EVOREL SEQUI ®
Treatment options
Buy EVOREL SEQUI ® safely, securely and easily in a few simple steps. Start a consultation today to check your eligibility with a prescribing clinician, at no cost to you.
This content is intended for UK audiences only
£NaN
Only £ per Pack
What to do if you missed your EVOREL SEQUI ® dose
The MHRA's reporting program for suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to the Medicines and Healthcare products Regulatory Agency to ensure safe and effective use.
Learn more about reporting side effectsOther known brand names
Estraderm, Estradot
About Evorel Sequi patches
Evorel Sequi patches are classed as a sequential hormone replacement therapy (HRT) used to treat the symptoms of menopause. Evorel Sequi contains two types of patches, Evorel 50 which contains the sex hormone estradiol (an oestrogen), and Evorel Conti patches which contain estradiol and norethisterone (a progesterone). Evorel Sequi patches are normally used in postmenopausal women who have not had a period in the last 18 months.
If only oestrogen levels are increased during HRT treatment, the endometrium would grow excessively, causing an increased risk of endometrial cancer. This is why Evorel Sequi patches (which contains a progestogen) are used for the second half of the treatment cycle.
Evorel Sequi helps to treat menopausal symptoms such as:
- Osteoporosis
- Hot flushes, night sweats
- Depression, mood swings
- Sleep problems
- Vaginal dryness
Now Patient offers Evorel Sequi patches as a treatment for HRT only, following an online consultation with a prescribing clinician.
Key facts of Evorel Sequi
- For the treatment of HRT
- Evorel Sequi has some common side effects which include nausea and headaches
- Evorel Sequi will not prevent pregnancy in otherwise fertile women
- Do not use a hormonal contraceptive when treated with a HRT
- It can be dangerous if you use Evorel Sequi with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
Who is Evorel Sequi not suitable for?
Evorel Sequi may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before using Evorel Sequi if you:
- Are allergic to the active ingredients estradiol or norethisterone acetate
- Have ever had breast cancer
- Have cancer sensitive to oestrogen
- Have untreated endometrial hyperplasia (an excessively thick womb lining)
- Suffer from a blood clots
- Suffer from porphyria
- Have had a heart attack, angina, stroke, or high blood pressure
- Have unusual vaginal bleeding
- Have liver disease or any other liver problems
- Are pregnant or breastfeeding
- Have fibroids
- Have uterine problems such as endometriosis or endometrial hyperplasia
- Have diabetes
- Suffer from migraines
- Have gallbladder disease
- Have asthma
- Have epilepsy
- Have fluid retention
- Have high cholesterol levels in the blood
- Are obese
- Have a hereditary ear disorder
How and where to get Evorel Sequi?
Evorel Sequi patches are available with a prescription only. It is not available over the counter at a pharmacy.
Now Patient does not allow customers to buy Evorel Sequi patches directly. Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of HRT, you can discuss if Evorel Sequi is a suitable treatment option for you.
At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by Now Patient.
Dosage and strength for Evorel Sequi patches for HRT
Evorel Sequi contains 8 patches. 4 Evorel 50 and 4 Evorel Conti patches.
- Evorel 50 patches contain 3.2mg estradiol hemihydrate
- Evorel Conti patches contain 3.2mg estradiol hemihydrate and 11.2mg norethisterone acetate
Information about how to use Evorel Sequi for HRT
The Evorel Sequi patch should be applied to a clean and dry area of skin. You may choose to apply the patch to your thighs or bottom. The patch must be changed twice a week, on the same two days each week. You should not apply the new patch to the same area of skin and do not apply the patch around your breasts. Read the patient information leaflet provided or speak to a healthcare professional for further information.
What happens if you use too much Evorel Sequi?
If you use more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have used too much Evorel Sequi and you experience any of the following side effects:
What are the side effects of Evorel Sequi?
Side effects of Evorel Sequi are split into common and serious.
Common side effects include:
- Nausea
- Headache, dizziness
- Breast tenderness, breast pain
- Change in sex drive
- Anxiety, insomnia
- Stomach pain, indigestion, flatulence, diarrhoea
- Breakthrough bleeding
- Acne, skin irritation, rash
- Vaginal discharge
- Fluid retention, weight gain, bloating
Serious side effects include:
- Blood clots
- Stroke
- Heart disease – chest pain passing into the neck or arm
- Liver disease – jaundice (yellowing of the skin or eyes), abdominal pain
If you experience any serious side effects, you should contact NHS 111.
If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.
- Your lips, mouth, throat or tongue suddenly become swollen
- You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
- Your throat feels tight or you’re struggling to swallow
- Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
- You suddenly become very confused, drowsy or dizzy
- Someone faints and cannot be woken 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? – NowPatient
Information about using Evorel Sequi at the same time as other medications or herbal supplements
There is not enough evidence to suggest there are any drug interactions between herbal supplements and Evorel Sequi. In any event, you should let your prescribing clinician know if you are taking any herbal supplements or other prescription drugs, such as:
- Phenytoin or carbamazepine
- Rifampicin
- Ritonavir or nelfinavir
- Warfarin
- St John’s Wort
Can Evorel Sequi used for HRT be used long term?
HRT should only be used as a short-term treatment for the menopause. Women who use HRT for more than 5 years may be at an increased risk of ovarian cancer. Speak to your GP to review your treatment at least once each year and have regular checkups.
Is there a herbal Evorel Sequi?
No. Herbal Evorel Sequi does not exist. If you have been marketed such a formulation, it may be fake.
Should I avoid any particular food or drink when using Evorel Sequi?
You can eat and drink normally when using Evorel Sequi.
What lifestyle changes can I make to help me with HRT?
You modify your lifestyle in a number of ways, and this may have a positive impact on your symptoms:
- Using a fan
- Cool showers
- Light clothing
- Lubricants
- Healthy diet
- Regular exercise
- Quit smoking
Alternatives to Evorel Sequi
Alternative HRT patches include Estaderm, Estradot and Evorel Conti patches.
Sources
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 in 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.
Important Information
What is the difference between Evorel and Evorel Sequi?
What are the side effects of Evorel Sequi patches?
Is Evorel Sequi used for perimenopause?
What is the best menopause patch?
How much does Evorel Sequi cost?
What is the highest Evorel patch?
When should I switch from Evorel Sequi to Conti?
How does Evorel Sequi make you feel?
Can I drink alcohol on Evorel Sequi patches?
What does the first week of HRT feel like?
Can HRT patches make you feel worse at first?
Can Evorel Sequi upset your stomach?
How fast do Evorel patches work?
Where is the best place to put Evorel patches?
Do you still get periods on Evorel Sequi?
How good is Evorel Sequi patches?
Should I have a period on Evorel?
Can Evorel Sequi cause anxiety?
Do you bleed every month on HRT patches?
What are the signs HRT is not working?
Do I have to wait for period to start HRT?
Do Evorel Sequi patches cause bloating?
Can you still have periods on continuous HRT?
Why am I still having periods on HRT patches?
Which is better HRT patches or gel?
Do I need a stronger HRT patch?
Why am I putting on weight with HRT?
How long do Evorel Sequi patches take to work?
What are the first signs that HRT is working?
How long do you bleed on Evorel Sequi?
Do you always bleed on Evorel Sequi?
How good are Evorel Sequi patches?
What foods should you avoid while on HRT?
Are there different strengths of Evorel Sequi?
Does HRT give you more energy?
Where is the best place to put the Evorel patch?
Can you feel sick on Evorel Sequi patches?
Does alcohol affect HRT patches?
What is NowPatient
Telehealth and Online Pharmacy
NowPatient is a licensed online pharmacy and doctor service that is available around the world. Our service is FREE and packed with valuable features that can benefit your health such as medication reminders, educational blogs, medically approved symptoms checker, UK NHS online pharmacy, private treatment plans, Rx Advantage card, health conditions information, affordable medications options, genetic testing, home test kits, health risks, pollen meter, air quality monitor, weight loss plans, drug savings programs and lots more!
WHY WE BUILT NOWPATIENT
To improve the lives of everyone by making high-quality care accessible and convenient
We are here to improve lives. Our service gives you access to smart features and resources that can help empower you to take control of your health and improve your health outcomes. All this, in one place, for FREE. We strive to bring a fresh perspective to managing health. NowPatient can be accessed by downloading the App or using your web browser.
Download our app today
Can I trust NowPatient
Meet our medical team
We are a passionate group of clinicians and medical writers covering a broad range of specialities with experience operating in health systems in the United Kingdom & United States. Providing excellent care and advice is at the heart of everything we do. You can read more about our medical team by visiting the medical team page or learn more about how we curate content by visiting our editorial process