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Menopause - Management
Monthly cyclical combined patches (high dose oestrogen)

Age from 40 years onwards
Fempak 80 (estradiol 80mcg/dydrogesterone 10mg x14 days)
Femapak 80
Apply one patch twice a week to the trunk, below the waistline. In addition, take one tablet once a day for 14 days, as shown on the packet.
Supply 3 one-month packs.
Age: from 40 years onwards
NHS cost: £24.18
Licensed use: yes
Patient information: If you have not taken HRT before, start the patches between the first and the fifth day of your period, or any time if you are no longer having regular periods Take one tablet once a day for the 14 days shown on the packet. It is important that you take the full course of 14 tablets at the right time of the month. If you are changing from a different type of HRT, start the patches as soon as your previous pack of HRT is finished. For full instructions on how to use the patches and tablets, please read the package insert.

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