Buy Elleste Duet online with free consultation & prescription

Book a quick face-to-face video consultation with a UK certified prescribing pharmacist, nurse, or doctor. If approved, your Elleste Duet will be prescribed* and delivered straight to your door with next working day tracked delivery†. Avoid GP waiting lists. No delays. Just expert care.

Elleste Duet is indicated for the treatment of Menopause.

*Includes Free Private Prescription & Consultation.

†Applies to UK only.

Manufactured by Mylan.

Elleste Duet packaging which is available to order online from NowPatient with free next day delivery
Excellent4.9 out of 5Trustpilot
Elleste Duet packaging which is available to order online from NowPatient with free next day delivery

Elleste Duet

Elleste Duet doses and pack sizes

*Your clinician will recommend the right strength and quantity for you during the consultation.

Treatment£30.89
Shipping£5.94
Total if approved£36.83

How it works

Fast, simple booking with a certified prescribing clinician

If approved, get your treatment prescription

Get free next-day delivery straight to your door

No hidden fees. No delays.

Similar treatments

Elleste Duet alternatives

Order online

Elleste Duet prices

Brand/GenericFormDosageQuantityPriceDelivery CostConsultation Cost
Elleste DuetBrandTablets1mg84£30.89£0.00*(with Core+ Plan)£0.00
Elleste DuetBrandTablets2mg84£31.89£0.00*(with Core+ Plan)£0.00

FAQs

Answers to popular questions about Elleste Duet

What is Elleste Duet?

Elleste Duet is a combined sequential HRT product containing oestradiol and norethisterone acetate. It is available as Elleste Duet 1 mg (1 mg oestradiol + 1 mg norethisterone) and Elleste Duet 2 mg (2 mg oestradiol + 1 mg norethisterone). The pack contains 16 white oestrogen-only tablets followed by 12 green combined (oestrogen + progestogen) tablets. It is used for menopausal symptom relief in women with an intact uterus who are perimenopausal or within 12 months of their last period.

How does Elleste Duet work?

Elleste Duet provides oestradiol continuously to relieve menopausal symptoms, with norethisterone added for 12 days each cycle to protect the womb lining (endometrium) from the thickening effect of unopposed oestrogen. This sequential pattern produces a predictable monthly withdrawal bleed, similar to a period, during or after the progestogen phase. This is the standard approach for women who are still having some periods (perimenopausal) or have been menopausal for less than 12 months.

What is the difference between Elleste Duet and Elleste Solo?

Elleste Solo contains oestradiol only and is intended for women who have had a hysterectomy. Elleste Duet combines oestradiol with norethisterone (a progestogen) and is intended for women with an intact uterus, as the progestogen protects the womb lining. If you still have your womb, you need a combined HRT product or must add a separate progestogen to oestrogen-only HRT.

How do I take Elleste Duet?

Take one tablet daily at the same time. Start with the 16 white (oestrogen-only) tablets, then take the 12 green (oestrogen + progestogen) tablets. After finishing the 28-tablet pack, start a new pack immediately without a break. A withdrawal bleed usually occurs during or just after the green tablet phase. Take the tablets in the correct order as marked on the pack.

When should I switch to continuous combined HRT?

Sequential HRT (like Elleste Duet) produces a monthly withdrawal bleed. Once you have been postmenopausal for at least 12 months, your prescriber may recommend switching to a continuous combined HRT (such as Kliofem or Kliovance), which aims to be bleed-free. Switching too early may cause irregular breakthrough bleeding. Your prescriber will advise on the optimal timing.

What are the side effects of Elleste Duet?

Common side effects include breast tenderness, headaches, nausea, bloating, and mood changes. The progestogen phase (green tablets) may cause PMS-like symptoms including mood changes, bloating, and breast tenderness. Breakthrough bleeding outside the expected withdrawal bleed may occur in the first 3 months. Leg cramps and skin reactions are uncommon.

What are the risks of Elleste Duet?

Combined HRT (oestrogen + progestogen) is associated with a small increased risk of breast cancer with use beyond 5 years. The risk increases with duration and returns to baseline within a few years of stopping. Oral HRT carries a small increased VTE risk. Transdermal oestrogen with micronised progesterone (Utrogestan) may offer a lower-risk profile. Your prescriber will discuss your individual risk-benefit balance.

Is Elleste Duet body-identical HRT?

Elleste Duet contains body-identical oestradiol (17β-estradiol, identical to the oestrogen produced by the ovary), but the progestogen component (norethisterone acetate) is a synthetic progestogen, not body-identical progesterone. For a fully body-identical regimen, some prescribers recommend oestradiol (tablets, patches, or gel) combined with micronised progesterone (Utrogestan). Discuss your preferences with your prescriber.

How can I get Elleste Duet?

Elleste Duet is available on NHS prescription from your GP, menopause clinic, or through online services like NowPatient. Your prescriber will determine whether sequential or continuous HRT is appropriate based on your menopausal stage. NowPatient offers online consultations and home delivery.

Related articles

Your health shouldn’t wait.

Consultations, prescriptions, medication delivery, health monitoring – all in one place.

Rated excellent on Trustpilot

Wow! Excellent customer service. I submitted an email query, had a call…

Alison Hurst

I do not leave reviews, due to time and a rare condition I have. I…

Sherry M

Great experience getting the med. Clinician was very thorough.

Barbara Hill

Cannot speak highly enough of the service and assistance I have…

CJH

Very good experience - the clinician asked intelligent questions about…

Phil Daoust

Really excellent. Very thorough and professional pharmacist who guided…

Colin Glass

Excellent4.9 out of 5Trustpilot

Meet our medical team

We are a broad skilled and passionate group of clinicians with experience of operating in regulated health systems in the United Kingdom & United States. Providing excellent care and advice is at the heart of everything we do.