Document Detail


Evaluation of irritation and sensitisation of two 50 microg/day oestrogen patches.
MedLine Citation:
PMID:  12468134     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To comparatively assess the irritation and sensitisation of the Estradot transdermal oestrogen patch, in healthy postmenopausal women, using the Menorest transdermal oestrogen patch, as a comparator. METHODS: In an open-label, single-centre, randomised, active-treatment, within-patient controlled study, 208 healthy postmenopausal women, age range 40-70 years, received and completed simultaneous treatment with a 5 cm(2) (50 microg/day) oestradiol patch (Estradot) and a 14.5 cm(2) (50 microg/day) oestradiol patch (Menorest). The treatment was given for 72 h, then 96 h, for eight successive applications during an induction phase, and for 72 h during a challenge phase. There was a 14-day resting period between phases. Skin irritation (measured by erythema on a scale of 0-4), topical sensitisation, patch adherence and local skin reaction, were assessed and recorded immediately before or after removal of each patch, as appropriate. RESULTS: Most patients experienced a significant difference in irritation with Menorest than with Estradot (P < 0.0001) at the end of the induction phase. Patch loss was also significantly higher for Menorest as compared to Estradot (P = 0.0253) at the end of the induction phase. Most incidences of erythema were classified as slight (score of 1), and there was no significant difference in the percentage of topical sensitisation, or in the incidence of local skin reactions between Estradot and Menorest. Patch loss was low for both systems. CONCLUSIONS: Estradot demonstrates reduced skin irritation, superior adhesion and a lower rate of patch loss compared to Menorest.
Authors:
John Toole; Stewart Silagy; Anita Maric; Barb Fath; Erhard Quebe-Fehling; Patricia Ibarra de Palacios; Liane Laurin; Monique Giguere
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Maturitas     Volume:  43     ISSN:  0378-5122     ISO Abbreviation:  Maturitas     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-06     Completed Date:  2003-04-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7807333     Medline TA:  Maturitas     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  257-63     Citation Subset:  IM    
Copyright Information:
Copyright 2002 Published by Elsevier Science Ireland Ltd.
Affiliation:
Hill Top Research Inc 236 Osborne Street, Suite A Winnipeg, MB, Canada R3L-2W2. vheinrichs@hill-top.com
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MeSH Terms
Descriptor/Qualifier:
Administration, Cutaneous
Adult
Aged
Erythema / chemically induced*,  pathology
Estradiol / administration & dosage,  adverse effects*
Estrogen Replacement Therapy*
Female
Humans
Middle Aged
Postmenopause
Severity of Illness Index
Treatment Outcome
Chemical
Reg. No./Substance:
50-28-2/Estradiol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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