Starting doses
- 08 Dec 2023
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Starting doses
- Updated on 08 Dec 2023
- 1 Minute to read
- Print
- PDF
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- Women should be started on a low oestrogen dose because symptoms often respond well to this.
- Starting with a higher dose is more likely to cause side effects.
- NICE advises that treatment effectiveness can vary among individuals. Therefore initiating therapy with the lowest effective dosage can facilitate the identification of the optimal balance between symptom relief and potential treatment risks.
- The dose should not be titrated too quickly, and the 3-month follow-up is a good time to review this.
- See BMS statement on HRT prescribing.
References and Further Information:
- NICE CKS Guidance. Menopause. Management. How should I manage menopausal symptoms with HRT? Last revised in 2022.
- National Institute for Health and Care Excellence. Guideline. Menopause (update). Draft for consultation, Nov 2023.
- Hamoda H. Progestogens and endometrial protection. British Menopause Society. Tools for clinicians. 2021.
- Laing A and Hillard T. Oestrogen based therapies for menopausal symptoms. Best Practice and Research Clinical Endocrinology and Metabolism. June 2023.
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