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Lyllana vs. Divigel

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Lyllana (estradiol patch) and Divigel (estradiol gel) are both estrogen replacement therapies used to treat menopausal symptoms, such as hot flashes and night sweats. They are similar in that they both contain estradiol, a type of estrogen, and are used to relieve symptoms of menopause. However, they differ in their application methods and dosing schedules. Lyllana is a transdermal patch applied twice a week to the lower stomach or buttocks, while Divigel is a topical gel applied daily to the upper thigh. Lyllana is specifically indicated for preventing osteoporosis after menopause, whereas Divigel is not. Both medications are available by prescription only, but Divigel is available in both brand-name and generic forms. Common side effects of Lyllana include headaches and breast tenderness, while Divigel may cause vaginal yeast infections and abnormal vaginal bleeding. Both medications carry risks of serious side effects like blood clots and certain cancers, and they may require the addition of a progestin if you have a uterus.

Lyllana

(estradiol patch)

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Estradiol gel

(Divigel)

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Summary for Lyllana

Prescription only

Lyllana (estradiol patch) is a twice-weekly hormonal patch that treats moderate-to-severe vasomotor symptoms, like hot flashes and night sweats, due to menopause. It also helps prevent bone loss (osteoporosis) after menopause. The patch is a type of hormone replacement therapy. One of the benefits of Lyllana (estradiol patch) compared to oral estrogen pills is that it might cause fewer side effects. But it can still cause common side effects like breast tenderness, headaches, and back pain.

Indications for Lyllana

Pros and Cons for Lyllana

Pros

  • Typically has fewer side effects than oral estrogen pills
  • Delivers a consistent dose of estrogen over time
  • Good option if you have trouble swallowing pills
  • Available in different strengths, allowing you to customize your dose

Cons

  • Commonly causes headache, breast tenderness, and back pain
  • Need to apply a new patch twice a week
  • Raises your risk of certain cancers, blood clots, and strokes
  • Might need to take it with another hormone called progestin if you have a healthy uterus

Common Side Effects for Lyllana

  • Headache (up to 50%)
  • Common cold symptoms (up to 20%)
  • Breast tenderness (up to 17%)
  • Sinus swelling (up to 13%)
  • Bleeding in-between periods (up to 11%)
  • Depression (up to 11%)
  • Back pain (up to 11%)
  • Sinus headache (up to 10%)
  • Indigestion (up to 9%)
  • Weight gain (up to 9%)
  • Joint pain (up to 9%)

Warnings for Lyllana

  • Blood clots and related complications (e.g., heart attack, stroke)
  • Uterine (endometrial) cancer
  • Breast cancer
  • Ovarian cancer
  • Dementia
  • Gallbladder and liver problems
  • Vision problems
  • High triglycerides
  • Low thyroid hormone levels (hypothyroidism)
  • Fluid Retention
  • Severe allergic reactions
  • Worsening of other health conditions

Summary for Divigel

Prescription only

Estradiol gel (Divigel) is a hormone replacement therapy used to treat symptoms of menopause, such as hot flashes and night sweats. It comes as single-use packets, and the dose is applied to the skin on your upper thigh once a day. The gel is available as both a brand-name and a generic medication. Common side effects include vaginal yeast infections, breast tenderness, and abnormal vaginal bleeding.

Indications for Divigel

Pros and Cons for Divigel

Pros

  • Relieves bothersome menopausal symptoms, such as hot flashes and night sweats
  • Applied directly to the skin on the thighs
  • Only need to use once a day
  • Available in multiple strengths to customize your dose

Cons

  • Raises your risk of certain cancers, blood clots, and strokes
  • Risk of exposing others to estrogen through skin contact
  • Might also need to take a progestin medication if you have a uterus
  • Need to wait for the gel to dry completely before bathing, showering, or swimming

Common Side Effects for Divigel

  • Abnormal vaginal bleeding (4-10%)
  • Breast tenderness (3-9%)
  • Common cold symptoms (4-6%)
  • Upper respiratory tract infection (2-6%)
  • Vaginal yeast infection (1-6%)

Warnings for Divigel

  • Risk of blood clot
  • Uterine (endometrial) cancer
  • Breast cancer
  • Dementia
  • Gallbladder and liver problems
  • Changes in calcium levels in the blood
  • Vision problems
  • High triglycerides
  • Low thyroid hormone levels (hypothyroidism)
  • Fluid Retention
  • Worsening of other medical conditions
  • Potential skin-to-skin transfer

Prices with our coupons for Lyllana vs. Divigel

Price Card Drug Icon
Lyllana1 carton / 8 twice-weekly patches of 0.05mg/day
$45.42$58.60
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Estradiol3 cartons / 8 twice-weekly patches of 0.05mg/day
$84.47$112.54
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