Compare Vivelle-Dot vs. Evamist
Head-to-head comparisons of medication uses, side effects, ratings, and more.
Relieves menopausal symptoms.
Vivelle-Dot (Estradiol patch) is an estrogen patch that may be easier and more convenient to use than the pill or gel form.
Relieves hot flashes due to menopause.
Evamist (Estradiol Spray) is easy to use, absorbs well into your skin without needing to rub it in, and is a good option if you don’t want to use estrogen pills or patches.
Upsides
- Good choice if you want to avoid daily dosing of the pill or gel form.
- Available in wider variety of strengths compared to other estrogen patches.
- Evamist (Estradiol Spray) replenishes estrogen to your whole body and relieves multiple symptoms due to low estrogen (hot flashes, vaginal dryness, low energy).
- Dries faster than topical estrogen gels.
- Good for people who don't want to take daily pills.
- Fewer side effects than pills since lower amounts of estrogen are used in topical sprays.
- Women in studies have seen the severity and number of hot flashes lower by half within 4 weeks of using Evamist (Estradiol Spray).
- Very few women had skin irritation from the medicine.
- Depending on your symptoms, your dose may change, but you can still use the same spray pump no matter what your dose is.
- Can lower your risk of fractures by keeping your bones healthy. Make sure you also get enough calcium and Vitamin D.
Downsides
- Other estrogen patches are dosed once weekly and may be more convenient than Vivelle-Dot (Estradiol patch).
- Patches can fall off.
- Estrogen therapy is associated with serious risks for uterine cancer, breast cancer, and blood clots. Don't start treatment until you have had a thorough discussion of the risks and benefits with your doctor.
- Increases your risk of endometrial and breast cancer.
- If you have your uterus, you have to use Evamist (Estradiol Spray) with another hormone called progestin to lower your risk of uterine cancer.
- Increases your risk of developing blood clots and stroke.
- Can't be used in people with liver problems.
- It's possible to expose other people to the estrogen before it's absorbed by your skin.
- Can be expensive since it's only available as a brand name product.
Used for
- Hot flashes
- Vaginal dryness and inflammation
- Low estrogen
- Prevention of osteoporosis in menopausal women
- Hot flashes and night sweats
Dosage forms
- Patch
- Spray
Price
Lowest price
$32.19
Find instant savings near youLowest price
$86.28
Find instant savings near youWant to save even more money?
Sign up now for a 30-day trial and save up to 95% at CVS, Kroger, Albertsons, and other pharmacies.
Learn more
Reviews
Not enough review data.Leave a review
Not enough review data.Leave a review
Side effects
20possible side effects
- Headache26%
- Breast pain13%
- Back pain11%
- Menstrual bleeding11%
- Influenza8%
- Common cold8%
- Nausea5%
- Pain5%
- Sinus infection5%
- Lung infection5%
- Neck pain5%
- Limb pain5%
- Nasal congestion5%
- Joint pain4%
- Depression3%
- Constipation2%
- Flu-like symptoms2%
- Sinus headache2%
- Anxiety2%
- Trouble sleeping2%
5possible side effects
- Headache7%
- Breast tenderness4%
- Nasopharyngitis (common cold)4%
- Nipple pain2%
- Back pain2%
Risks and risk factors
- Uterine 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)
- Increased risk of heart disease
- Smoking
- Obesity
- High blood pressure
- High blood sugar
- High cholesterol
- Age 50 or older
- Dementia
- Age 65 or older
- Inflammation of pancreas
- High levels of triglycerides
- 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)
- Increased risk of heart disease
- Smoking
- Obesity
- High blood pressure
- High blood sugar
- High cholesterol
- Age 50 or older
- Harm to fetus
- Women of childbearing age
- Early puberty in children