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Climara Pro

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Climara Pro

PATIENT INFORMATION

Climara Pro
(Kli-mar-uh pro)
(estradiol/levonorgestrel) Transdermal System

Read this Patient Information before you start using Climara Pro and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your menopausal symptoms or your treatment.

What is the most important information I should know about Climara Pro (combinations of estrogen and a progestin)?

  • Do not use estrogens with progestins to prevent heart disease, heart attacks, strokes, or dementia (declines of brain function).
  • Using estrogens with progestins may increase your chances of getting heart attacks, strokes, breast cancer, or blood clots.
  • Using estrogens with progestins may increase your chance of getting dementia, based on a study of women 65 years of age or older.
  • Do not use estrogen-alone to prevent heart disease, heart attacks, strokes or dementia.
  • Using estrogen-alone may increase your chance of getting cancer of the uterus (womb).
  • Using estrogen-alone may increase your chances of getting strokes or blood clots.
  • Using estrogen-alone may increase your chance of getting dementia, based on a study of women 65 years of age or older.
  • You and your healthcare provider should talk regularly about whether you still need treatment with Climara Pro.

What is Climara Pro?

Climara Pro is a prescription medicine patch (Transdermal System) that contains two kinds of hormones, an estrogen and a progestin.

What is Climara Pro used for?

Climara Pro is used after menopause to:

  • Reduce moderate to severe hot flashes
    Estrogens are hormones made by a woman's ovaries. The ovaries normally stop making estrogens when a woman is between 45 and 55 years old. This drop in body estrogen levels causes the “change of life” or menopause (the end of monthly menstrual periods). Sometimes, both ovaries are removed during an operation before natural menopause takes place. The sudden drop in estrogen levels causes “surgical menopause.”
    When the estrogen levels begin dropping, some women get very uncomfortable symptoms, such as feelings of warmth in the face, neck, and chest, or sudden strong feelings of heat and sweating (“hot flashes” or “hot flushes”). In some women, the symptoms are mild, and they will not need to take estrogens. In other women, symptoms can be more severe. You and your healthcare provider should talk regularly about whether or not you still need treatment with Climara Pro.
  • Help reduce your chances of getting osteoporosis (thin weak bones)
    If you use Climara Pro only to prevent osteoporosis due to menopause, talk with your healthcare provider about whether a different treatment or medicine without estrogens might be better for you. You and your healthcare provider should talk regularly about whether you still need treatment with Climara Pro.

Who should not use Climara Pro?

Do not use Climara Pro if you have had your uterus (womb) removed (hysterectomy).

Climara Pro contains a progestin to decrease the chance of getting cancer of the uterus. If you do not have a uterus, you do not need a progestin and you should not use Climara Pro.

Do not start using Climara Pro if you:

  • have unusual vaginal bleeding
    Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find out the cause.
  • currently have or have had certain cancers
    Estrogens may increase the chance of getting certain types of cancers, including cancer of the breast or uterus. If you have or have had cancer, talk with your healthcare provider about whether you should use Climara Pro.
  • had a stroke or heart attack
  • currently have or have had blood clots
  • currently have or have had liver problems
  • have been diagnosed with a bleeding disorder
  • are allergic to Climara Pro or any of its ingredients See the list of ingredients in Climara Pro at the end of this leaflet.
  • think you may be pregnant
    Climara Pro is not for pregnant women. If you think you may be pregnant, you should have a pregnancy test and know the results. Do not use Climara Pro if the test is positive and talk to your healthcare provider.

What should I tell my healthcare provider before I use Climara Pro?

Before you use Climara Pro, tell your healthcare provider if you:

  • have any unusual vaginal bleeding
    Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find out the cause.
  • have any other medical conditions
    Your healthcare provider may need to check you more carefully if you have certain conditions, such as asthma (wheezing), epilepsy (seizures), diabetes, migraine, endometriosis, lupus, angioedema (swelling of face and tongue), or problems with your heart, liver, thyroid, kidneys, or have high calcium levels in your blood.
  • are going to have surgery or will be on bed rest
    Your healthcare provider will let you know if you need to stop using Climara Pro.
  • are breastfeeding
    The hormones in Climara Pro can pass into your breast milk.

Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Some medicines may affect how Climara Pro works. Climara Pro may also affect how your other medicines work. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine.

How should I use Climara Pro?

For detailed instructions, see the step-by-step instructions for using Climara Pro at the end of this Patient Information.

  • Use Climara Pro exactly as your healthcare provider tells you to use it.
  • Climara Pro is for skin use only.
  • Change your Climara Pro patch 1 time each week or every 7 days.
  • Apply your Climara Pro patch to a clean, dry area on your lower abdomen or buttocks. This area must be clean, dry, and free of powder, oil or lotion for your patch to stick to your skin.
  • Apply your Climara Pro patch to a different area of your abdomen or your buttocks each time. Do not use the same application site 2 times in the same week.
  • Do not apply Climara Pro to your breasts.
  • If you forget to apply a new Climara Pro, you should apply a new patch as soon as possible.
  • You and your healthcare provider should talk regularly (every 3 to 6 months) about the dose you are using and whether you still need treatment with Climara Pro.

How do I change Climara Pro?

  • When changing Climara Pro, peel off the used patch slowly from the skin.
  • After removal of Climara Pro, people usually have either no adhesive residue or light adhesive residue. If any adhesive residue remains on your skin after removing the patch, allow the area to dry for 15 minutes. Then, gently rub the area with an oil-based cream or lotion to remove the adhesive from your skin.
  • Keep in mind, the new patch must be applied to a different skin area of your lower abdomen or buttocks. This area must be clean, dry, and free of powder, oil or lotion. The same site should not be used again for at least 1 week after removal of the patch.

What are the possible side effects of Climara Pro?

Side effects are grouped by how serious they are and how often they happen when you are treated.

Serious, but less common side effects include:

Call your healthcare provider right away if you get any of the following warning signs or any other unusual symptoms that concern you:

  • new breast lumps
  • unusual vaginal bleeding
  • changes in vision or speech
  • sudden new severe headaches
  • severe pains in your chest or legs with or without shortness of breath, weakness and fatigue

Less serious, but common side effects include:

  • headache
  • breast pain
  • irregular vaginal bleeding or spotting
  • stomach or abdominal cramps, bloating
  • nausea and vomiting
  • hair loss
  • fluid retention
  • vaginal yeast infection
  • redness or irritation at the patch placement site

These are not all the possible side effects of Climara Pro. For more information, ask your healthcare provider or pharmacist. Tell your healthcare provider if you have any side effects that bother you or does not go away.

You may report side effects to Bayer Healthcare Pharmaceuticals at 1-888-842-2937 or to FDA at 1-800-FDA-1088.

What can I do to lower my chances of a serious side effect with Climara Pro?

  • Talk with your healthcare provider regularly about whether you should continue using Climara Pro.
  • See your healthcare provider right away if you get vaginal bleeding while using Climara Pro.
  • Have a pelvic exam, breast exam and mammogram (breast X-ray) every year unless your healthcare provider tells you something else.
  • If members of your family have had breast cancer or if you have ever had breast lumps or an abnormal mammogram, you may need to have breast exams more often.
  • If you have high blood pressure, high cholesterol (fat in the blood), diabetes, are overweight, or if you use tobacco, you may have higher chances for getting heart disease. Ask your healthcare provider for ways to lower your chances of getting heart disease.

How should I store and throw away used Climara Pro?

  • Store at room temperature between 68°F to 77°F (20°C to 25°C).
  • Do not store Climara Pro patches outside of their pouches. Apply immediately after removal from the protective pouch.
  • Used patches still contain estrogen. To throw away the patch, fold the sticky side of the patch together, place it in a sturdy child-proof container, and place this container in the trash. Used patches should not be flushed in the toilet.

KEEP CLIMARA PRO and all medicines out of the reach of children.

General information about the safe and effective use of Climara Pro.

Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets. Do not use Climara Pro for conditions for which it was not prescribed. Do not give Climara Pro to other people, even if they have the same symptoms you have. It may harm them.

This leaflet summarizes the most important information about Climara Pro. If you would like more information, talk with your healthcare provider or pharmacist. You can ask for information about Climara Pro that is written for health professionals.

For more information, go to www.climara-us.com or call Bayer HealthCare Pharmaceuticals Inc. at 1-888-842-2937.

What are the ingredients in Climara Pro?

Active ingredient: estradiol and levonorgestrel

Inactive ingredient: acrylate copolymer adhesive, and polyvinylpyrrolidone/vinyl acetate copolymer.

Instructions for Use

Climara Pro
(Kli-mar-uh pro)
(estradiol transdermal system)

Read this Patient Information before you start using Climara Pro and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your menopausal symptoms or your treatment.

You will need the following supplies: See Figure A

Figure A

Needed supplies - Illustration

Step 1: Pick the days you will change your Climara Pro.

  • You will need to change your patch 1 time each week or every 7 days.

Step 2. Remove the Climara Pro patch from the pouch.

  • Remove patch from its protective pouch by tearing at the notch (do not use scissors). See Figure B
  • Do not remove your patch from the protective pouch until you are ready to apply it.

Figure B

Remove the Climara Pro patch from the pouch - Illustration

Step 3. Remove the adhesive liner. See Figure C

  • You will see that Climara Pro is an oval shaped clear patch that is attached to a thick, hard-plastic adhesive liner and covered by a clear, plastic film. See Figure C
  • To apply your patch you must first remove the protective, clear plastic film that is attached to the clear thicker plastic backing. See Figure D
  • There is a silver foil-sticker attached to the inside of the pouch. Do not remove the silver foil sticker from the pouch. See Figure E

Figure C

Remove the adhesive liner - Illustration

Figure D

Do not remove the silver foil  - Illustration

Figure E

Climara Pro® (estradiol/levonorgestrel transdermal system) Figure E Illustration

Step 4. Placing the patch on your skin.

  • Apply the sticky side of the patch to one of the areas of skin shown below. See Figure F and Figure G
  • Avoid touching the sticky side of the patch with your fingers.

Figure F

Apply the sticky side of the patch to one of the areas of skin - Illustration

Figure G

Apply the sticky side of the patch to one of the areas of skin - Illustration

Note:

  • Avoid the waistline, since clothing and belts may cause the patch to be rubbed off.
  • Do not apply Climara Pro to your breasts.
  • Only apply Climara Pro to skin that is clean, dry, and free of any powder, oil, or lotion.
  • You should not apply the patch to injured, burned, or irritated skin, or areas with skin conditions (such as birth marks, tattoos, or that is very hairy).

Step 5. Press the patch firmly onto your skin.

  • Press the patch firmly in place with your fingers for at least 10 seconds
  • Rub the edges of the patch to make sure that it will stick to your skin. (See Figure H)

Figure H

Press the patch firmly onto your skin - Illustration

Note:

  • Contact with water while you are swimming, using a sauna, bathing, or showering may cause the patch to fall off.
  • If your patch falls off reapply it. If you cannot reapply the patch, apply a new patch to another area (See Figures F and G) and continue to follow your original application schedule.
  • If you stop using your Climara Pro or forget to apply a new patch as scheduled, you may have spotting, or bleeding, and your symptoms may come back.

Step 6: Throwing away your used patch.

  • When it is time to change your patch, remove the old patch before you apply a new patch.
  • To throw away the patch, fold the sticky side of the patch together, place it in a sturdy childproof container, and place this container in the trash. Used patches should not be flushed in the toilet.

Last reviewed on RxList: 11/6/2013
This monograph has been modified to include the generic and brand name in many instances.

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Climara Pro - User Reviews

Climara Pro User Reviews

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Report Problems to the Food and Drug Administration

 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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