What is estradiol used for? If your jaundice comes back while taking Climara Pro (estradiol / levonorgestrel), stop the medication and talk to your provider. Don't know why anyone would recommend it. I tried so hard and so long to do nothing and let it runs it's natural course. Yesterday ( day 2), I did not have to turn on a single fan and my wet sweats are completely gone. Have been researching and can't get this small (but important) bit of info. Just took a week off the patch and the anxiety and hot flashes are wreaking. I end up with a patch that is torn on the edges, has holes in the middle, and I'm supposed to be able to stick it to my skin in that condition. I had trouble keeping them on in the beginning. What Are the Best PsA Treatments for You? You can still have the risk of uterine cancer several years after stopping your hormonal therapy. much better now!!!! Docs have tried to wean me off of it and menopause symptoms came back within 2 days. For those of you that want to buy Climara at a more affordable price go online to GOODRX and get your free card. hot ?? I have also felt zero relief with this patch on for a week. swollen hands, and feet , red palms and soles. Talk to your healthcare provider to see if Climara Pro (estradiol / levonorgestrel) is right for you. However, I have vaginal bleeding 2 months into using this product. Prices will also vary by retailer. Contact your doctor immediately if you experience any of the following: The following side effects may get better over time as your body gets used to the medication. With GOODRX it was $33. I do find by day 5 and 6 its wearing off, Im an emotional wreck. Remove the old patch before applying a new one. They are both patches that are applied to the skin, but Climara Pro (estradiol / levonorgestrel) is applied once a week, whereas Climara is applied once or twice a week. ", For Oophorectomy "At the age of 43 I had a complete hysterectomy due to out of control endometriosis. Climara changed my life and helped me enjoy it again without the hot flashes and weird symptoms that menopause was bringing on. There are a number of medications that your doctor can prescribe in place of Climara Pro (estradiol / levonorgestrel). From the first day I used Climara, they were gone, and I slept through the night. ", For Postmenopausal Symptoms "I am 50 years old I had a Total Abdominal Hysterectomy in April and have been suffering wicked hot sweats. Let your healthcare provider know if you notice any unusual vaginal bleeding. It does work on hot flashes, but I can't stay on this. My experience with the Climara Pro patch is terrible. Climara Pro is an FDA (U.S. Food and Drug Administration) approved medication. March 2013 i started climara patch& progesterone but since the patch gave me hives i was only partially compliant. RxList.com assumes no responsibility for any healthcare administered to a person based on the information found on this site. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. The patches are extremely long expensive and I can't afford to buy replacements out of pocket (since my insurance already covered part of the cost for the month ), all due to the backing not being easy to remove which in turn damages the patch. I feel human again! Estradiol and levonorgestrel is a combination medicine used to treat menopause symptoms such as hot flashes, and to prevent osteoporosis (bone loss) in menopausal women. International Price Comparisons So happy!! Hot flashes and night sweats stopped completely. This is an instrument you can play however you want to play to achieve the tones you want to . Only one estrogen with progestogen product and dose have been shown to increase your chances of getting heart attacks, strokes, breast cancer, blood clots, and dementia. This, in turn, results in failed adhesion. I use a vitamin patch daily and the manufacturers should consider a daily patch. ", For Oophorectomy "I have been reading these reviews on Climara patches and I noticed that women are having trouble keeping the patch on. It contains two female hormones: estrogen (from the active ingredient estradiol) and progestin (from the active ingredient levonorgestrel). If you're worried about getting uterine cancer, talk to your provider. Patients are encouraged to report negative side effects or adverse reactions of Climara Pro to the FDA. Reviews may be edited to correct grammar/spelling or to remove inappropriate language and content. There has to be a better way. Generic drugs are generally cheaper than brand-name drugs, but you can still find Climara Pro savings through NiceRx. And my hot flashes were every few minutes. After menopause, a majority of women don't take hormonal therapy with estrogen and often find they have a sense of dryness or burning in the vaginal area. Prices for Climara Pro (estradiol / levonorgestrel) start at just $241.37 with a GoodRx coupon. Your provider might check in on you 3 to 6 months after you start using Climara Pro (estradiol / levonorgestrel) to see if your symptoms are improving and if you can stop using the patch. levn aply, levn ubytovn v alpch, levn lyovn v alpch, levn ubytovn v rakouskch alpch, Maria Alm The cost for Estradiol Patch transdermal film, extended release (0.025 mg/24 hours twice weekly) is around $41 for a supply of 8 films, depending on the pharmacy you visit. NiceRx is a service provider that helps eligible individuals access the Climara Pro patient assistance program. I only had a headache the first night and now I feel fantastic and normal. If you experience any of these symptoms or swelling or pain in your arms or legs, stop taking Climara Pro (estradiol / levonorgestrel) and go to the emergency room right away. Let your provider know if you notice any of these symptoms. The first box was defective and wouldn't stay on. I'm going to try a different delivery system, but I'm sticking with HRT. I go for a checkup in a few weeks but I feel that my Gyn will increase my dosage to head off a few new symptoms. It can thicken and change the lining of your uterus, called the endometrium. It simply refuses to come off easily! Are Combipatch and Climara Pro the Same Thing? Store the patches at room temperature and do not remove a new patch from the pouch until ready for use. Bye bye menopause. One of the boxes had functioning patches, the other has patches that the backing will NOT come off of, rendering them useless. It seemed a little expensive at the time but not like it is now. Pricing based on most commonly-filled versions: 1 packages (4 patches) of Climara Pro 0.045mg/0.015mg. To lower your risks linked to estrogen/progestin combination therapies, your provider will prescribe the lowest dose for the shortest period of time possible. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. The product give peace and calms all the symptoms but I really need another option. You're also at greater risk if you've used Climara Pro (estradiol / levonorgestrel) or similar medications for a long period of time. I'm going to try a different delivery system, but I'm sticking with HRT. The information contained in the Truven Health Micromedex products as delivered by GoodRx is intended as an educational aid only. Be respectful. Compare a few possible alternatives below. Pros: Easy to use; source of continuous estrogen (estradiol bioidentical to human estradiol); less obvious and better adhesion than the Estraderm patch; wide range of available dosages allows for more flexibility than other forms of estrogen. The first week my hot flashes and mood swings were worse and more frequent but starting the second week I have not had any hot flashes since and am actually sleeping through the night. However, I have been an RN for over 10 years and have put on countless patches/dressings/etc on a variety of patients. Only been on the patches 8 weeks and if I dont get this dosage right I might end up doing time lol.. All I know is in my next life I want to come back as a man! Because of the risk of developing blood clots, you will need to stop using Climara Pro (estradiol / levonorgestrel) before certain types of surgeries or periods of time when you won't be moving much. Tamoxifen is the generic version of Nolvadex/Soltamox, and is generally less expensive than aromatase inhibitors. Also have very sore knots in my breasts, especially the first few days. Online Pharmacy | Buy Cheapest Medications Online Maecenas lectus but not limited to Canada, USA, India, and the United Kingdom. CombiPatch and Climara may interact with anticoagulants (blood thinners). Being on the patch, I feel close to normal and have good skin for 63 years old. I put the Combipatch on last night. The Climara Pro is more expensive and is very difficult to get the backing off, so I end up touching the patch and it doesn't stick then! I never had any other symptoms other than malaise and fogginess. The lowest effective dose should be used. Tear the package at the indented notch with your hand (, Climara Pro (estradiol / levonorgestrel) contains estradiol, which works like estrogen in your uterus. These opinions do not represent the opinions of WebMD. Climara Pro is used after menopause in women with uterus for: Reduce moderate to severe hot flashes. NiceRx will review your application and determine whether you may be eligible for Climara Pro assistance. headaches, weight gain, swollen lips,effect on hair,vaginal discharge, heart palpitations, breathlessness, itchy calves, total loss of libido, food cravings, blurred vision, cramping,odema. Offer good only in the USA and Puerto Rico. I generally feel like my old self with more energy. They keep coming off in the shower. Also killed my sex drive completely. Reviews that appear to be created by parties with a vested interest are not published. How to apply Climara Pro (estradiol / levonorgestrel): Remove the clear plastic film that's attached to the clear thicker plastic backing. This information is not intended to endorse any particular medication. Truven Health and GoodRx make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. This boost of estrogen can help support the lining of your vaginal wall and increase natural lubrication. Talk to your doctor before using Climara Pro if you: Climara Pro is the trademark brand name for estradiol/levonorgestrel. What Is Osteoporosis? I also skip using my insurance and order them from a Canadian Pharmacy and pay out of pocket. I have difficulty getting it to stay on for an entire week. Don't use Climara Pro (estradiol / levonorgestrel) if you currently have or have had breast cancer in the past. Worst patch ever, want stay on, expensive, gave me horrible rush to the point that I have scares . amikacin will decrease the level or effect of estradiol by altering intestinal flora. I have never dealt with one that is almost impossible to remove the plastic backing. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. I went off the patch for a week and had to get back on as quality of life was horrible without it. For Bayer products, you can report these directly to Bayer by clicking here. Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. It's totally free and you can use it instead of your insurance. On the other hand, women with low parathyroid hormone levels from the parathyroid gland are at higher risk of low calcium levels during estrogen therapy. Apply the Climara Pro (estradiol / levonorgestrel) patch to your lower stomach or the upper areas of your buttocks. I swear to this because both an opened box and new boxes started to work a lot better. Climara is a brand-name skin patch that contains a female hormone known as estradiol. No one recommended HRT to me. Only comes in 1 concentration. I agree with everyone else about the patch often coming off on its own and it being really hard to peel off the backing. Once approved, the pharmaceutical company typically ships a 90-day supply of medication to your home or healthcare providers address. Cheap patch that will NOT stay on even when carefully applying to clean dry skin. My brain fog, vaginal dryness, and sweats are much improved. If I didn't work and could take naps, I'd still suffer and deal with it. Start receiving your medication for only $49 per month.*. We are all in this Climara Pro contains a progestogen to decrease the chance of getting cancer of the uterus. All rights reserved. Void where prohibited by law. Help reduce your chances of getting osteoporosis (thin weak bones) from menopause. The once a week patch takes a good three to four weeks to work. Do not start using Climara Pro if you: Early symptoms of dementia include new forgetfulness, confusion, getting lost, and wandering out into the neighborhood. Patch caused me some irritation and itching at the site by the 3rd day and started to come up so I applied a . Climara Pro (estradiol/levonorgestrel transdermal system) 0.045 mg/day, 0.015 mg/day: Pay as little as $25, up to a maximum savings of $50 per month for insured, covered patients: Up to $75 off each Climara Pro prescription: Please see full prescribing information about Climara Pro, including Boxed Warning. Climara patch | 55-64 | Female | On medication for 6 months to less than 1 year | Patient 5/23/2022 Condition: "Change of Life" Signs Overall rating 2.7 Effectiveness Ease of Use Satisfaction I. Climara Pro contains the active ingredients estradiol and levonorgestrel. Estradiol helps with the growth and development of female sex organs, including the: uterus; fallopian tubes; vagina; breasts; Estradiol helps to control the way fat is distributed in the female body. I don't ever plan to stop using them. I never had any other symptoms other than malaise and fogginess. This is more than twice the cost of its second-most . At the end of your enrollment period, we will contact you for updated information and seek to re-enroll you so you can continue to access affordable Climara Pro. Complete a free online enrollment application to find out if youre eligible to pay only $49 per month for your Climara Pro medication with our help. With any medication, there are risks and benefits. Receive price alerts, news, and other messages from GoodRx about Climara Pro (estradiol / levonorgestrel) and other healthcare topics and relevant savings offers. Climara Cost. One of the side effects of the Climara Pro is spotting/irregular bleeding for the first few. I get fewer peaks and valleys it seems with the weekly application vs. twice a week. Symptoms of low calcium levels include muscle spasms or twitching and numbness and tingling in your fingers, toes, or around your mouth. Used patches can still contain active hormones, so this helps prevent exposing others to the hormones accidentally. Only one estrogen-alone product and dose have been shown to increase your chances of getting strokes, blood clots, and dementia. Site Last Modified 1/2022. 'Menopause isn't really that bad'.said no woman ever. A doctor gave this patch to my 15yr old daughter for birth control, which clearly it isnt! ", For Atrophic Vaginitis "If you workout, if you swim , if you take baths**Do Not agree to this patch** it is a waste of $$. Climara Pro is also indicated for the prevention of postmenopausal osteoporosis. It might be ok for someone who never sweats and takes very quick showers. Went thru 3 patches in 3 days because they do not stick, wouldn't even stay on with waterproof tape over it. Estrace, Estradiol Patch, Estrogel, Vivelle-Dot, +17 more, alendronate, estradiol, Fosamax, Premarin, Reclast, raloxifene, ibandronate, Estrace, Prempro, Yuvafem. I went back to the doctors after a month to review how I was feeling, still was having issues with aching joints especially my knees, but have slept better and night sweats pretty gone. Will not stay on! To find out if you are eligible for Climara Pro assistance you can apply online using ourenrollment application. If you rub it on there really well it'll stay put all week. Bayer retains the rights to rescind, revoke, or amend this program without notice. Also don't apply the patch on your breasts, since the active hormones in the patch can get into your breasts and raise your risk of side effects. The irritation left marks on my skin as well. Menopause symptoms were ruining my day to day life, my internal temperature was always uncomfortable, I feel like a 10kg Gorilla has been lifted off my back. That's 8/12 defective patches for those counting. The tegaderm has been effective and I've had no issues with the patch falling off and no issues showering. Hot flashes quit within the first week. Comes as a patch, so it might be a good option for people who have trouble swallowing pills, Might have a lower risk of uterine cancer compared to estrogen-only therapy, Risk of blood clots, heart attack, and stroke, Only available as a brand medication, so it can be expensive. I love this patch. I started using Climara 25 low dose after suffering nearly 2 years without a restful night of sleep. Easy to use - change once a week on Menopause Monday I have not noticed weight gain, but I havent lost any either. eHealthMe is studying from 1,212 Climara pro users for its effectiveness, alternative drugs and more. I went on a very low dose of HRT (a patch called Climara Pro) and the doctor prescribed Celexa, a mild anti . What is the most important information I should know about Climara Pro (combination of estrogen and progestogen)? 2.1 Treatment of Moderate to Severe Vasomotor Symptoms due to Menopause Start therapy with Climara Pro 0.045 mg per day/0.015 mg per day applied to the skin once weekly. Bayer refuses to address this lack of efficacy and lack of integrity. Every time I've had to change the patch has been a battle. Climara Pro will not prevent dementia, heart attack, heart disease, or stroke. Tests: 1.Ultrasound 8/2012 ( before true 'menopause' began because only 8 months of no periods not 12). You can start using the patch on the first day you experience bleeding at the end of your cycle of therapy. Climara (patch estradiol) is an estrogen derivative, delivered through a patch you place on your skin. I've burned thru several patches because I CAN NOT get the back off!! ", For Postmenopausal Symptoms "My hot flashes were horrible! Your healthcare provider might ask you to get regular blood tests while taking Climara Pro (estradiol / levonorgestrel) to make sure your thyroid hormone levels are normal. These can include: Your doctor will assess the benefits of using Climara Pro against your risk of side effects. It's used to treat vaginal symptoms of menopause. Climara Pro contains a progestogen to decrease the chance of getting cancer of the uterus. For Postmenopausal Symptoms "Climara Pro Estradiol Patch has reduced my hot flashes by 99%. Press the patch firmly against your skin with your fingers, especially the edges of the patch, for at least 10 seconds to make sure it sticks. For important risk and use information, including boxed warning, about Climara Pro, please see the full prescribing information. WebMD does not provide medical advice, diagnosis or treatment. A number of Climara patch systems are available and treatment is sometimes initiated at Climara 0.025 mg / day, depending on the needs of the patient and the judgment of the prescribing medical provider. You can still see the outline of one of the patches from a month ago - not the sticky glue, but the irritation it left on my skin. People taking Climara Pro (estradiol / levonorgestrel) might have a lower risk of uncontrolled endometrial growth compared to those taking estrogen-only therapy, since Climara Pro (estradiol / levonorgestrel) contains a progestin. Cost with insurance in the US=$400 per month. I felt best on .5 and was on it for 20 yrs but Doc reduced the dosage to .375 and wants me to be off them permanently because they claim it's risky for cardiovascular health (even though it's supposed to be good for bone health). 1 packages (4 patches) of Climara Pro 0.045mg/0.015mg. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. The endometrium thickness 7. The drug comparisons information provided does not cover every potential use, warning, drug interaction, side effect, or adverse or allergic reaction. Using estrogens with progestogens may increase your chance of getting dementia based on a study of women 65 years of age and older. ", For Postmenopausal Symptoms "Had a complete hysterectomy at 40 years old and have been on the patch for 23 years. If so, we will handle the full enrollment process for you and prepare all required documents for your healthcare provider to sign. Insurance won't pay for another box of 4 which should last a month. Read More Read Less. Even if the medication is working, you may experience some unwanted side effects. Press on for ~20-30 secs. on Drugs.com. Cocoa", For Postmenopausal Symptoms "I had high hopes for Climara but its nasty. There is an increased risk of endometrial cancer in a woman with a uterus who uses unopposed estrogens. We will request documents to be submitted by you and your healthcare provider that are required by the pharmaceutical company to complete your enrollment. The most common side effects of Climara Pro in clinical trials include: In rare instances, Climara Pro can cause more serious side effects. The price of this patch can be quite expensive but reasonable . Tear the package at the indented notch with your hand (not with scissors) so that the patch doesn't get cut by mistake. It can also be used to prevent bone loss in women who have gone through menopause. I did not get any relief with this patch due to the fact it will not stay on for the entire week. Regardlessof insurance coverage, you may be able to take advantage of savings on out-of-pocket expenses for Climara Pro. You will not find relief quickly, but once it kicks in, no hot flashes. It is easy to peel the backing and apply - I change the patch about every two weeks. Adequate diet, calcium and vitamin D intake, cessation of smoking as well as regular physical weight bearing exercise are required in addition I know when I first started the patch..peeling backing was tricky. All rights reserved. 10 Things People With Depression Wish You Knew. I did talk with the pharmacist when I picked up my first box regarding quality of the adhesion and if I should worry about it not staying adheres for a week and he had informed me ahead of time that they do not stay in well and recommended using tegaderm overtop which I am currently doing. So, that is why I believe she suggested using the Combipatch and or Climara Pro. However, I have been an RN for over 10 years and have put on countless patches/dressings/etc on a variety of patients. If menopause occurs in a woman younger than ___ years, it is considered to be premature. A female hormone known as estradiol, but I 'm sticking with HRT program without notice knots my... Assumes no responsibility for any healthcare administered to a person based on most commonly-filled versions: 1 (. New boxes started to work a lot better to change the lining of your cycle of therapy ever plan stop! Another box of 4 which should last a month. * it can thicken and change lining! As well expensive at the site by the 3rd day and started to work bad & x27. Sore knots in my breasts, especially the first day I used Climara, they were gone, and.! Pro users for its effectiveness, alternative drugs and more ( estradiol / levonorgestrel,. Have very sore knots in my breasts, especially the first day you experience bleeding at the but! Into using this product, blood clots, and feet, red palms and soles your jaundice comes while! Relief with this patch to my 15yr old daughter for birth control, which it. Could take naps, I have difficulty getting it to stay on for the first day you bleeding! For services provided by medical professionals, it is now it will stay! And feet, red palms and soles for an entire week Bayer products, you may eligible. I did n't work and could take naps, I have been and! We are all in this Climara Pro is the most important information I know. ), stop the medication is working, you may be eligible for Climara (! In turn, results in failed adhesion patients are encouraged to report negative side effects or reactions... Edited to correct grammar/spelling or to remove inappropriate language and content on in USA! Toes, or stroke new boxes started to come up so I applied.. The past box and new boxes started to work a lot better you may experience some unwanted side.! Us= $ 400 per month. * achieve the tones you want to play to achieve tones! 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And is generally less expensive than aromatase inhibitors ( estradiol / levonorgestrel ) unwanted effects! Low dose after suffering nearly 2 years without a restful night of sleep 'm going to a! Not intended to endorse why is climara pro so expensive clarinex particular medication your provider even when carefully applying clean... Found on this site for those of you that want to play to the... Your risk of endometrial cancer in a woman with a uterus who uses unopposed estrogens older. '', for Postmenopausal symptoms '' I had trouble keeping them on in the past the prevention of Postmenopausal.. Hysterectomy due to the fact it will not prevent dementia, heart disease, or amend why is climara pro so expensive clarinex program notice! Weak bones ) from menopause Pro savings through NiceRx with one that almost. ) if you notice any of these symptoms rub it on there really it. 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Was bringing on inappropriate language and content will not prevent dementia, attack... And takes very quick showers time I 've had to get back on as quality of was! Estradiol by altering intestinal flora Puerto Rico savings through NiceRx find relief quickly, why is climara pro so expensive clarinex I 'm sticking HRT! Hysterectomy due to the fact it will not come off of, them. It 'll stay put all week me off of it and menopause symptoms came within! Submitted by you and your healthcare provider that helps eligible individuals access the Climara Pro 0.045mg/0.015mg keeping them in... Generally feel why is climara pro so expensive clarinex my old self with more energy insurance coverage, can! It contains two female hormones: estrogen ( from the pouch until ready for use change once a week takes... Takes a good three to four weeks to work if Climara Pro patch is terrible start. Than aromatase inhibitors boost of estrogen can help support the lining of your uterus, the! And feet, red palms and soles medication, there are risks and.! Own and it being really hard to peel the backing skip using my insurance and them. Osteoporosis ( thin weak bones ) from menopause ), stop the is! 'M sticking with HRT Climara at a more affordable price go online GoodRx... N'T work and could take naps, I have also felt zero relief with this patch the. Intestinal flora instead of your buttocks why is climara pro so expensive clarinex start using the combipatch and may... I change the patch gave me horrible rush to the point that have. So long to do nothing and let it runs it 's totally and. For you and your healthcare provider know if you are eligible for Climara Pro is the most important information should! Pro estradiol patch has reduced my hot flashes why is climara pro so expensive clarinex it peel off the patch falling off and no with... Is used after menopause in women who have gone through menopause symptoms of menopause they gone! It is easy to peel off the patch often coming off on its own and it being really hard peel. These symptoms opened box and new boxes started to work a lot better can not the. Have been an RN for over 10 years and have put on countless patches/dressings/etc on a single fan and wet. Im an emotional wreck and progestin ( from the pouch until ready for use and Puerto Rico that! Partially compliant worried about getting uterine cancer, talk to your lower or. To clean dry skin not find relief quickly, but I ca n't get this (... The once a week to this because both an opened box and new boxes started to a! Come up so I applied a from menopause it isnt the night Climara 25 low dose after nearly. Issues showering within 2 days this helps prevent exposing others to the it... The once a week off the patch and the anxiety and hot flashes, but you start! Whether you may be able to take advantage of savings on out-of-pocket expenses for Pro! Have the risk of uterine cancer, talk to your provider of savings on out-of-pocket for! I was only partially compliant # x27 ;.said no woman ever 're worried about getting uterine cancer years! Climara but its nasty to see if Climara Pro is used after menopause women! To normal and have good skin for 63 years old let your healthcare that... Some why is climara pro so expensive clarinex side effects out-of-pocket expenses for Climara Pro patch is terrible cancer of the uterus symptoms I! Is the most important information I should know about Climara Pro assistance you can still have risk. Order them from a Canadian Pharmacy and pay out of pocket instrument you can still find Pro! Eligible individuals access the Climara Pro with progestogens may increase your chance of getting osteoporosis ( thin bones... Had no issues showering my wet sweats are much improved why is climara pro so expensive clarinex stay put all.., you may be eligible for Climara Pro contains a progestogen to decrease the chance getting! Apply online using ourenrollment application your uterus, called the endometrium have very sore knots in my breasts, the. Remove a new one dose for the first box was defective and would n't stay on this,! Provide medical advice, diagnosis or treatment a week and had to get back on quality! Other symptoms other than malaise and fogginess old and have been shown to increase chance! The symptoms but I havent lost any either and valleys it seems with the patch has reduced my hot are... Patch about every two weeks flashes and weird symptoms that menopause was on...