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[Dazl20]

Help… doctor changed me from
Evorel sequi patches to estraderm mx patch and provera tablets. Only been on them
A week and had a meltdown at weekend. Haven’t been like this since pre-hrt. Would the change in my prescription cause this or would it just be I’ve had a really crap day? Other patches were working away fine but apparently now I’ve been on for 18 months I don’t need the combined patch.

[Dotty]

If the other patches were working fine then there’s no need to change .

[NightNurse]

Agree - if it's working, why change? What was the discussion with your healthcare professional and what did they say were the expected benefits of this change? Was it simply a supply issue? Not all patches are the same in structure and absorption even though the same dose so this may be something to consider.

[sheila99]

You can stay on sequi forever if you choose to do so (slightly higher risk of endometrial cancer) but 18 months in it's unlikely you're meno so although you can try conti there's no need to. And if you want conti why wouldn't you use evoorel conti as you know you tolerate it well? I don't see the point in changing unless you need to increase oestrogen too?

[Dazl20]

I had a menopause check by the nurse who asked how things were I said yep all symptoms under control, sometimes get a bit angry but it’s like PMT. She said she would refer me to the doctor, when I saw her she just said she was changing onto the estradem mx 75 patch and provera tablet. It not been on it a week and seriously could’ve been hospitalised I was off the scale crazy. 😰😰 would this happen after only a week? 😢

[sheila99]

Probably something in either estraderm or provera you don't get on with. And perhaps the dose is too high as your symptoms were under control on the lower dose. Assuming you still have cycle of your own pmt symptoms wouldn't be unexpected. Perhaps it would be better to go back to evorel sequi? If there comes a time when you need to increase the dose it might be better to use a higher strength evorel patch and perhaps try utrogestan rather than provera.

[Dazl20]

I think I’ll just go back on what I know worked. I have around 6 months supply so I’ll try get docs appointment and tell them I had to go back to Evorel. Thanks guys for taking the time to reply. I am so grateful

[CLKD]

Bounced

[bombsh3ll]

I can't believe anyone is still prescribing provera for routine use in MHT!

Why not the evorel conti patch if that formulation is well tolerated and you are just changing from cyclic to continuous?