Compare Combipatch vs. Estradiol Norethindrone

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Treats low estrogen and relieves menopause symptoms.

Combipatch (estradiol / norethindrone patch) is a twice weekly patch that effectively treats menopause and causes less blood clots or stroke than combination pills.

Relieves menopause symptoms and lowers your risk of osteoporosis.

Activella (Estradiol / Norethindrone) is effective at treating symptoms related to menopause and preventing bone loss. The estrogen/progestin combo is a good options for women with an intact uterus.

Upsides
  • Twice weekly patch. Good for people who don't want to take daily pills.
  • Replenishes estrogen to your whole body and relieves multiple symptoms due to low estrogen (hot flashes, vaginal dryness).
  • Less likely to cause blood clots or stroke than pills since patches contain a lower amount of hormones.
  • Good for women with an intact uterus.
  • You can bathe, shower, and swim while wearing the patch, as long as you don't rub the patch.
  • Activella (Estradiol / Norethindrone) replenishes estrogen to your whole body and relieves multiple symptoms due to low estrogen (hot flashes, night sweats, vaginal dryness).
  • Good choice for women with intact uterus. The norethindrone (a progestin) protects against the risk of cancer in the uterus from estrogen treatment.
  • Lowers your risk of fractures by keeping your bones healthy. Make sure you also get enough calcium and Vitamin D.
  • Improves mood, energy, and mental alertness for some people.
  • Mimvey brand is less expensive than other estrogen/progestin combination medicines.
Downsides
  • More potential side effects than single ingredient medications since it exposes your whole body to two hormones.
  • You may get irregular bleeding and spotting that can last a few months to a year.
  • The patch can't be exposed to direct sunlight for long periods of time.
  • Can be expensive since it's only available as a brand name product.
  • More potential side effects since it exposes your whole body to two hormones, estrogen and norethindrone (a progestin).
  • Increases your risk of developing blood clots and stroke.
  • You may get irregular bleeding and spotting that can last a few months to a year.
Used for
  • Hot flashes
  • Vaginal dryness and inflammation
  • Low estrogen
  • Primary ovarian failure
  • Hot flashes and night sweats
  • Vaginal dryness and inflammation
  • Prevention of postmenopausal osteoporosis
Dosage forms
  • Patch
  • Pill
Price
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Reviews
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Side effects
36possible side effects
  • Breast pain
    34%
  • Menstrual cramps
    30%
  • Headache
    25%
  • Skin irritation
    20%
  • Pain
    19%
  • Stuffy nose
    19%
  • Menstrual problems
    17%
  • Back pain
    15%
  • Flu like symptoms
    14%
  • Diarrhea
    14%
  • Lung infection
    13%
  • Stomach pain
    12%
  • Accidental injury
    10%
  • Weakness
    10%
  • Sinus infection
    10%
  • Vaginal discharge
    10%
  • Sore throat
    9%
  • Vaginal inflammation
    9%
  • Upset stomach
    8%
  • Nausea
    8%
  • Depression
    8%
  • Trouble sleeping
    8%
  • Gas
    7%
  • Tooth problems
    6%
  • Swelling in the arms and legs
    6%
  • Joint pain
    6%
  • Dizziness
    6%
  • Rash
    6%
  • Infection
    5%
  • Nervousness
    5%
  • Airway inflammation
    5%
  • Acne
    4%
  • Unusual menstrual bleeding
    3%
  • Constipation
    2%
  • Breast growth
    2%
  • Heavy menstrual bleeding
    2%
See more detailed side effects
15possible side effects
  • Breast Pain
    24%
  • Upper Respiratory Tract Infection
    18%
  • Headache
    16%
  • Sinusitis
    7%
  • Back Pain
    6%
  • Insomnia
    6%
  • Post-Menopausal Bleeding
    5%
  • Uterine Fibroid
    5%
  • Infection Viral
    4%
  • Moniliasis Genital
    4%
  • Injury Accidental
    4%
  • Nausea
    3%
  • Ovarian Cyst
    3%
  • Gastroenteritis
    2%
  • Other Events
    2%
See more detailed side effects
Risks and risk factors
  • Endometrial cancer
    • Using estrogen for more than one year
  • Breast cancer
    • Personal or family history of breast cancer
    • Using estrogen for more than one year
  • Increased risk of blood clots and stroke
    • Personal or family history of blood clots
    • Smoking
    • Obesity
    • Systemic lupus erythematosus (SLE)
  • Dementia
    • Aged 65 or older
  • Pancreas swelling (pancreatitis)
    • High levels of triglycerides
  • Gallbladder problems
See more detailed risks and warnings
  • Endometrial cancer
    • Using estrogen for more than one year
  • Breast cancer
    • Personal or family history of breast cancer
    • Duration of use
  • Increased risk of blood clots and stroke
    • Personal or family history of blood clots
    • Obesity
    • Systemic lupus erythematosus (SLE)
  • Harm to fetus
    • Women of childbearing age
  • Pancreas swelling (pancreatitis)
    • High levels of triglycerides
  • Ovarian cancer
    • Family history of ovarian cancer
See more detailed risks and warnings