Home » Drug Information » FDA-Approved Drugs » 1996
Medical Areas: Endocrinology | Obstetrics/Gynecology
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Drug Information
The following information is obtained from various newswires, published
medical journal articles, and medical conference presentations.
Company: Parke-Davis
Approval Status: Approved December 1996
Treatment Area: menopausal symptoms
FemPatch has been approved for the treatment of menopausal
symptoms. Using a low, .025 mg dose of 17 beta-estradiol (a natural
form of estrogen) in a thin, flexible once-weekly patch, Fem Patch
provides relief of vasomotor symptoms such as hot flashes and night
sweats.
FemPatch treats moderate to severe vasomotor menopausal symptoms
using a patented matrix system that delivers estradiol through the
skin in a consistent, low dose, reaching maximum blood levels
within 24 hours and then maintaining constant blood levels for
seven days.
FemPatch is a translucent, skin-like, rectangular-shaped
laminated matrix system composed of three distinct layers. The
recommended starting dose of FemPatch, when initiating estrogen
replacement therapy in the management of vasomotor symptoms of
menopause, is one patch every seven days. The buttocks is the
preferred site of FemPatch application.
As with other estrogen replacement therapies, FemPatch may not
be suitable for all patients and should not be used by women with
any known or suspected pregnancy, breast cancer, or
estrogen-dependent neoplasia; undiagnosed abnormal genital
bleeding; active thrombophlebitis; or thromboembolic disorders.
In clinical trials, FemPatch was shown to effectively reduce
vasomotor symptoms by consistently delivering a nominal .025 mg
dose of estradiol. Two independent, 12-week, double-blind,
placebo-controlled studies conducted with 324 surgically or
naturally menopausal women (a mean of 80 hot flashes per week and a
range of 56-140 hot flashes per week), showed that FemPatch
significantly reduced the number of hot flashes. By week 123, hot
flash frequency decreased from 80 hot flashes to 13 per week--a
reduction of 84%. Reduction of hot flashes was significant as early
as week two in some treatment groups, and by week three in all
treatment groups.
Clinical studies with FemPatch showed a low incidence of
discontinuation due to skin effects (3%) or adhesion failure (less
than 2%). Overall, discontinuation due to adverse events for
FemPatch (2.8%) was comparable to placebo (2.8%). Side effects with
FemPatch are similar to those seen with other estrogen replacement
therapies. As with all estrogen products, there are possible common
side effects such as: headache, nausea, abdominal cramps, fluid
retention, irregular bleeding, breast tenderness, or increase or
decrease in weight. Estrogens also have been reported to increase
the risk of endometrial carcinoma in postmenopausal women.