Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Climara (estradiol) and Estrace (estradiol) are both estrogen replacement therapies, but they are used differently and treat different symptoms. Climara is a transdermal patch applied to the skin once or twice a week, primarily used to relieve multiple menopause symptoms like hot flashes and vaginal dryness, and to prevent osteoporosis. In contrast, Estrace is a vaginal cream applied directly to the vagina, used specifically to treat vaginal symptoms such as itching, dryness, and burning due to menopause. Climara can cause weight gain, while Estrace generally has fewer systemic side effects because it is applied locally. Both Climara and Estrace have a risk of serious side effects like blood clots and certain cancers, especially if you have a uterus and don't use either medication with progestin. Both medications require a prescription and have generic forms available, making them more affordable.
Minivelle (estradiol patch)
Estradiol tablet
Minivelle (estradiol patch)
Estradiol tablet
Summary of Minivelle vs. Estrace
Summary for Estrogen replacement
Prescription only
Minivelle (estradiol patch) is a twice-weekly hormonal patch that treats moderate-to-severe vasomotor symptoms, like hot flashes and night sweats, caused by menopause. It can also prevent bone loss (osteoporosis) after menopause. It's a type of hormone replacement therapy. The usual dose is one patch applied to the lower stomach or buttocks twice a week, or every 3 to 4 days. Potential side effects include headache, breast tenderness, and back pain.
Summary for Estrogen replacement
Prescription only
Estradiol tablet is an estrogen hormone used to treat menopause symptoms like hot flashes, night sweats, and vaginal irritation. It also helps prevent bone loss (osteoporosis) after menopause. Though not as common, it's also FDA approved to treat certain advanced stages of breast and prostate cancer. The dose depends on your condition, but tablets are typically taken by mouth 1 to 3 times a day. Common side effects include nausea, vomiting, headache, and breast pain.