Maximum per order: 3
Pregnancy: Not suitable
Breastfeeding: Not suitable
Evorel Sequi is a form of hormone replacement therapy (HRT), used to treat symptoms of the menopause. Whereas most HRT treatments involve daily tablets, Evorel Sequi is a patch which is placed on the skin and changed twice per week. The patch contains two active ingredients, which emulate the two female sex hormones oestrogen and progesterone.
Evorel Sequi is known as a sequential hormone replacement therapy, because it contains two types of patches. One patch releases just estradiol, which is a form of oestrogen. The other type releases both estradiol and norethisterone, a synthetic version of progesterone. You will use one type of patch for two weeks, then switch to the other. This more closely mimics the changes in hormones over the menstrual cycle, and will ease symptoms and side effects.
All women go through the menopause. This usually occurs between the ages of 45 and 55. As you approach this age, your ovaries will produce less and less oestrogen. This has the effect of stopping the menstrual cycle, but the change in hormone levels can lead to several symptoms which may have a substantial impact on day-to-day life. Physical symptoms include hot flushes (a spontaneous heat that spreads throughout the body, leading to blushing, sweating and an unusually strong heartbeat), night sweats, osteoporosis and dryness of the eyes or vagina. The hormonal change can also cause distressing psychological effects such as irritability, insomnia and depression.
Experiences with menopausal symptoms vary significantly depending on the individual. They can begin multiple years prior to the menopause itself, and remain for many years. Women will, on average, experience symptoms for about four years. You can reduce the impact of some symptoms (especially hot flushes) by avoiding alcohol or caffeine, quitting smoking, exercising regularly or staying cool.
Hormone Replacement Therapy eases the symptoms of menopause by supplementing the levels of hormones which the body can produce naturally. Some medicines are oestrogen-only. However, in women who still have a uterus, an uncontrolled increase in oestrogen levels will cause the lining of the uterus (the endometrium) to grow excessively. This will substantially increase your risk of complications such as endometrial cancer. This is why Evorel Sequi releases norethisterone, a synthetic version of progesterone, during the second half of a treatment cycle.
HRT should only be necessary as a relatively short-term treatment as your body adjusts to the menopause. You should review your HRT with your GP at least once each year and have regular gynaecological checkups.
Why choose The Independent Pharmacy?
Some Non-Medicinal Alternatives for the symptoms of Menopause are;
For Night Sweats and Hot Flushes
Apply the patch to an area of skin which is dry and clean. Press down firmly to ensure that the patch is in place. Many women choose to place the patch on the thighs or bottom. Each patch contains enough medicine for three to four days, so it must be changed twice each week. This should be done on the same two days each week.
For the first two weeks, you will get through four Evorel 50 patches. For weeks 3 and 4, you will use the Evorel Conti patches, which contain norethisterone. Do not place the new patch on the exact same section of skin. Do not leave an interval between each patch.
Evorel should not be used on or around the breasts, or under elasticated parts of clothing.
Not everyone will experience side effects when they take Evorel Sequi, however if you do they may include:
Itchy or inflamed skin where the patch is applied, mood swings, anxiety, difficulty sleeping, nausea, headache, stomach pain, diarrhoea, muscle pain, breast pain, joint pain, weight gain, breakthrough bleeding, painful periods, fluid retention
If you are concerned about these effects, or if the product affects you in any other way, stop using it and talk to your doctor or pharmacist.
The active ingredients contained in Evorel Sequi are:
Estradiol hemihydrate, norethisterone acetate
Evorel Sequi also contains the following inactive ingredients to make up the complete product:
Duro-Tak 387-2287, guar gum, Hostaphan MN19
Reading the following warnings carefully will help to ensure you are selecting an appropriate product.
Evorel Sequi is unsuitable for you if you:
Inform your GP if you plan on using Evorel Sequi and have ever had any of the following health complications:
Tell your GP or pharmacist if you have taken or plan to take any of the following medicines:
HRT may increase your risk of breast cancer. The extent of this risk will vary depending on the length of your HRT treatment and whether you are taking combined or oestrogen-only HRT. Check your breasts regularly for changes to the skin or nipple, or for any noticeable lump. For women who use HRT for more than five years, there may also be a slight increase in the risk of ovarian cancer.
Women over the age of 65 who use Evorel Sequi may have a slightly increased risk of developing dementia.
Stop using Evorel Sequi and seek medical attention immediately if you notice early signs of any of the following:
Discuss with your doctor whether your personal benefits of HRT outweigh the risks mentioned above.
Please read all packaging and the Product Information Leaflet before taking any new medicine and inform your doctor of medicines you are taking or intend to take.
We offer FREE standard tracked delivery on orders over £40.
The following delivery options are available:
All our orders are sent out using Royal Mail. We always aim to dispatch all orders received before
All orders can be fully tracked in your account.
We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods.
Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt.
Delivery is free for all NHS prescriptions.
Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering.
If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.
Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a
Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.
You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.
Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail
We deliver by 5.30pm the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50
We deliver within two working days by 5.30pm to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
PA60 - 75, 78
We deliver within three working days by 5.30pm to the following postcode areas:
KW16 - non-Town
PH30, 41 - 44
Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.
We are currently unable to ship orders outside of the UK.
We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.
We guarantee to beat the price of any similar service.
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