Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Menopause - Management
Monthly cyclical combined tablets (low dose oestrogen)

Age from 40 years onwards
Climagest (estradiol 1mg/norethisterone 1mg x12 days)
Climagest 1mg tablets
Take one tablet once a day. (Take in the order shown on the packet).
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £16.69
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should be started on the first day of your period, or at any time if you are no longer having regular periods. If you are changing from a different type of HRT, start these tablets as soon as your previous pack of HRT is finished.
Elleste Duet (estradiol 1mg /norethisterone 1mg x12 days)
Elleste Duet 1mg tablets
Take one tablet once a day. (Take in the order shown on the packet).
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £9.72
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should be started on the first day of your period, or at any time if you are no longer having regular periods. If you are changing from a different type of HRT, start these tablets as soon as your previous pack of HRT is finished.
Femoston (estradiol 1mg/dydrogesterone 10mg x14 days)
Femoston 1/10mg tablets
Take one tablet once a day. (Take in the order shown on the packet).
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £13.47
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should be started between the first and the fifth day of your period, or at any time if you are no longer having regular periods. If you are changing from a different type of HRT, start these tablets as soon as your previous pack of HRT is finished.
Novofem (estradiol 1mg/norethisterone 1mg x12 days)
Novofem tablets
Take one tablet once a day. (Take in the order shown on the packet).
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £13.50
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should be started on the fifth day of your period, or at any time if you are no longer having regular periods If you are changing from a different type of HRT, start these tablets as soon as your previous pack of HRT is finished.
Prempak-C 0.625mcg (oestrogen 625mcg/norgest 150mcg x12days)
Prempak-C 0.625mg tablets
Take one maroon tablet once a day. In addition, take one light brown tablet once a day for 12 days, as shown on the packet.
Supply 1 3-month pack.
Age: from 40 years onwards
NHS cost: £17.67
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should be started on the first day of your period, or at any time if you are no longer having regular periods If you are changing from a different type of HRT, start these tablets as soon as your previous pack of HRT is finished.
Premique Cycle (oestrogen 625mcg/medroxyprogest 10mg x14 days)
Premique Cycle tablets
Take one tablet once a day. (Take in the order shown on the packet).
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £24.14
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should be started on the first day of your period, or at any time if you are no longer having regular periods If you are changing from a different type of HRT, start these tablets as soon as your previous pack of HRT is finished.

© NHS Institute for Innovation and Improvement