Head-to-head comparisons of medication uses, side effects, warnings, and more.
Vivelle-dot (estradiol patch)
Estradiol gel (Divigel)
Vivelle-dot (estradiol patch)
Estradiol gel (Divigel)
Summary of Vivelle-Dot vs. Divigel
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
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.