Thank you for this update Hurdity. I've just come back from the practice nurse who cheerfully told me not Estradot was not available for the foreseeable! Last autumn there were no Evorel patches so I was changed to Estradot. After a bit of a bumpy start - and excellent advice from Hurdity (
![thankyou :thankyou:](https://www.menopausematters.co.uk/forum/Smileys/extended/thankyou.gif)
) and words of support from others on this site, all seems settled and symptoms are minimal and I am coping well.
Today my practice nurse has changed me to gel sachets. She didn't know the equivalent dose of Estradot 100mcg in gel and suggested I "gave it a try" and discover for myself! I'm all for being self-reliant but I'm not sure this is the best way to go about it.
On the BMS information, it says women taking Evorel 100 patches could change to Estradot 100 - but I've been told there aren't ANY patches currently available. Nevermind, I'll try the gel. I don't know whether I'm getting Sanrena gel or the Oestragel as the pharmacy has to order it in.
The BMS info suggests 100 mcg patches are equivalent to 4 measures of Oestrogel a day, and suggests application at 2am and 2pm.
First question, just to confirm: is this 2 measures twice a day? If so, are they really suggesting waking in the night?? Surely 7am and 7pm would be fine? I sometimes work 12 hour shifts so would not be able to apply exactly at these times: how much flexibility is there in the time of application?
Second question: if I get Sandrena sachets the amount I would apply would depend on the strength of the gel. The advice suggests 1mg sachet is equivalent to Evorel 50 so I'm guessing two sachets to Estradot 100?
The last question: has anyone any experience of buying patches via an online pharmacy? I can see Estradot is available. Any thoughts or advice?
Thank you! x