Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Vivelle-Dot (estradiol) and Climara (estradiol) are both estrogen replacement medications used to treat menopause symptoms and low estrogen levels, and they help prevent bone loss (osteoporosis) after menopause. Both are transdermal patches, but Vivelle-Dot is applied twice a week, while Climara is only applied once a week. Both are available as a generic, and the Vivelle-Dot generic is called Dotti. Common side effects for both include breast pain and headaches, but some people using Climara also experience stomach pain. Both medications carry risks of serious side effects like blood clots and certain cancers, and they may require additional progestin if you have a uterus. You should apply these patches to your lower stomach or buttocks, avoiding the waistline to prevent them from falling off.
Vivelle-dot (estradiol patch)
Climara (estradiol patch)
Vivelle-dot (estradiol patch)
Climara (estradiol patch)
Summary of Vivelle-Dot vs. Climara
Summary for Estrogen replacement
Prescription only
Vivelle-Dot (estradiol patch) is a twice-weekly hormonal patch used to treat menopause symptoms and low estrogen levels. It also helps prevent bone loss (osteoporosis) in people who have gone through menopause. The patch is a form 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. Side effects include headache, breast pain, and sinus swelling.
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This twice weekly patch is also available as a generic called Dotti.
Summary for Estrogen replacement
Prescription only
The Climara (estradiol patch) is a once-weekly hormonal patch that relieves menopause symptoms and treats low estrogen levels. It can also help prevent bone loss (osteoporosis) in people who have gone through menopause. The patch is a type of hormone replacement therapy (HRT) and typically has fewer side effects than oral estrogen pills. You'll apply one patch to the skin of your lower stomach or the upper buttocks once a week. Potential side effects of this hormone patch include breast pain, headaches, and stomach pain.