Description
Estalis is a prescription medication that treats menopausal symptoms in women. It is a combination of two hormones, estradiol and norethindrone acetate, which help replace the hormones the body stops making during and after menopause.
Estradiol is a synthetic estrogen replacement, and norethindrone is a synthetic progesterone.
Fact Table |
Formula |
C22H28O3.C18H24O2 |
License |
US DailyMed |
Bioavailability |
50% - 100% |
Legal status |
Rx-Only |
Chemical Name |
Estradiol/norethisterone acetate |
Elimination half-life |
12-14 hours |
Dosage (Strength) |
LD 0.5/0.1mg 3 months, LD 1.0/0.5mg 1 month, 1.0/0.5mg 3 months |
Pregnancy |
Consult Doctor |
Brands |
Estalis |
Protein binding |
37- 61% |
PubChem CID |
none |
MedlinePlus |
a601041 |
ChEBI |
- |
ATC code |
G03FA01 |
DrugBank |
- |
KEGG |
- |
Routes of administration |
By mouth |
Directions
Estalis is a patch that is applied to the skin. Your doctor determines the dose based on your needs and treatment response.
The dosage forms include:
- Estalis 140/50
- Estalis 250/50
Estalis patches are typically applied twice a week, and the patch should be left on the skin for 3-4 days of the seven-day cycle. Alternate application sites each time.
Ingredients
The active ingredients in Estalis are estradiol and norethindrone acetate.
Interactions
Common interactions with Estalis may include the following:
- Anastrozole
- Cosyntropin
- Dehydroepiandrosterone
- Exemestane
- Fexinidazole
- Fusidic Acid (Systemic)
- Growth Hormone Analogs
- Hemin
- MetyraPONE
- Ospemifene
Cautions
Do not use Estalis if you have a history of breast cancer, blood clots, or liver disease. The medication can increase the risk of these conditions.
Tell your doctor if you experience any side effects while using Estalis, including breast lumps, unusual vaginal bleeding, or mood changes. Estalis can also increase the risk of certain cancers, such as ovarian and endometrial cancer.
Side Effects
Common adverse reactions may include:
- Abdominal pain
- Abnormal pap smear
- Acne vulgaris
- Application site reaction
- Arthralgia
- Back pain
- Breast hypertrophy
- Bronchitis
- Constipation
- Depression
- Diarrhea
- Dizziness
- Dysmenorrhea
- Dyspepsia
- Emotional lability
- Endometrial hyperplasia
- Flatulence
- Flu-like symptoms
- Gastroenteritis
- Headache
- Hypermenorrhea
- Infection
- Insomnia
- Leukorrhea
- Limb pain
- Mastalgia
- Menstrual disease
- Nasopharyngitis
- Nausea
- Nervousness
- Ovarian cyst
- Pain
- Peripheral edema
- Pharyngitis
- Postmenopausal bleeding
- Respiratory tract disease
- Rhinitis
- Sinusitis
- Skin rash
- Upper respiratory tract infection
- Uterine fibroids
- Vaginal hemorrhage
- Vaginitis
- Viral infection
- Vulvovaginal candidiasis
- Weakness
- Weight gain
References
- Estalis[package insert]. Dorval, Quebec: Novartis; 2014.
About Dr. Conor Sheehy (Page Author)
Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 11729