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

Age from 40 years onwards
FemSeven Sequi (estradiol 50mcg/levonorgest 10mcg x14 days)
FemSeven Sequi patches
Apply one patch once a week to the trunk, below the waistline. Apply in the order shown.
Supply 1 3-month pack.
Age: from 40 years onwards
NHS cost: £37.54
Licensed use: yes
Patient information: There are two types of patches in this packet. Use the Phase 1 patches for weeks 1 and 2, and use the Phase 2 patches for weeks 3 and 4. If you have not taken HRT before, start with the Phase 1 patches between the first and the fifth day of your period, or any time if you are no longer having regular periods. If you are changing from a different type of HRT, start these patches as soon as your previous pack of HRT is finished. For full instructions on how to use these patches please read the package insert.
Evorel Sequi (estradiol 50mcg/norethisterone 170mcg x14 days)
Evorel Sequi patches
Apply one patch twice a week to the trunk, below the waistline. Apply in the order shown.
Supply 24 patches.
Age: from 40 years onwards
NHS cost: £30.69
Licensed use: yes
Patient information: There are two types of patches in this packet. Use the Evorel 50 patches for weeks 1 and 2, and use the Evorel Conti patches for weeks 3 and 4. If you have not taken HRT before, start with the Evorel 50 patches between the first and the fifth day of your period, or any time if you are no longer having regular periods. If you are changing from a different type of HRT, start these patches as soon as your previous pack of HRT is finished. For full instructions on how to use these patches please read the package insert.
Fempak 40 (estradiol 40mcg/dydrogesterone 10mg x14 days)
Femapak 40
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: £22.83
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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