Used for Birth Control

View estradiol/levonorgestrel savings options available to you including Manufacturer Coupons, Rx Advantage Savings Card, Canadian Prescription Savings or estradiol/levonorgestrel Patient Assistance Program.

Programs are suitable for individuals who want to buy estradiol/levonorgestrel without insurance, with insurance or for those who are underinsured. You can pay as little as $0 per fill.*

Manufactured by various FDA-approved generic manufacturers.

*Applicable to Drug Coupons & Patient Assistance Programs

This content is intended for US audiences only

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Updated on 24 Apr 2024

Learn more about estradiol/levonorgestrel

What dosages is estradiol/levonorgestrel available in?

What dosages is estradiol/levonorgestrel available in?

estradiol/levonorgestrel is available as a transdermal system that contains 0.045 mg/day estradiol and 0.015 mg/day levonorgestrel.

What is estradiol/levonorgestrel used for?

What is estradiol/levonorgestrel used for?

estradiol/levonorgestrel is an estrogen replacement/progestin that is used in women who have gone through menopause with a healthy uterus for the:

  • Treatment of moderate-to-severe menopausal symptoms (e.g., hot flashes, night sweats)
  • Prevention of osteoporosis
How does estradiol/levonorgestrel work?

How does estradiol/levonorgestrel work?

estradiol/levonorgestrel is a combination of two medications that act as natural hormones to balance the hormonal changes your body goes through during and after menopause.

  • Estradiol is an estrogen replacement. By providing your body with a form of estrogen, estradiol relieves menopausal symptoms caused by low estrogen, such as hot flashes and night sweats. In addition, estrogen and estradiol prevent bone loss and make bone stronger
  • Levonorgestrel is a progestin. It acts like progesterone and helps balance the effect of estrogen on the growth of your uterine lining
How do I take estradiol/levonorgestrel?

How do I take estradiol/levonorgestrel?

Apply 1 patch to your lower stomach once a week on the same day of the week. Each patch gives you 0.045 mg of estradiol and 0.015 mg of levonorgestrel a day.

Is it safe for me to take estradiol/levonorgestrel?

Is it safe for me to take estradiol/levonorgestrel?

estradiol/levonorgestrel is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication in the following:

  • Undiagnosed abnormal genital bleeding
  • Breast cancer or a history of breast cancer
  • Estrogen-dependent neoplasia
  • Active DVT, PE or a history of these conditions
  • Active arterial thromboembolic disease (for example, stroke and MI), or a history of these conditions
  • Known anaphylactic reaction or angioedema or hypersensitivity to estradiol/levonorgestrel
  • Hepatic impairment or disease
  • Protein C, protein S, or antithrombin deficiency, or other thrombophilic disorders
estradiol/levonorgestrel Common Side Effects

estradiol/levonorgestrel Common Side Effects

Common side effects of estradiol/levonorgestrel:

  • Application site reaction
  • Vaginal bleeding
  • Breast pain
  • Sore throat, runny nose, nasal congestion, or cough
  • Depression
  • Back pain
  • General pain
  • Headache
  • Flu-like symptoms
estradiol/levonorgestrel Serious Side Effects

estradiol/levonorgestrel Serious Side Effects

Serious side effects are rare with estradiol/levonorgestrel. Contact your healthcare provider immediately if you experience any of the following.

  • Blood clots: trouble breathing, leg pain or swelling, skin that’s warm to the touch
  • Heart attack: chest pain, arm pain, shortness of breath, cold sweat, lightheadedness
  • Stroke: sudden weakness on one side of your body, drooping face, changes in your speech or vision, confusion, headache
Effects of other drugs, drug classes and over-the-counter products on estradiol/levonorgestrel

Effects of other drugs, drug classes and over-the-counter products on estradiol/levonorgestrel

The following medications may interact with estradiol/levonorgestrel:

  • Inducers and/or inhibitors of CYP3A4 may affect estrogen drug metabolism and decrease or increase the estrogen plasma concentration
  • Hydroxylation of levonorgestrel may interact with inhibitors of CYP3A
  • CYP2E and CYP2C and decrease the therapeutic effects.
Who makes estradiol/levonorgestrel?

Who makes estradiol/levonorgestrel?

Various FDA-approved generic manufacturers

Is estradiol/levonorgestrel safe in pregnancy?

Is estradiol/levonorgestrel safe in pregnancy?

estradiol/levonorgestrel is not indicated for use in pregnancy.


What to do if you missed your estradiol/levonorgestrel dose

The FDA's medical product safety reporting program for health professionals, patients and consumers.

Learn more about reporting side effects
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Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

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