Elleste Duet Conti is a hormone replacement therapy that contains two active ingredients: estradiol, a form of oestrogen, and norethisterone acetate, a synthetic progestogen. It's designed for postmenopausal women who still have their womb and have not had a natural period for at least 12 months.

During menopause, the ovaries produce less oestrogen and progesterone, which is what triggers many menopausal symptoms. Elleste Duet Conti tops up these declining hormone levels. The estradiol replaces the lost oestrogen, while the norethisterone protects the womb lining from the thickening effect that oestrogen alone can cause, helping to reduce the associated risk of womb cancer.

As a continuous combined HRT, one tablet is taken every day without a break between packs. This maintains steady hormone levels and avoids the monthly bleed associated with sequential HRT, making it well suited to women who are past menopause.

By restoring oestrogen levels, Elleste Duet Conti can relieve a range of menopausal symptoms, including hot flushes, night sweats, vaginal dryness, low mood, and reduced libido. It is also licensed for the prevention of osteoporosis in postmenopausal women who are at increased risk of fractures and for whom other treatments are unsuitable.

If you are not taking any HRT

If you are not taking any HRT, you can start taking Elleste Duet Conti Tablets straightaway.

• Take one tablet each day. You can take the tablets at a time of the day that suits you, but it is best to take them at about the same time each day.

• Swallow the tablets whole, with some water. All the tablets are the same.

• The days are marked on the strip to help you to remember to take one each day.

• Follow the direction of the arrows on the pack and take a tablet every day until the pack is empty.

• When you finish a foil strip, start a new strip the next day.

Changing from another type of HRT

If you are changing from another type of HRT, and you usually have a monthly bleed, start taking Elleste Duet Conti Tablets on the first day of bleeding. If you do not have a monthly bleed, start taking Elleste Duet Conti Tablets on any convenient day. If your doctor gives you instructions on changing from another type of HRT you should follow these instructions. If you have any doubts you should contact your doctor.

Very common:

• Headache

• Breast pain

• Breast tenderness

• Painful periods

• Problems with your menstrual cycle.

Common:

• Feeling down

• Feeling anxious

• Mood changes

• Changes in sex drive

• Feeling dizzy

• Difficulty sleeping

• Feeling sick

• Bloating

• Diarrhoea

• Indigestion

• Stomach cramps

• Acne

• Rashes

• Itchiness

• Dry skin

• Back pain

• Pain in the extremities

• Breast enlargement

• Heavy periods

• Vaginal discharge

• Break-through bleeding

• Spasms (contractions) of the womb

• Vaginal infection

• Excessive thickening of the lining of the womb

• Pain

• Feeling of weakness

• Swelling of the ankles, feet or fingers

• Increase in weight.

Getting started with Pharmulous is straightforward:

Complete a short, confidential online consultation about your symptoms and medical history
A GMC or GPhC-registered clinician reviews your answers and confirms whether Elleste Duet Conti is suitable for you
If approved, your medication is dispatched the same day in plain, discreet packaging
Your order is delivered free to your door, anywhere in the UK

Explore other combined HRT options to find the treatment that's right for your stage of menopause.