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Menopause - Management
Continuous combined tablets (high dose oestrogen)

Age from 40 years onwards
Climesse (estradiol 2mg/norethisterone 700mcg)
Climesse tablets
Take one tablet once a day.
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £31.03
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should not be used unless it is more than 12 months since you had your last period. If you are changing from HRT tablets or patches, start these tablets as soon as your previous pack of HRT is finished. If you are changing from HRT that uses patches with tablets, start these tablets as soon as your previous course of tablets is finished.
Elleste Duet Conti (estradiol 2mg /norethisterone 1mg)
Elleste Duet Conti tablets
Take one tablet once a day.
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £17.97
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should not be used unless it is more than 12 months since you had your last period. If you are changing from cyclical HRT (monthly bleed while on HRT), start these tablets as soon as your monthly bleed has finished.
Indivina (estradiol 2mg/medroxyprogesterone 5mg)
Indivina 2mg/5mg tablets
Take one tablet once a day.
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £21.49
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should not be used unless it is more than 3 years since you had your last period. If you are changing from continuous HRT (no monthly bleeds while on HRT), start these tablets as soon as your previous pack of HRT is finished. If you are changing from cyclical HRT (monthly bleed while on HRT) start these tablets one week after your previous pack of HRT is finished.
Kliofem (estradiol 2mg/norethisterone 1mg)
Kliofem tablets
Take one tablet once a day.
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £11.43
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should not be used unless it is more than 12 months since you had your last period. If you are changing from cyclical HRT (monthly bleed while on HRT), start these tablets as soon as your monthly bleed has finished.
Nuvelle Continuous (estradiol 2mg/norethisterone 1mg)
Nuvelle Continuous tablets
Take one tablet once a day.
Supply 84 tablets.
Age: from 40 years onwards
NHS cost: £16.85
Licensed use: yes
Patient information: If you have not taken HRT before, these tablets should not be used unless it is more than 12 months since you had your last period. If you are changing from cyclical HRT (monthly bleed while on HRT), start these tablets as soon as your monthly bleed has finished.

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