Lancashire and South Cumbria
Formulary
 
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6 Endocrine system
06-04-01-01 Oestrogens and HRT

Information is providided on the available preparations. The choice of preparation (tablet,
patch, gel) remains with the prescriber, taking into consideration patient preference and cost effectiveness.


Combined continuous HRT patch
Formulary

Evorel Conti and FemSeven Conti

The suitability of patches may be considered following discussions about safety, efficacy and other patient factors (e.g. comorbidities, adherence).

Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

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Combined continuous HRT tablet Femoston Conti
Formulary
Tablets Estradiol 1mg/Dygesterone 5mg

Combined therapy for women with uterus or endometriosis post hysterectomy
Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

Green View adult BNF  View SPC online  View childrens BNF
Combined cyclical HRT patch
Formulary

The suitability of patches may be considered following discussions about safety, efficacy and other patient factors (e.g. comorbidities, adherence).

Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

Green View adult BNF  View SPC online  View childrens BNF
Combined cyclical HRT tablet
Formulary
Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

Green View adult BNF  View SPC online  View childrens BNF
Estradiol / progesterone  Bijuve
Formulary

Bijuve® is an alternative when other HRT treatments have not been tolerated or when Femoston-Conti® is being considered OR
> Bijuve replaces HRT regimens where separate oestrogen and micronised progesterone are used (single hormone products used in combination are more expensive than Bijuve®).

Link  LSCMMG: Estradiol / micronised progesterone (Bijuve) NMR
Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

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Oestrogen only HRT implant Estradiol
Formulary

Implant 50mg

For patients who cannot tolerate other formulations.

Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

Red View adult BNF  View SPC online  View childrens BNF
Oestrogen only HRT patch Evorel
Formulary

Patch 25 & 50micrograms/24hours twice weekly patch

Oestrogen only for women without a uterus.

The suitability of patches may be considered following discussions about safety, efficacy and other patient factors (e.g. comorbidities, adherence).

Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

Green View adult BNF  View SPC online  View childrens BNF
Oestrogen only HRT tablet Elleste-Solo
Formulary

Tablets 1mg, 2mg

Oestrogen only for women without a uterus

Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

Green View adult BNF  View SPC online  View childrens BNF
Tibolone Livial®
Formulary
Link  MHRA: Hormone replacement therapy (HRT): further information on the known increased risk of breast cancer with HRT and its persistence after stopping

Green View adult BNF  View SPC online  View childrens BNF