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[Bo]

Hi Everyone
I have been on Evorel 75mcg for a while and doing ok. I was using 50mcg, one whole patch + one cut in half, and then got 75 mcg patches last prescription about 5 or 6 weeks ago. I have had lower energy levels for a while (but that could be due to other things i guess) but my main concern is that I am now having flushes and night sweats again.They have been gradually worsening over the few weeks, and I had them every 2 hours last night just as I used to before starting HRT. Is it possible to get a bad batch or even just a bad packet of patches? 

PS I have been to the chemist & got some 75mcg Estradot instead, just to see what happens 

[wombat62]

Maybe but I think your body still goes through cycles of levels of hormones, so even if you are on a steady dose your natural ones dip up and down. I think I'm on a down at the moment as have been feeling great for months and now night flushes are back ....

[Rhiner]

A similar thing happened to me was on 50 and a 25ug patch and switched to a full 75 patch and it was as if my E levels had dropped. I rode it out and it settled. There is no way that it could be a bad batch as they are rigorously tested and have to comply with a strict specification and each batch is assessed and passed by a Pharma QP. It also could be that the manual cutting could have made a slight difference, as to cut exactly into half may be v slightly different each time. Or, it could be as Wombat states your natural cycle kicking in.
Hope this helps a little,
Rhiner

[Bo]

Thanks both. The Boots pharmacist did say it was possible that either i was reacting to an added ingredient in the Evorel patch or that a 'bad' box/batch of patches may have slipped through the net, similar to when a patch falls off for no reason but the rest are ok. I prefer Estradot anyway (only had them once before due to supply issues) as they are small and i don't get skin irritation from them