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Home , Esterified estrogens

MENOPAUSAL

Name Hormone (s) Vehicle Dosage ( approx E2 level by column) Frequency 10-20pg/ml 20-30pg/ml 35pg/ml 50-60pg/ml 75pg/ml 100pg/ml (ORAL) CENESTIN Synthec conj. , A Tablet 0.3mg 0.45mg 0.625mg 0.9mg 1.25mg Once daily ENJUVIA Synthec conj. estrogens, B Tablet 0.3mg 0.45mg 0.625mg 0.9mg 1.25mg Once daily ESTRACE (or generic) (micronized) Tablet 0.5mg 1mg 2mg Once daily MENEST Esterified estrogens Tablet 0.3mg 0.625mg 1.25mg 2.5mg Once daily OGEN Tablet 0.625mg 1.25mg Once daily PREMARIN Conj. estrogens Tablet 0.3mg 0.45mg 0.625mg 0.9mg 1.25mg 2.5mg Once daily

ESTROGEN (TRANSDERMAL) VIVELLE-DOT Estradiol Patch (dot matrix) 0.025mg/day 0.0375mg 0.05mg 0.075mg 0.1mg Twice weekly MINIVELLE Estradiol Patch (dot matrix) 0.0375mg 0.05mg 0.075mg 0.1mg Twice weekly ALORA Estradiol Patch 0.025mg/day 0.05mg 0.075mg 0.1mg Twice weekly ESTRADERM (generic) Estradiol Patch (reservoir) 0.05mg/day 0.1mg Twice weekly CLIMARA Estradiol Patch 0.025mg/day 0.0375mg 0.05mg/0.06mg 0.075mg 0.1mg Once weekly MENOSTAR Estradiol (indicated for osteoporosis prevenon) Patch 0.014mg/d Once weekly

DIVIGEL Estradiol Gel (topical) 0.25mg/packet 0.5, 1mg / packet Once daily ELESTRIN Estradiol Gel (topical) 0.87g/pump 2 pumps Once daily ESTRASORB Estradiol Emulsion (topical) 1.74g/pouch 2 pouches once daily ESTROGEL Estradiol Gel (topical) 1.25g/pump 1 pump once daily EVAMIST Estradiol Spray (topical) 1.53mg/spray 2-3 sprays 1–3 sprays daily

FEMRING Estradiol Vaginal Ring 0.05mg/day 0.1mg q 3 months

COMBINED ESTROGEN + (ORAL) Estratest (generic) Esterified Estrogens/ Tablet "h.s."0.625mg + 1.25mg 1.25/2.5mg Once daily

COMBINED ESTROGEN + PROGESTIN (ORAL) ACTIVELLA E2 + norethindrone acetate Tablet 0.5mg + 0.1mg 1mg + 0.5mg Once daily ANGELIQ Estradiol + drospirenone Tablet 0.5mg + 0.25mg 1mg + 0.5mg Once daily FemHRT Ethinyl estradiol + Norethindrone acetate 0.5mg + 2.5mcg 1mg + 5mcg PREFEST Estradiol (3 tabs); then estradiol + norgesmate (3 tabs) Tablet 1mg; then 1mg + 0.09mg Once daily, sequenally PREMPHASE Conj. estrogens (14 tabs); then conj. estrogens + MPA Tablet 0.625mg; then 0.625mg + Once daily, sequenally (14 tabs) 5mg PREMPRO Conj. estrogens + MPA (28 tabs) Tablet 0.3mg + 1.5mg 0.45mg + 1.5mg 0.625mg + 2.5mg, 0.625mg Once daily, connuously + 5mg

COMBINED ESTROGEN + PROGESTIN (TRANSDERMAL) CLIMARA PRO Estradiol + levonorgestrel Patch (matrix) 0.045mg + 0.015mg/day Once weekly COMBIPATCH Estradiol + norethindrone acetate Patch (matrix) 0.05mg + 0.14mg/day Twice weekly 0.05mg + 0.25mg/day Twice weekly

VAGINAL ESTROGEN for VAGINAL sxs only. Minimal expected serum level change at these dose levels. ESTRING Estradiol 2mg Ring 7.5mcg/d Change every 90 days ESTRACE vaginal E2 0.01% Cream 1/2 gram biw 1/2 gram daily (50mcg/d) 0.5g twice weekly. Load w/ daily for (100mcg/g) (14mcg E2/d) 2 weeks PREMARIN Conj. estrogens 0.625mg/g Cream 1/2 g biw (140mcg E2 0.5gm twice weekly aer load equiv/d) VAGIFEM Estradiol 10mcg Vaginal tablets 3mcg E2/d Twice weekly. Load w/ daily for 2 weeks

PROGESTIN (ORAL) AYGESTIN Norethindrone acetate Tablet 5mg (OC uses Daily 1mg, POP uses 0.35mg) PROMETRIUM Progesterone (oral micronized) Capsule 100mg, 200mg, Once daily for HT. 400mg for 2nd 300mg amenorrhea PROVERA MPA (medroxyprogesteone acetate) Tablet 2.5mg, 5mg, Daily for HT. Up to 20mg d x 7 d 10mg then 20mg daily x 21d for DUB MEGACE Megestrol Tablet 20mg, 40mg up to qid for DUB MIRENA IUS Levonorgestrel IUD 5 years (off label for menopausal use)