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What is Vivelle Dot?

Vivelle Dot skin patches contain estradiol, a form of estrogen which is necessary for many body processes. Vivelle Dot patches are used to treat symptoms of menopause including vaginal dryness, burning, irritation and hot flashes. Vivelle Dot may also be used to treat ovarian disorders and to prevent postmenopausal osteoporosis.

Always read the patient information and instructions carefully before using this medication. Follow your doctor’s directions.

• Apply Vivelle Dot to a clean dry area of skin on your stomach or buttocks. Hold down the patch for at least ten seconds to make sure it is firmly in place. Choose a different place each time that you apply a new patch and do not use the same area twice within a week.
• Do not place Vivelle Dot patches on damaged or irritated skin, on your breasts or anywhere it may be rubbed off by clothing. You should never cut a skin patch.
• If your Vivelle Dot patch comes off, stick it back into place. If it does not stick well, apply a new patch to a different skin area for the rest of the remainder of the scheduled period. Do not change your regular patch schedule.
• Vivelle Dot is usually prescribed on a once-weekly or twice-weekly schedule. Always follow your doctor’s directions.
• Self-examine your breasts for lumps on a monthly basis and have regular mammograms while taking this medication.

Make sure to tell your doctor and pharmacist:

• If you have any drug or other allergies.
• Which other prescription and non-prescription medications you currently take.
• Your medical history especially of liver disease, cancer, heart disease, liver problems, heart attack, stroke, blood clots, bleeding disorders, jaundice, thyroid disorder, gallbladder disease, kidney disease, asthma, epilepsy, seizures, migraines, lupus, coronary artery disease, unusual vaginal bleeding, porphyria, endometriosis, uterine fibroid tumors or high levels of calcium in your blood.
• Your personal and family history of angioedema.
• If you are breast feeding.
• If you will be or have just had surgery or if you will be confined to a bed or chair for an extended period of time, such as on a long flight. These conditions can increase your risk of getting blood clots and you may need to temporarily stop this medication or take special precautions.

Also be aware that:

• Estradiol should not be used during pregnancy.
• Estradiol can increase your risk of heart attack, stroke or blood clots. This is increased if you have diabetes, high blood pressure, high cholesterol or if you smoke or are overweight.
• If you have an MRI test, inform testing personnel that you use Vivelle Dot as it may need to be removed before the test.

Common Vivelle Dot side effects may include but are not limited to:

• Redness or irritation where the patch has been worn.
• Headache or back pain.
• Vaginal itching or discharge.
• Changes to your menstrual periods or breakthrough bleeding.
• Bloating, stomach cramps, swelling or rapid weight gain.
• Thinning scalp hair.
• Stuffy nose, sore throat or sinus pain.
• Nausea or vomiting.
• Breast pain.

Contact your doctor if you experience any of the following side effects of Vivelle Dot:

• Signs of a blood clot such as sudden vision loss, stabbing chest pain, shortness of breath, coughing up blood or pain or warmth in one or both legs.
• Swelling or tenderness in your stomach.
• Signs of a heart attack such as nausea, sweating, chest pain or pressure or a pain spreading to your jaw or shoulder.
• Unusual vaginal bleeding or pelvic pain.
• Signs of a stroke such as sudden severe headache, slurred speech, problems with vision or balance or sudden numbness or weakness especially on one side of the body.
• Increased blood pressure such as severe headache, anxiety, nosebleed, blurred vision or a pounding in the neck or ears.
• Unusual behavior, confusion or memory problems.
• A breast lump.
• Jaundice.
• Signs of high levels of calcium in your blood such as nausea, vomiting, constipation, increased thirst or urination, muscle weakness, bone pain or a lack of energy.
• Signs of an allergic reaction such as hives, difficulty breathing or a swelling of your face, lips or throat.

What should I do if I forget to change my Vivelle Dot patch?

If you forget to change your Vivelle Dot patch, change it as soon as you remember or wait until your next scheduled change. Do not apply two patches at once.

What should I do if my Vivelle Patch comes off?

If your Vivelle Dot patch comes off, stick it back into place. If it does not stick well, apply a new patch to a different skin area for the rest of the remainder of the scheduled period. Do not change your regular patch schedule.