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Doctor insights on: Vivelle Dot Medication

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Is there a good generic alternative to vivelle-dot?

Is there a good generic alternative to vivelle-dot?

Yes: Generic versions of medications are usually fine, but they are not identical. The fda allows for a modest degree of difference in "bioequivalence". Essentially, a generic medication is allowed to be sold if it is between 80% - 125% of the brand name medication. Most generic medications are fine for most people, but there is always some percentage of patients for whom they are different. ...Read more

Estradiol Transdermal System (Definition)

The Estradiol transdermal system, is designed to release Estradiol continuously upon ...Read more


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What is the regimen for using prometrium (micronized progesterone) with vivelle dot in as a cyclical?

What is the regimen for using prometrium (micronized progesterone) with vivelle dot in as a cyclical?

Prometrium-vivelle: Should not be a problem.
Go online to "Drug interactions between Prometrium (micronized progesterone) and Vivelle-Dot" and that should put you at ease. ...Read more

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I just started taking vivelle dot for post menopausal symptoms and started having severe nausea, cramping and diarrhea. I'm on the lowest dose possible. Could the patch be causing these symptoms? I was on the patch for a few days before I started get

I just started taking vivelle dot for post menopausal symptoms and started having severe nausea, cramping and diarrhea. I'm on the lowest dose possible. Could the patch be causing these symptoms? I was on the patch for a few days before I started get

Yes, mostly: Estrogen replacement therapy can cause nausea, bloating, cramping, irregular spotting and breast tenderness upon initiation of this medication. Diarrhea is not a symptom related to estrogen replacement therapy. If the diarrhea continues, you need to be evaluated for the diarrhea. ...Read more

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Is is ok to cut a vivelle (estradiol) dot in half to lower your dosage?

Sure: If sufficient to relieve sx's u can cut the dot, put the other 1/2 to the side and use later. Good luck. ...Read more

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I've just upped my strength on my vivelle (estradiol) dot patch. How long will it take to get the full effect?

Not long: It should take no longer than two weeks (probably sooner) to notice a beneficial effect regarding hot flashes, etc. ...Read more

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Urine leakage on vivelle (estradiol) dot?

Urine leakage on vivelle (estradiol) dot?

Not related: Infact ocp/hrt should help the urinary elak. Look for other cuses. ...Read more

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What is the side effects of using vivelle (estradiol) dot patch?

What is the side effects of using vivelle (estradiol) dot patch?

Typical estrogen S.E: If you read the package insert most drug companies list a large number of possible side effects. The most likely side effects can be related to the patch material itself including skin irritation, but other systemic effects include headache, nausea, mild increased risk of blood clot just to name a few. ...Read more

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Does vivelle (estradiol) dot patch have any bad side effect? If so what are they?

Does vivelle (estradiol) dot patch have any bad side effect? If so what are they?

Rare: This depends some on the dose of the patch. Higher dose patches will have more side effects. Some possible side effects include bloating, breast tenderness, rash at site of the patch and others. ...Read more

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Can you tell me about quitting using their vivelle (estradiol) dot patches cold turkey?

Possible: You may quit using vivelle (estradiol) dot patches cold turkey; however, a better approach would be to discuss with the doctor, who prescribed you the patch, why you are not comfortable with it any more and what alternatives possibly exist. ...Read more

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Vivelle (estradiol) dot patch cause migraine.?

Hormones & Headache: Migraine patients seem to suseptable to fluctuations in estrogen, especialy with a dramatic drop. If your hormone replacement or bc is a higher dose, then there will be a more dramatic drop on the "off" days. This often leads to headaches. Talk to your gynocologist about using a more steady dose of estrogen hormone. ...Read more

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Any skin irritation while using the vivelle (estradiol) dot?

Any skin irritation while using the vivelle (estradiol) dot?

Occasionally: I suggest patients to change teh site of patch to avoid sensitivity of skin. ...Read more

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Does vivelle (estradiol) dot cause weight loss?

For some: Some people gain; some people lose weight on vivelle (estradiol) dot. ...Read more

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
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At 68, can vaginal exams stop? Am on Vivelle (estradiol) Dot 5mg. Had a total hysterectomy in '89

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
At 68, can vaginal exams stop? Am on Vivelle (estradiol) Dot 5mg. Had a total hysterectomy in '89

Depends. . .: Tricky question to answer bc depends upon definitions. Pelvic/vaginal exams are separate from Pap smears which look for cervical cancer. Assuming total hysterectomy (TH) for non-cancerous reasons, there's no further need for Pap smears. Common misunderstanding that TH includes removing ovaries - this is not true, as it only refers to removing whole uterus. If ovaries removed too then stop pelvic ...Read more

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I had a hysterectomy 2 yrs ago and have gone on the vivelle (estradiol) dot patch. My hair has thinned considerably. What do I need to do? Worried...

I had a hysterectomy 2 yrs ago and have gone on the vivelle (estradiol) dot patch. My hair has thinned considerably. What do I need to do? Worried...

Worried: Yes you should be concerned but you must discuss this with your Gynecologist. The Gynecologist will take careful information from you, examiner you clearly and make decisions for your ongoing health.
You may need to see a different specialist to care for your hair loss.

Please keep me informed. ...Read more

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Has vivelle (estradiol) dot patch ever caused heart attacks or strokes?

Has vivelle (estradiol) dot patch ever caused heart attacks or strokes?

Vivelle (estradiol) Dot: Vivelle is a transdermal estradiol. While oral estrogen is known to increase unstable plaque risk, and therefore the risk for heart attack and stroke, transdermal should not. ...Read more

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I am on my second patch of vivelle (estradiol) dot 0.0375 and I feel slightly less brain fog but I still get small flashes. Should I go up to 0.5?

I am on my second patch of vivelle (estradiol) dot 0.0375 and I feel slightly less brain fog but I still get small flashes. Should I go up to 0.5?

Probably not: Eliminating all hot flashes is quite often impossible no matter how high you go on the dose. Aiming for 80-90% resolution is good. Using only the dose of estrogen that you need reduces side effects and is the correct use of this medication. Many women's hot flashes/sweats diminish greatly after 4-5 years. Hope you have this experience! ...Read more

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I am on my second patch of vivelle (estradiol) dot 0.0375 and I feel slightly less brain fog but I still get small flashes. Should I go on the higher dose?

I am on my second patch of vivelle (estradiol) dot 0.0375 and I feel slightly less brain fog but I still get small flashes. Should I go on the higher dose?

Tqlk to doc: Your dose is low but you only been using it for 1 week. There are rooms to go up but I would discuss this with your doc who knows you best. Try to use the lowest possible dose that give you what you want. ...Read more

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Has there been any reports of heart attacks or strokes from using the vivelle (estradiol) dot patch? I had a hystroecomy 5 years ago I had everything removed.

Has there been any reports of heart attacks or strokes from using the vivelle (estradiol) dot patch? I had a hystroecomy 5 years ago I had everything removed.

ERT: All Estrogens can increase your risk of heart attack and stroke slightly even vivelle (estradiol) dot, which is an estrodial patch. However, that risk is primarily in the first three months of use and for most patients is only a slight risk. That risk comes back in patients who constantly start and stop their estrogen therapy. If you've been on it more than 3 months I wouldn't worry much unless you smoke. ...Read more

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I'm trying to concieve while on vivelle (estradiol) dot patches. What are my chances of getting pregnant?

NeedUrgent fert care: You need to have your ovarian reserve tested.
Women never get old. However, their eggs do. When your eggs are older than 35 yrs, you need to move fast and do ovarian reserve testing that will let you know your chances before expensive fertility testing.
Best of Luck.
Dr. Mitwally
Board Certified Reproductive Endocrinologist & Infertility Specialist
San Antonio-Edinburg & West Texas
432-580-4500 ...Read more

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Any negative reports concerning the hormone patch called vivelle (estradiol)?

Difficult question: You will hear negative reports on any type of estrogen. Vivelle is a top choice. It is bioidentical estradiol. It is trans dermal so all the negative aspects of oral estrogen are avoided. It comes in several strengths so the dosage can be tailored to the patient. Bad? Sticky residue left on abdomen and occasional allergic reaction to the glue. Both worth it given the alternatives. ...Read more

Dr. Thomas Fiala
34 Doctors shared insights

Vivelle (Definition)

Vivelle is an estrogen-based agent which is a kind of women's ...Read more