Apply the contents of one sachet once a day to the lower trunk or thighs as directed.
Supply 84 1mg sachets.
Age: from 40 years onwards
NHS cost: £18.24
Licensed use: yes
Patient information: Apply the gel to intact areas of skin such as the lower trunk or thighs, using the right and left sides on alternate days. Wash hands after application. Not to be applied on the breasts or face and avoid contact with eyes. Allow area of application to dry for 5 minutes and do not wash area for at least 1 hour. After 2 to 3 months, the dose can be reduced or increased if necessary.
Estradiol 25mg implant
Estradiol 25mg implant
For subcutaneous implantation.
Supply 1 implant.
Age: from 40 years onwards
NHS cost: £9.59
Licensed use: yes
Patient information: This implant will be put in by the doctor or the nurse.
Estradiol 50mg implant
Estradiol 50mg implant
For subcutaneous implantation.
Supply 1 implant.
Age: from 40 years onwards
NHS cost: £19.16
Licensed use: yes
Patient information: This implant will be put in by the doctor or the nurse.

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