Hi Julie, Evorel Conti are not really higher dose than your Kliofem (the dose of micrograms 50/170 mcg in the patch is lower than 2mg/1mg in the tablets).
https://www.menopausematters.co.uk/postmeno.phpBUT the 2 different methods are apples & pears really. You can only try them and see how you get on. I would say that Evorel Conti was the first HRT I tried & one of the main reasons I went on HRT was for palpitations. They stopped on Evorel Conti within a few weeks. I used that form of HRT for around 2 years with trials of others in between as I didn't absorb EC well enough to get rid of flushing, night sweats & insomnia. Always went back to EC as I felt better on it than with no HRT. Incidentally I found Utrogestan was the worst for bringing back my palps, though many women get on very well with it.
You could cut the patches in half as you say others have suggested but if you do, this will represent quite a reduction in dose compared to your Kliofem, assuming you were absorbing the tablets well & that could mean any other symptoms that were well controlled on the tablets come back. On the other hand if the Kliofem was too high a dose for you going lower may suit you better.
Up to you entirely how you start - please do whatever you feel most comfortable with as anything else will add to your stress, possibly making the palps worse.
The alternative, as the palps have reduced, is to stay off HRT & see how you feel. I do hope you soon feel better.
Wx