Is it necessary to taper off Vivelle dot slowly?
Need to reinstate the vivelle dot.
Thanks for writing to us.
Vivelle Dot is a transdermal system and used to reduce symptoms of menopause (like hot flushes, vaginal dryness). It also helps to prevent bone loss.
In my opinion, Vivelle Dot should be REINSTATED again with effective DOSE to reduce hot flushes and then, it can be tapered slowly after consultation with your treating doctor.
Rest of the medicines may be continued according to your doctor's prescription.
Another thing, you can start to take natural estrogen (Phytoestrogen) - plant derived, side by side to improve estrogen level and reduce long term effect of Vivelle Dot.
Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.
Wish your good health and take care yourself.
Dr S Patra
For future query, you can directly approach me through
High dose klonopin may be the cause of shaking.
Thanks for follow up query.
Severe shaking may be related with HIGH dose of Klonopin (Clonazepam). Dose of this medicine should be reduced.
Phytoestrogen is available in different food stuffs like Soybeans & soy product, Linseed (flax), Sesame seeds, Wheat berries, Fenugreek, Oats, Barley, Beans, Lentils, Yams, Rice, Alfalfa, Mung beans, Apples, Carrots, Pomegranates, Wheat germ, Rice XXXXXXX Kudzu, Coffee, Licorice root, Mint, Ginseng, bourbon, Fennel etc.
Hope, I have answered your query. Kindly, close the discussion.
All the best and good luck.
Dr S Patra