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Author Topic: Precribed HRT Evorel 50mcg for 7 days per month only  (Read 15120 times)

honeybun

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #15 on: January 17, 2014, 10:30:11 PM »

Unfortunately this mistake is made quite often. A phone call will hopefully help.

I am on the conti version. I changed over from sequi at 51 due to spotting. My GP assured me it was ok for someone my age and Dr Currie confirmed it. The difference between us is that when I started HRT at 49 I had not had a period for about seven months. They still started me on the sequi which suited me fine.

Hope you get it sorted out soon. Trial and error but you will get there.


Honeyb
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carolinec

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #16 on: January 17, 2014, 10:36:00 PM »

Thank you Honeybun, I am going to contact the clinic in the morning....I presume I wont have any funny effects now that I pulled off that conti patch....oh god Im hopeless
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carolinec

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #17 on: January 17, 2014, 10:39:49 PM »

Honeybun, thank you for understanding, you have no idea how good you have been to me, I truly appreciate you taking the time to help me out. Wishing you many good blessings. thank you again.
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honeybun

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #18 on: January 17, 2014, 10:41:18 PM »

Don't worry you will be fine. Just a pity they messed up and you can't just get on with feeling better.
I felt a difference, especially with my flushes, within two or three days.

Lots of positives to look forward to when you finally get the right patch.

Let us know how you get on.


Honeyb
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Rowan

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #19 on: January 18, 2014, 09:03:55 AM »

Caroline in no way did you upset me it had nothing whatever to do with you. I really hope you get your treatment sorted out sometimes it takes a while.

Blessings to you too.




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carolinec

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #20 on: January 18, 2014, 02:06:54 PM »

Ladies you have all been so good. I went back again (3rd time ) to clinic. And they gave me another appointment on Monday evening at same clinic. However I since found out there is a private GP who deals in menopause specifically and he is only 20 mins drive from me.....I wondering will I close the door on the clinic and go to him....oh holy frog. !!!

I know now for all of your advise that I should be on the HRT Sequi - so maybe I should stick with the clinic and just ASK for it....
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Taz2

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #21 on: January 19, 2014, 09:51:40 AM »

I would also suggest that you follow the instructions with the pack as to where to apply it which are

"Method of Administration
A treatment cycle with Evorel Sequi is 28 days. During the first 14 days, one estradiol-only (Evorel 50) patch should be worn at all times, without interruption. During days 15-28, one estradiol + norethisterone (Evorel Conti) patch should be worn at all times, without interruption. A subsequent treatment cycle should follow immediately, without a treatment free interval.
Patches should be applied to the trunk, below the waist. Patches should be changed twice a week, i.e. every three to four days. Application of a new patch should be to a site different from the previous application site. The patch should not be applied on or near the breasts."

I've always put mine on my buttock. One reason not to apply to the upper arm is that the patches react to sunlight so you would have to make sure that your arm is covered should we ever get any sun! The sunlight increases the amount of hormone delivered through the skin so you wouldn't get an even amount. You should also avoid sun beds while wearing a patch for the same reason.

Hope this helps.

Taz x
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Rowan

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #22 on: January 19, 2014, 10:49:12 AM »

I see your point Taz but what happens when you have a hot bath, that's a lot more heat then you would get from the sun, I have a bath morning and evening for as long as I can remember and my bottom and thighs were immersed, the only problem was it loosening the patch, that's when I decided to wear the patch higher. My doctor never said I shouldn't, of cause I was only dealing with one patch estrogen only.

I have sunbathed with the patch on and it the garden with the patch showing and used sun beds with no ill effect. Even abroad  where it was really hot.

Of cause women should do what they think best and follow the instructions I am just saying that it has never caused me any problems, and as I have said reading in depth books about HRT and its history (which is eye opening) the original trials were done with the patch on the tummy with the thought that they were near the ovaries, also the original trials on hormone therapy were done on men!!

Instructions to apply the patch below the waist is because is because there is less chance of wrinkling and ruching of the patch therefore altering the dose.

My original post was in reply to the Carolinec's GP telling het to put an estrogen patch on her arm for a week before her period to counteract her symptoms and explaining why he might have come to this conclusion.

 carolinec you should follow the instructions for any HRT prescribed , as for your question about about seeing a private GP who deals in menopause, I understand why you feel in a quandary, but maybe you should keep the appointment on Monday evening see how it goes, at least you now know you have another option which is always good :)
« Last Edit: January 19, 2014, 11:21:10 AM by silverlady »
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Taz2

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #23 on: January 19, 2014, 12:45:17 PM »

I just assume that the manufacturers have good reasons for the advice given.

Taz x
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Rowan

  • Guest
Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #24 on: January 19, 2014, 02:07:43 PM »

The manufacturers  dot the i's and cross all the t's to cover themselves, and most women will prefer to put the patch where its recommended.

Other women will get more innovative, the problem is when women get panicky and worried about HRT and following instructions to the letter. 

When I have worn my patch higher on the back of my shoulder its hidden anyway,  I do move it around so as not to keep using the same spots.

The nicotine patch works on the same basis as the patch ( the drug is in the glue) and men and women wear it on their arms, anyway that's my take on it and I don't expect others to share the same view.
« Last Edit: January 19, 2014, 02:51:07 PM by silverlady »
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Taz2

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #25 on: January 19, 2014, 03:11:36 PM »

I found this on another forum which made me chuckle.

"Re: Where do you put the patch?

Wow, this is interesting. I am using estriodal patch. The nurse stuck it to my upper back, blow my shoulder. I asked the Dr at my week post-op follow up where I am supposed to put it, he said anywhere..that it didn't matter. Last week I put it on my upper butt, more like lower back. This week I stuck it a little higher..about mid back. So where am I supposed to put it?! Lol next week I'll stick it to my forehead and be done with it. Lol"

Taz  :)
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Rowan

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #26 on: January 19, 2014, 03:39:15 PM »

Shes forgotten underneath her feet on her soles ;D ;D I read on another forum that a woman's husband suggested this, because she was moaning that she did not want her patch on show, it was in America.
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Taz2

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #27 on: January 19, 2014, 03:52:10 PM »

My friend's husband ended up accidentally wearing one of her patches on the sole of his foot - didn't discover it until he took his sock off that night and she hadn't missed it.

Taz x  ;D
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honeybun

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #28 on: January 19, 2014, 07:28:57 PM »

Was he more able to get in touch with his feminine side Taz  ;D

My place of preference is top of my leg/hip area. It does not get creased and crumpled there and its out of site. It also means I can remove the glue over a couple of days and not have it on view. It doesn't matter in the winter but I would not like it on view in the summer.


Honeyb
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carolinec

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Re: Precribed HRT Evorel 50mcg for 7 days per month only
« Reply #29 on: January 22, 2014, 06:40:53 PM »

Thank you ladies,you are so helpful and so full of knowledge, blessings to you all...I went to yet again another GP - this time an alternative one. He did bloods, checked my tongue, eyes, skin on my hands, stomach, heart etc.... he did blood tests that are not the norm....guess what....he is a menopausal specialist....yipee at last and he said I am not in the peri menopause yet...but my estrogen is low.... so he said to hold off on HRT - Im back with him tomorrow....he will be giving me estrogen but not HRT - will fill you all in tomorrow on the prescription, he feels its 2 years of severe PMT symptoms....Holy Frog !!!!
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