HRT - The different ingredients, brands and strengths available

The following table is designed to help explain the different types of HRT available, including ingredients, brands and dosage, so that you can better understand the options available to you if your own particular brand or type of HRT is unavailable.

Women taking estrogen by way of a tablet, including combination tablets, should consider changing to either an estrogen only patch or estrogen gel, combined with either Utrogestan or the Mirena coil, (although it is noted that this can be difficult for women in Scotland who are sometimes unable to obtain Utrogestan), as these tablets pose a small risk of clot.

Ingredient (s)

Brand Strength

ESTROGEN ONLY TABLETS

   
Estradiol (body identical) Elleste Solo 1mg / 2mg
  Zumenon 1mg / 2mg
Conjugated estrogen (from pregnant mares' urine) Premarin 300mcg / 625mcg / 1.25 mg
Notes:
1. 1mg estrogen only tablet is roughly equal to 1 spray of Lenzetto
2. 1mg estrogen only tablet is roughly equal to 2 pumps of Oestrogel
3. 1mg estrogen only tablet is roughly equal to 50mcg patch
4. 1mg estrogen only tablet is roughly equal to 1 sachet of 1mg Sandrena gel
5. Estrogen patches, gel or spray are usually preferred over tablets as tablets have a small risk of clot
6. Estrogen only tablets can be used with either Utrogestan progesterone tablets or Mirena IUS, (see below) for women who still have a womb
   
     

ESTROGEN ONLY PATCHES

   
Estradiol (body identical) Evorel 25mcg / 50mcg / 75mcg / 100mcg

 

Estradot 25mcg / 37.5mcg / 50mcg / 75mcg / 100mcg
  Estraderm 25mcg / 50mcg / 75mcg / 100mcg
  FemSeven Mono 50mcg / 75mcg / 100mcg

 

Elleste Solo MX 40mcg / 80mcg
  Progynova 50mcg / 100mcg

Notes:
1. One 50mcg patch is roughly equal to 1 spray of Lenzetto
2. One 50mcg patch is roughly equal to 2 pumps of Oestrogel
3. One 50mcg patch is roughly equal to 1mg estrogen only tablet
4. One 50mcg patch is roughly equal to 1 sachet of 1mg Sandrena gel
5. Estrogen patches, gel or spray are usually preferred over tablets as tablets have a small risk of clot
6. Estrogen only patches can be used with either Utrogestan progesterone tablets or Mirena IUS, (see below) for women who still have a womb

   
     

ESTROGEN ONLY GEL

   
Estradiol (body identical) Oestrogel 0.75mcg
  Sandrena 0.5mg / 1mg
Notes:
1. Two pump of Oestrogel is roughly equal to 1 spray of Lenzetto
2. Two pumps of Oestrogel is roughly equal to equal to 50mcg patch
3. Two pumps of Oestrogel is roughly equal to 1mg estrogen only tablet
4. Two pumps of Oestrogel is roughly equal to 1 sachet of 1mg Sandrena gel
5. Estrogen patches, gel or spray are usually preferred over tablets as tablets have a small risk of clot
6. Estrogen only gel can be used with either Utrogestan progesterone tablets or Mirena IUS, (see below) for women who still have a womb
   
     

ESTROGEN ONLY SPRAY

   
Estradiol (body identical) Lenzetto 1.53mg

Notes:
1. One spray of Lenzetto is roughly equal to 2 pumps of Oestrogel
2. One spray of Lenzetto is roughly equal to 50mcg patch
3. One spray of Lenzetto is roughly equal to 1mg estrogen only tablet
4. One spray of Lenzetto is roughly equal to 1 sachet of 1mg Sandrena gel
5. Estrogen patches, gel or spray are usually preferred over tablets as tablets have a small risk of clot
6. Estrogen only spray can be used with either Utrogestan progesterone tablets or Mirena IUS, (see below) for women who still have a womb

   
     

PROGESTERONE ONLY TABLETS

   
Progesterone (body identical) Utrogestan 100mg
Notes:    
1. Utrogestan is the only body identical progesterone and can be used with estrogen only patches or gel, by women who still have a womb    
     

INTRAUTERINE DEVICE (IUS or coil)

   
Levonorgestrel Mirena 20mcg/24hrs
Notes:
1. Mirena is a low dose, synthetic alternative to progesterone and can be used with estrogen only patches, gel, spray or tablets, by women who still have a womb
   
     

COMBINATION TABLETS (estrogen/synthetic progestogen)

   
Estradiol hemihydrate + norethisterone acetate Elleste Duet Conti 2mg+1mg
  Kliofem 2mg+1mg
  Kliovance 1mg+500mcg
Estradiol hemihydrate + dydrogesterone Femoston Conti 0.5mg+2.5mg / 1mg+5mg
Estradiol valerate + medroxyprogesterone Indivina 1mg+2mg / 2.5mg+5 mg
low dose conjugated oestrogen + medroxyprogesterone Premique 300mcg+1.5mg
Estradiol hemihydrate + norethisterone acetate Novofem 1mg+1mg
Estradiol valerate + medroxyprogesterone acetate Tridestra 2mg+20mg
Estradiol hemihydrate + norethisterone acetate Trisequens 2mg+1mg
Estradiol hemihydrate + dydrogesterone Femoston (cyclical) 1mg+10mg / 2mg+10mg
     

COMBINATION TABLETS

   
Tibolone 2.5mg Livial tablets Tibolone 2.5mg
     

COMBINATION PATCHES (estrogen/synthetic progestogen)

   
Estradiol hemihydrate + norethisterone acetate Evorel Conti 3.2mg+11.2mg
Estradiol hemihydrate + levonorgestrel FemSeven ContI 1.5mg+0.525mg
a) Estradiol hemihydrate and b) estradiol hemihydrate + norethisterone acetate Evorel Sequi combination patch a) 3.2mg b) 3.2mg+11.2mg
a) 1.5mg of estradiol hemihydrate b) Estradiol hemihydrate + levonorgestrel FemSeven Sequi combination patch a) 1.5mg b) 1.5mg+1.5mg

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