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Estradot Conti

Treat Menopause With Estradot Conti

Buy your Estradot Conti treatment* online in a few simple steps, without having to see your doctor. Our virtual care service connects you to highly trained clinicians who can assess your health needs and safely prescribe your treatment.

* Includes Free Private Prescription & Consultation
Estradot Conti 30/95
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MEDICAL INFORMATION

Estradot Conti Key Facts

Other known brand names

Evorel Conti

FemSeven Conti

About Estradot Conti

Estradot Conti is a continuous combined HRT containing estradiol (a form of oestrogen) and norethisterone acetate (a progestogen) as the active ingredients. Estradot Conti is used to treat post-menopausal women to relieve symptoms caused by low oestrogen levels.

Estradot Conti helps to reduce common menopausal symptoms such as hot flushes, night sweats, sleep disturbance, mood changes, and vaginal dryness. The progestogen component helps to protect the lining of the womb. This is needed when oestrogen is taken by women who still have a uterus.

Estradot Conti Patches are a prescription-only medication recommended to be used when menopausal symptoms have a significant impact on daily life or when other treatments are unsuitable or not well tolerated.

NowPatient offers Estradot Conti as a treatment for menopause following an online consultation with a clinician.

Key facts of Estradot Conti

  • Used to treat menopausal symptoms such as hot flushes, night sweats, mood changes, and vaginal dryness
  • Applied to dry, intact skin twice a week (every 3 to 4 days)
  • Common side effects include headaches, breast tenderness, nausea, mild skin irritation, or spotting
  • There is a very low risk of blood clots or stroke with the patch
  • You should seek medical advice if you notice leg swelling, chest pain, or any sudden changes in bleeding
  • Avoid applying the patches over cuts, folds, or irritated skin and replace the patch immediately if it falls off

Who is Estradot Conti suitable for?

Estradot Conti is suitable for post-menopausal women who have not had a period for at least 12 months and are experiencing menopausal symptoms such as hot flushes, night sweats, mood changes, or vaginal dryness.

Who is Estradot Conti not suitable for?

Estradot Conti may not be suitable for some people. To make sure it’s safe for you, speak to the NowPatient prescribing clinician before using Estradot Conti if you:

  • Have a history of venous thromboembolism (blood clots)
  • Have had a stroke, heart attack, or other arterial clot disease
  • Have liver disease or abnormal liver function
  • Have any undiagnosed vaginal bleeding
  • Have a history of oestrogen-sensitive cancer, such as breast cancer or cancer of the womb lining

Do not use Estradot Conti patches if you have a condition that is strictly contraindicated for oestrogen-progestogen therapy.

How and where to get Estradot Conti

You can access Estradot Conti safely and securely through NowPatient. You can start a consultation today for free, and if you qualify for treatment, you only pay for the medication. Delivery is made to your home or office from our registered pharmacy.

Our service is certified, safe, and effective, and we only provide treatment for conditions that require clinical assessment. If you book a consultation with a prescribing clinician for the management of menopausal symptoms, you can discuss whether Estradot Conti is a suitable treatment option for you.

At the end of the consultation, the clinician will decide if a treatment plan is appropriate. If it is, the clinician will issue a prescription, which can then be ordered, paid for, and delivered directly to your chosen address by NowPatient.

Dosage and strength for Estradot Conti Patches

Estradot Conti patches are available in 30/95 mcg and 30/140 mcg strengths.

The patch should be applied to dry, intact skin twice a week (every 3 to 4 days). Your prescribing clinician will determine the lowest effective dose to relieve menopausal symptoms and may adjust the dose based on your response and needs.

What happens if you use too many Estradot Conti Patches?

Using more than the prescribed amount of the Estradot Conti patches will not improve menopausal symptoms faster and may increase the risk of side effects, such as breast tenderness, nausea, headache, or irregular bleeding.

If you accidentally apply more than the recommended dose, remove the extra patch and contact your prescribing clinician for advice. Seek urgent medical attention by ringing 999 or NHS 111 if you experience severe symptoms, such as swelling, chest pain, or sudden shortness of breath.

What are the side effects of Estradot Conti?

Common side effects:

  • Headache
  • Breast tenderness or pain
  • Nausea
  • Mood changes
  • Irregular vaginal bleeding or spotting (usually in the first few months)
  • Skin irritation or redness where the patch is applied

Serious side effects:

  • Pain, swelling, or redness in one leg. Can be a sign of a blood clot (DVT)
  • Chest pain or breathlessness. Could indicate a clot in the lungs or heart issue
  • Sudden weakness, numbness, or slurred speech. Possible stroke
  • Changes in vaginal bleeding after months of use. May signal a more serious condition
  • Breast lumps or changes. Could be a sign of breast cancer, continue regular screening

Common side effects will improve over time and serious side effects are rare. If you do experience any serious side effects, contact NHS 111.

If you experience a serious allergic reaction with the following signs, call 999 immediately:

  • Swelling of lips, tongue, throat, or face
  • Difficulty breathing, wheezing, or tight throat
  • Skin turning blue, grey, or very pale, or sudden dizziness/confusion
  • Fainting or inability to wake someone up

Always report adverse effects to the MHRA Yellow Card reporting system. You can read more about this here: How and where do I report side effects of my medication?

Information about using Estradot Conti with other medications

Using Estradot Conti alongside certain other medicines may affect how it works or increase the risk of side effects. This includes:

  • Drugs that induce drug‑metabolising enzymes such as phenobarbital, phenytoin, and carbamazepine. These may increase the metabolism of oestrogens and progestogens, potentially reducing their effects
  • Certain anti-infective medicines such as rifampicin or rifabutin and some HIV medicines, such as nevirapine and efavirenz, which may also reduce hormone levels
  • Some strong CYP3A4 inhibitors, such as ketoconazole or erythromycin which can increase exposure to estradiol
  • Herbal preparations like St John’s wort may increase your metabolism, lowering hormone levels
  • Caution is advised when taking estradiol with cyclosporine, as it may increase cyclosporine levels
  • Certain lab tests such as thyroid function or glucose tolerance tests may be affected by oestrogen therapy

Always let your prescribing clinician know about all the medications, supplements, or herbal remedies you are taking before starting Estradot Conti, so they can make sure it is safe for you to take.

Why Estradot Conti Patches might not work as well for some people

  • The hormones (estradiol and norethisterone) in the patches may be metabolised faster in some individuals due to enzyme induction, causing its effects to be reduced
  • Hormone levels delivered may be lower than expected due to poor skin absorption if the patch is applied to irritated or compromised skin
  • Some medicines such as certain anticonvulsants, or anti‑infective drugs can increase the breakdown of the hormones, leading to reduced effectiveness

Can Estradot Conti Patches be used long term?

Estradot Conti Patches can be used for long-term management of menopausal symptoms, but treatment should be at the lowest effective dose and reviewed regularly by a healthcare professional. Duration of therapy should be based on individual needs, balancing symptom relief with any potential risks, and ongoing assessment is recommended.

How to store Estradot Conti Patches

  • Keep Estradot Conti Patches out of the sight and reach of children
  • Do not use this medicine after the expiry date shown on the carton or blister (marked as “EXP”). The expiry date refers to the last day of that month
  • Store the patch below 25°C in its original packaging to protect it from moisture and light
  • Do not dispose of used or unused patches in wastewater or household waste. Speak to your pharmacist on how to safely dispose of the patches

Is there a herbal Estradot Conti?

No. There is no herbal version of Estradot Conti available. Any product marketed as a “herbal” Estradot Conti may be counterfeit or unsafe, and should not be used.

Should I avoid any particular food or drink when using Estradot Conti Patches?

You can eat and drink normally while using Estradot Conti Patches. There are no specific foods or drinks that need to be avoided, and a normal diet does not affect how the patches work.

What lifestyle changes can help with menopausal symptoms?

Certain lifestyle changes can help reduce menopausal symptoms alongside Estradot Conti Patches:

  • Maintain a balanced diet and regular meals
  • Engage in regular physical activity, including aerobic and strength exercises
  • Practice stress management techniques, such as mindfulness or relaxation exercises
  • Maintain a healthy weight, as this can help reduce hot flushes and night sweats
  • Avoid triggers that worsen symptoms, such as excessive caffeine, alcohol, or spicy foods
  • Maintain a cool sleeping environment and wear breathable clothing to reduce night sweats

Alternatives to Estradot Conti Patches

  • Evorel Conti patches: A continuous HRT patch containing estradiol and norethisterone acetate
  • FemSeven Conti patches: These patches contain estradiol with another type of progestogen (levonorgestrel)
  • Estradiol-only patches or gels with separate progestogen such as, estradiol patches (Estradot mono) with added oral norethisterone or progestogen

Your prescribing clinician can help you decide the most appropriate alternative based on your individual clinical needs and risk profile.

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.

HELPING MAKE MEDICINES SAFER

Report Side Effects to UK MHRA Yellow Card or US FDA MedWatch

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Service Guide

Everything You Need to Know About Getting Treated Privately With Estradot Conti

What does the Get Treated Privately service for Estradot Conti do?

The Get Treated Privately service is a private prescribing service which is designed for adults aged 18 years and over, who are experiencing health issues and who would like to receive a fast-track assessment and if applicable, a treatment plan from a qualified prescribing clinician. Treatments for Estradot Conti are dispensed and delivered to your home or workplace from our regulated online pharmacy.

Is this a safe Estradot Conti prescribing service?

Yes. Our formulary of medications prescribed and conditions treated are controlled, governed, and continuously risk-assessed by our Medical Director, Dr Ihtesham Sabri. Unlike other prescribing services which operate using faceless questionnaires, our Estradot Conti prescribing service is conducted through remote video consultations, also known as synchronous consultations. This builds patient safety and prescribing appropriateness into our service, ensuring our prescribing clinicians can be satisfied with who and what they are treating. There is no guarantee of supply of medications, and any prescriptions supplied are at the sole discretion of our clinician prescriber. There is no charge for the Estradot Conti consultation.

What is a prescribing clinician and is it safe for me to use them on the NowPatient platform?

Our prescribing clinicians are board-certified pharmacists, nurses, or doctors who can also prescribe any medicine for any medical condition, subject to accepted accreditation and good clinical practice. They are all registered with their respective regulatory bodies. For example, a pharmacist independent prescriber is registered with the General Pharmaceutical Council (GPhC). Each prescribing clinician undergoes an extensive background check including a disclosure and barring service check (DBS). In addition, they undergo a rigorous license verification process. When you book an appointment with our prescribing clinicians you will see their full name, license number, and any specialized credentials they have.

Is the service available worldwide?

Yes, you can get treated privately for Estradot Conti worldwide.

Do I need to pay for this service?

Yes. This is a private service. You do not need to pay for the consultation. You only pay for the cost of the Estradot Conti you are prescribed.

How do I book a consultation?

Once you have logged into your account, you will need to navigate to the Get Treated Privately service card which is located as a service item on the dashboard.

Using the action button on the service card, you can select one of the following – ‘Search Treatments’ or ‘Search Conditions’. From here you can search for Estradot Conti.

Depending on the search type and the product/condition that you would like to get treated, you will be taken to a consultation booking screen. Follow the simple steps to complete your booking. During the booking confirmation, you will be able to select a date and time that is convenient for you, along with the preferred language and gender of the prescribing clinician you wish to choose. You will then see a list of all available expert clinicians who are trained to assess the medication or condition chosen. Once you have confirmed your booking, you will see a summary of the appointment including preliminary information about the consultation. At this point, you will also be able to add a reminder to your calendar. Always ensure your account health profile is up to date before any consultation. This ensures that our clinicians have the most up-to-date information about your current health status and anything that may influence their prescribing decisions. You will receive a push notification, SMS notification and email reminding you of your consultation, 30 minutes before the virtual consultation is due to start.

Depending on certain medications which require our clinicians to have your up-to-date blood pressure readings, you may be required to submit a virtual blood pressure check, using your smartphone or device. We will provide you with full instructions, when this is required.

What happens during the remote video consultation?

During the consultation, the clinician will ask you a series of questions that will allow the clinician to assess your condition and potential treatment options including Estradot Conti. At the end of the consultation, the clinician will decide if Estradot Conti is a safe and suitable option for you.

If it is, the clinician will discuss the treatment option, so that you can jointly agree on the treatment plan. Once you have jointly agreed on a treatment plan, the clinician will issue a prescription for Estradot Conti which will be available in your Cart at the end of the consultation.

Also, with your consent, the clinician may wish to inform your doctor of the treatment that was prescribed. We recommend that you agree to this since your doctor is responsible for your overall care and they should have a record of this consultation and medication prescribed. In addition, our clinician may take the opportunity to advise you on your overall health including advice on healthy living or stop smoking.

What happens at the end of the Estradot Conti consultation?

At the end of the consultation, you will receive a notification which will summarise the outcome. It will also advise you if any referrals were made to your doctor, along with any other advice that was given to you by the clinician.

If a referral letter was issued to your doctor, you will be able to view a copy of this in the ‘Documents’ section of the dashboard.

If you were prescribed a treatment, it will now be available in your Cart.

When you go to your Cart, you will be able to select the treatment, checkout and make payment. Once the checkout is complete, your prescription order will be sent to our regulated online pharmacy for processing.

What if the prescriber does not prescribe Estradot Conti?

We operate a safe prescribing service. This means that our prescribing clinicians always exercise their clinical judgment when prescribing . Unfortunately, we do not operate a self select service where you can choose a medication and simply buy. If the clinician that sees you does not prescribe anything, then you will not be charged.

Will I get status updates for my Estradot Conti order?

Yes. When your Estradot Conti prescription is approved, and after you have checked out and paid for your order, we will keep you fully updated with the status of your order. Every time the status of your order changes, you will be notified immediately. These notifications will appear in the ‘Notification Feed’ section on the dashboard.

How will my Estradot Conti be delivered?

All orders are shipped in discreet and unmarked packaging. This means it is suitable for delivery wherever you require (home, work, or a neighbour).

For thermo-sensitive orders (e.g. Insulin or weight loss injections) we use cold chain-validated packaging. Your parcel will normally receive an estimated delivery window from the courier on the day of delivery.

For your protection and safety, your first order can only be delivered to the address that is registered with NowPatient. Future orders can be delivered to any other address, for example, your workplace.

Do you ship cold-chain or temperature sensitive products?

Yes. We use a specialist courier service for all thermo-sensitive deliveries. This is to ensure that cold chain integrity is always maintained and thus the product quality, safety and efficacy.

Learn more about how we handle the delivery of temperature sensitive products.

Where do you deliver?

We currently deliver to all postcodes/zipcodes worldwide. Some postcodes in rural areas may have a slightly longer delivery time.

When will my order arrive?

We aim to ship all orders placed Monday – Friday before 3pm on the same day. Orders placed outside these times will be shipped the next working day. All deliveries are shipped by Royal Mail, which delivers Monday through Saturday in the UK. For deliveries outside of the UK, please check with your national postal service for accurate delivery days.

Our delivery options have the following delivery times:

  • UK – Royal Mail Tracked 24 & Signed for Delivery – Next day delivery
  • Europe – Royal Mail Tracked – Typical delivery of 3-5 working days
  • Worldwide – Royal Mail – Typical delivery of 5-7 working days. If a tracked option is available for your country via Royal Mail, this service will be applied.

What should I do if my order has not arrived?

Delivery is normally made promptly after your dispatch notification is received. You can check the tracking details of your Estradot Conti order in the ‘Notification Feed’ section of the dashboard, at any point after dispatch.

Unfortunately, packages can sometimes get lost in the delivery system. If after 10 days you have not received your delivery, please contact us and we will do all we can to resolve the problem.

Can you prescribe GLP-1 weight loss injections?

Yes. However, with GLP-1 weight loss medications, the license requires that there are support resources put in place as part of the plan including coaching for a healthy lifestyle, exercise, and diet. Our clinicians will discuss this with you, if you are prescribed this type of treatment.

You can learn more on our Weight Loss Programs feature page.

What’s included with my order?

If you are ordering prescription medication, your order will contain your medication only.

If you are ordering weight loss injections, your order will contain:

  • Your prescription of pre-filled weight loss injection pens
  • Needles
  • Sharps bin for safe disposal of needles (if ordered as part of the bundle)

Can I reorder my medication, if I have already been prescribed a course?

Yes. However, as a responsible prescribing service, we do not issue more than one monthly cycle of medication at a time.

This means that, if you would like to reorder, you will need to rebook a consultation.

This is important, because it allows our clinicians to keep track on the progress of your treatment plan and ensure that the medication remains safe and effective for you.

What is the earliest I can reorder my medication or treatment?

14 days after you have received your first monthly supply of Estradot Conti, we will send you a notification to advise you that you are eligible to reorder your medication. To ensure that we are able to safely prescribe Estradot Conti for the next supply, you will need to rebook a consultation.

This ensures that our clinician can check in on your treatment plan and ensure it is working as intended and continues to be safe, suitable and appropriate for you.

How do I reorder my Estradot Conti?

When you are eligible to reorder your next Estradot Conti prescription, we will send you a notification reminder. This notification reminder will request that you book a consultation with a NowPatient Clinician.

You should book a suitable time and date for the consultation.

At the end of the consultation, the clinician may advise you to either

  • Stop the treatment
  • Stay on the current dose of Estradot Conti
  • Increase the dose of Estradot Conti

If our clinician deems it safe for you to continue with Estradot Conti, the prescription will be added to your cart, from where you can checkout.

Delivery will be made in line with our delivery timescales.

As a responsible prescribing service, we will always monitor your Estradot Conti treatment plan to ensure that it remains safe, effective and suitable for you.

How do I reorder weight loss medication?

Our weight loss programs are built to closely monitor treatment progress and safety. Please refer to the Weight Loss Programs Service Guide that explains how you can reorder or step edit your dose.