ADV - Care Pharmacy
195 Riviera Dr. Unit #2,Markham,Ontario
Tel: (905)948-1991

Return to Home Page      Print Page      Check Price
Brand Name
Climara
Common Name
estradiol patch
How does this medication work? What will it do for me?

Estradiol patch belongs to the class of medications known as estrogen replacement therapy. It is used for the management of menopausal symptoms such as abnormal uterine bleeding, hot flushes, sweating, and chills.

When an estradiol patch is applied to your skin, it releases estradiol into your blood through the skin. Estradiol is a type of estrogen, a female hormone that is produced by the ovaries. At menopause, the amount of estrogen made by the ovaries declines and symptoms such as hot flashes (sudden, extreme feeling of warmth) and vaginal dryness can occur. Most women reach menopause naturally around the age of 50, but some women may undergo menopause sooner due to many causes, including surgery.

Women who have not had a hysterectomy (removal of their uterus or womb) must also take another female hormone called progestin while they are taking this medication to prevent complications associated with taking estrogen alone.

Estradiol patch is also used for the prevention of osteoporosis when there are low estrogen levels in the body, in addition to other measures to help prevent osteoporosis - such as calcium and vitamin D supplements, quitting smoking, and regular weight-bearing exercise.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are being given this medication, speak to your doctor. Do not stop using this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use this medication if their doctor has not prescribed it.

How should I use this medication?

A new patch should be applied to your skin on the same day once a week (i.e., the patch should be changed once every 7 days). Women who have not had a hysterectomy (removal of their uterus) must also take a progestin while they are taking this medication to prevent certain side effects associated with the use of estrogen.

The patch is often applied to the buttocks, lower abdomen, or hip. Many women have found that less skin irritation occurs when the patch is applied to the buttocks. Talk to your doctor or pharmacist about the most appropriate site to apply the patch. Do not apply the patch to your breasts. Do not apply patches to the same site on the skin twice in a row.

To apply the patch:

  1. Choose a clean and dry area of intact skin that is not oily, damaged, irritated, or exposed to the sun. To avoid irritation, do not apply to the same site on the skin 2 times in a row.
  2. Tear open the pouch containing the patch rather than using scissors - if you accidentally cut the patch, it will be useless.
  3. Remove the protective layer. Apply the patch to the selected area immediately. Avoid touching the adhesive.
  4. Use your fingers to hold the patch in place for about 10 seconds and make sure that the patch is affixed to your skin, especially around its edges.

When changing the patch, remove the old one carefully, fold it in half so that the adhesive sides stick together, and throw it away or bring it to the pharmacy for proper disposal. Keep it out of the reach of children or pets. If adhesive remains on your skin, rub it off gently.

Bathing, showering, swimming, or other contact with water does not affect the patch. However, hot water or steam may cause the patch to loosen. If your patch falls off, try to reapply it. If that doesn't work, apply a new patch.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is important to use this medication exactly as prescribed by your doctor. If you forget to apply or change your patch, change it as soon as you remember. If it is close to the day when you normally change your patch, still apply it but change the patch again on your usual day and continue on with your regular schedule. Do not wear 2 patches at once. If you are not sure what to do after forgetting to apply or change the patch, contact your doctor or pharmacist for advice.

Store this medication at room temperature and keep it out of the reach of children. Do not store the patches out of the pouch.

What form(s) does this medication come in?

Climara 25
Each translucent 6.5 cm² system contains estradiol hemihydrate 2.04 mg Ph. Eur. (equivalent to 2 mg estradiol-17β), and provides controlled delivery of estradiol-17β 0.025 mg/day to the patient. Nonmedicinal ingredients: acrylate copolymer (acrylamide, isooctyl acrylate, vinyl acetate copolymer), ethyl oleate, glyceryl monolaurate, and isopropyl myristate.

Climara 50
Each translucent 12.5 cm² system contains estradiol hemihydrate 3.9 mg Ph. Eur. (equivalent to 3.8 mg estradiol-17β), and provides controlled delivery of estradiol-17β 0.05 mg/day to the patient. Nonmedicinal ingredients: acrylate copolymer (acrylamide, isooctyl acrylate, vinyl acetate copolymer), ethyl oleate, glyceryl monolaurate, and isopropyl myristate.

Climara 75
Each translucent 18.75 cm² system contains estradiol hemihydrate 5.85 mg Ph. Eur. (equivalent to 5.7 mg estradiol-17β), and provides controlled delivery of estradiol-17β 0.075 mg/day to the patient. Nonmedicinal ingredients: acrylate copolymer (acrylamide, isooctyl acrylate, vinyl acetate copolymer), ethyl oleate, glyceryl monolaurate, and isopropyl myristate.

Climara 100
Each translucent 25 cm² system contains estradiol hemihydrate 7.8 mg Ph. Eur. (equivalent to 7.6 mg estradiol-17β), and provides controlled delivery of estradiol-17β 0.1 mg/day to the patient. Nonmedicinal ingredients: acrylate copolymer (acrylamide, isooctyl acrylate, vinyl acetate copolymer), ethyl oleate, glyceryl monolaurate, and isopropyl myristate.

Who should NOT take this medication?

Do not use this medication if you:

  • are allergic to estradiol or any ingredients of this medication
  • are breast-feeding
  • are or may be pregnant
  • have, have had, or may have breast cancer
  • have a blood clotting disorder
  • have a history of known or suspected estrogen-dependent tumours (e.g., endometrial cancer)
  • have active phlebitis (inflamed varicose veins)
  • have classical migraines
  • have endometrial hyperplasia (thickening of the inner lining of the uterus)
  • have liver dysfunction or disease
  • have or have had a history of liver tumours
  • have or have had a stroke, heart attack, or coronary heart disease
  • have or have had blood clots in the legs or lungs, or coronary thrombosis
  • have partial or complete loss of vision from eye disease related to circulation problems
  • have porphyria
  • have unusual vaginal bleeding that has not been checked by a doctor
What side effects are possible with this medication?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • breast tenderness and excess vaginal secretions
  • constipation
  • darkening of the skin around areas where the patch is applied
  • dizziness
  • earache
  • fatigue
  • fluid retention
  • gas
  • headache
  • heartburn
  • nausea
  • nervousness
  • redness or irritation underneath or around the area of the skin on which the patch is applied
  • trouble sleeping
  • vomiting

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • abdominal tenderness, persistent upper abdominal pain, nausea or vomiting
  • easy bruising, many or prolonged, exceptionally heavy periods
  • jaundice (yellowing of the eyes or skin)
  • lower abdominal pain or swelling, painful or heavy periods
  • symptoms of an infection (e.g., fever)

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • coughing blood
  • headache (sudden or severe)
  • loss of coordination (sudden)
  • narrowing of the throat
  • pains in the chest, groin or leg, especially in calf of leg
  • persistent or severe skin irritation
  • rapid pulse or dizziness
  • shortness of breath (sudden and unexplained)
  • slurring of speech (sudden)
  • sudden vision changes (such as partial or complete loss of vision, double vision)
  • symptoms of a severe allergic reaction, e.g.:
    • difficulty breathing
    • hives
    • swelling of the mouth, tongue, face, or throat
  • tender or painful inflammation of the veins
  • weakness or numbness in arm or leg

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Note the following important information about estrogen replacement therapy:

The Women's Health Initiative (WHI) study results indicated an increased risk of heart attack, stroke, breast cancer, blood clots in the lungs, and blood clots in the leg veins in postmenopausal women during 5 years of treatment with 0.625 mg conjugated equine estrogens and 2.5 mg medroxyprogesterone compared to women receiving sugar tablets. Other combinations of estrogen and progestins were not studied. However, until additional data are available, the risks should be assumed to be similar for other hormone replacement products. Therefore,

  • estrogens with or without progestins should be used at the lowest dose that relieves your menopausal symptoms for the shortest time period possible, as directed by your doctor.
  • estrogens with or without progestins should not be used to prevent heart disease, heart attacks, or strokes

Allergy: Contact allergy, such as itching and redness, is known to occur with the application of estrogen to the skin. Although this allergy is extremely rare, people who develop skin reactions or contact sensitization to any component of the medication are at risk of developing a severe allergic reaction with continued use. If you have a skin reaction to the patch, contact your doctor for advice.

Blood clotting disorders: Estrogens with or without progestins are associated with an increased risk of blood clots in the lungs (pulmonary embolism) and legs (deep vein thrombosis). This risk also increases with age, a personal or family history of blood clots, smoking, and obesity. The risk of blood clots is also increased if you are immobilized for prolonged periods and with major surgery. If possible, this medication should be stopped 4 weeks before major surgery. Talk about the risk of blood clots with your doctor.

Blood pressure: Women may experience increased blood pressure when using estrogen replacement therapy. Talk to your doctor about how often you should have your blood pressure checked.

Bone disease: If you have bone disease due to cancer or a metabolic condition causing too much calcium in your body, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Breast and ovarian cancer: Studies indicate an increased risk of breast and ovarian cancer with long-term use of estrogen replacement therapy. Women with a history of breast cancer should not use estrogens. Women who have breast nodules, fibrocystic disease, abnormal mammograms, or a strong family history of breast cancer should be closely monitored by their doctor.

Women taking estrogens should have regular breast examinations and should be instructed in breast self-examination. The estradiol patch must not be applied to the breasts, as it may have harmful effects on the breast tissue.

Dementia: Women over the age of 65 receiving combined hormone replacement therapy (estrogen and progestin) may be at increased risk of developing dementia (loss of memory and intellectual function). If you are over 65, talk to your doctor about whether you should be tested for dementia.

Diabetes: If you have diabetes, your doctor should closely monitor your condition while you are using the estradiol patch, as it may affect blood sugar control.

Endometrial cancer: There is evidence from several studies that estrogen replacement therapy can increase the risk of cancer of the endometrium (lining of the uterus). Taking a progestin at the right time along with the estrogen reduces this risk of endometrial cancer to the same level as that of a woman who does not take estrogen. For this reason, all women who have not had their uterus removed should also take a progestin if they are using estrogens.

Endometriosis: Estrogen replacement therapy can cause endometriosis to reappear or get worse. If you have or have had endometriosis, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Fibroids: This medication may worsen fibroids by causing sudden enlargement, pain, or tenderness. If you notice these effects, contact your doctor.

Fluid retention: Estrogen may cause fluid retention, which can worsen some medical conditions (e.g., heart disease, kidney disease). Talk to your doctor if you have any concerns.

Follow-up examinations: It is important to have a follow-up examination 3 to 6 months after starting this medication to assess your response to treatment. Examinations should be done at least once a year after the first one.

Gallbladder disease: This medication can aggravate gallbladder disease or increase the risk of developing it. If you have gallbladder disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Heart disease and stroke: Studies indicate an increased risk of heart disease and stroke with estrogen (with or without progestin) for postmenopausal women. If you experience symptoms of a heart attack (chest pain, tightness or pressure, sweating, nausea, feeling of impending doom) or stroke (sudden dizziness, headache, loss of speech, changes in vision, weakness or numbness in the arms and legs) while taking this medication, get immediate medical attention.

High cholesterol or triglycerides: Estrogen may increase triglyceride levels in those who already have high levels. This has been observed particularly when estrogen is taken orally - the risk is reduced with use of the patch. Your doctor will monitor your cholesterol and triglyceride levels while you are taking this medication.

Kidney disease: Estrogen can affect how calcium and phosphorus are metabolized by your body. If you have kidney disease, this may be a concern and you should discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Liver disease: If you have or have had liver problems, you may require special monitoring by your doctor while you use this medication. Make sure to tell your doctor if you have ever had liver problems. People with active liver disease or liver tumours should not use the estradiol patch.

Migraine headaches: For some people who experience migraine headaches, estrogen can aggravate the condition. Talk to your doctor if you notice any change in your migraine pattern while using estrogen.

Other medical conditions: If you have heart or kidney dysfunction, epilepsy, or asthma, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Pregnancy: Estrogen should not be used during pregnancy. If you become pregnant while taking this medication, contact your doctor.

Breast-feeding: Estrogen passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. This medication is not recommended for breast-feeding women.

Children: The safety and effectiveness of using this medication have not been established for children.

What other drugs could interact with this medication?

There may be an interaction between the estradiol patch and any of the following medications:

  • alcohol
  • anastrozole
  • anticoagulants (e.g., heparin, warfarin)
  • antidiabetes medication (e.g., insulin, metformin, glyburide)
  • barbiturates (e.g. phenobarbital)
  • carbamazepine
  • clarithromycin
  • cyclosporine
  • erythromycin
  • grapefruit juice
  • itraconazole
  • ketoconazole
  • medications used to treat high blood pressure (e.g., atenolol, rampiril, enalapril, lisinopril, amlodipine)
  • meprobamate
  • phenobarbital
  • phenytoin
  • prednisolone
  • St. John's wort
  • ritonavir
  • theophylline

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.





The contents of this site are for informational purposes only. Always seek the advice of your physician or other qualified healthcare provider regarding any questions you may have about a medical condition.
© 1996 - 2014 MediResource Inc. - Targeted Health Solutions
Return to Home Page