Re: Vivelle dot dosing schedule
From: j wang, M.D. (anonymous@obgyn.net)
Mon, 7 Jan 2002 19:07:52 -0600 (CST)
Should be OK with the patch as you want. It can take months (3?) to
recover- there is a lot of healing to do after removal of major organs.
At Mon, 7 Jan 2002, AMS wrote:
>
>OK, I survived the TAH/BSO/Burch/rectocele repair and everything works,
>I'm alive and kicking and I'm thrilled. A climara patch was put on my
>shoulder post operatively, to be changed a week later. It stayed on
>fine, no problems. Hubby filled script and was given generic mylan
>patch which was huge, thick, obtrusive, kept falling off and left a
>bloody ring when removed. (Pharmacist replaced 2 of the patches with
>different batch, still fell off.) At 4 week checkup today, my gyn
>changed script to vivelle dot, DAW, same .05 strength. When I filled
>script, I see its twice a week with a 3 day, 4 day interval. I'm
>"thrifty" (cheap?) and looked up the prescribing information. The
>plasma concentration does not seem to change much from day 3 to day 4.
>I'm wondering, since I'm very good at keeping track of things (lots of
>practise with lots of meds), and there is no differenc be patches with 3
>day life and 4 day life, if I can just replace them every 4th day.
>(Would save $60+ per year.) I'm 50 years old, have never had a hot
>flash, gyn says my vaginal tissues show plenty of estrogen effect. One
>of main reasons for ERT is osteopenia and high dose inhaled steriods.
>
>Thank you.
>
>P.S. Both hubby and gyn say its going to take 6 months to a year to get
>stamina back - I only lost 300 ml of blood and virtually no post op
>bleeding - but fatigue is big problem. Are they really right?
--
James Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
Note: opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
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