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Patch v. Pills Patch v. Pills

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Unread 10-18-2002, 12:55 PM
Patch v. Pills

I've been on the patch (generic Estriadol .1) since my surgery on 9/9. I've felt pretty good even if the patches don't stick worth a darn.

Here's the deal, though. I work for state government, and my dh is in graduate school. Our insurance premium is going up DRASTICALLY in January. We can't afford it. So we're taking out "Catastrophic" health insurance for our family. The deductable is large, but it will be there in case of an emergency.

So, I'm loosing my prescription coverage. I've been doing some "comparison shopping" and discovered that if I were to pay for my patches, they would be about $21/month. Pills are $7/month.

Besides the delivery, what is the major difference? Do I have to take more because it goes through the bloodstream? Will it take some getting used to after being on the patch?

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Unread 10-18-2002, 01:36 PM
Patch v. Pills

Hi Evie! You're right, the pills are less expensive than the patches. And you're also right that you have to take a larger amount in order to get the same estradiol level in your body. That's because most of the oral estradiol will get cleared by the liver before it ever sees your bloodstream. There is some question over the longer term as to whether this is good for your liver, but in the short term it seems to be OK.

Would you be taking Estrace or generic estradiol? They are supposed to be the same, but some sisters have said that if they're used to a certain dosage of estrace the generic doesn't deliver as much and they start having symptoms; that's something to consider when you're trying to figure out what dosage is right. Also many sisters have found that the estrace is rather short-lived in the body, so they start having symptoms before it's time for the next dose. Some of them have been able to solve that problem by splitting the pills in half and taking half in the morning and half at night.

Another option to consider is the creams. Estrace makes a cream, or you can have a compounding pharmacist make you up some estradiol compounded cream in whatever dosage you need. I'm not sure what the cost of this option would be but you could ask at a compounding pharmacist to find out. The creams tend to go a long way, although you have to be careful about measuring out how much to use each day if you want consistent levels in your body.

Hope this helps!
Unread 10-19-2002, 06:53 AM
Patch v. Pills


Here's a thread discussing cost options with Estrace.

I used estrace for a long while - I had no trouble with the generics once I got used to it. I did have to split the pills in half for a while - eventually my body seemed to get more comfortable with the once a day dosing. If a a generic is prescribed, ask for one with scored tablets - some of them are and some are not.

Also - check around on the price for brand name estrace - in my area it varied A LOT!


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