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HRT (Menopause)

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Angeliq

Angeliq is a combined continuous form of hormone replacement therapy. The tablets, which are taken on a daily basis, add two hormones to the body in order to reduce the disruptive symptoms that can occur during the menopause. Whereas some types of HRT which contain just one hormone are taken by women who have had their womb surgically removed, Angeliq and similar kinds of treatment are typically used by patients that still have their womb.

This medicine is not available to request via our online service. If you are still having trouble with your symptoms please visit the NHS website for services in your area.

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What is Angeliq?

Angeliq is a hormone replacement therapy (HRT) that comes in the form of tablets. The medication contains two hormones which are used to treat symptoms which can develop during the menopause. Treatments like Angeliq are dispensed when the symptoms significantly disrupt a person’s life. This medication can also be used as a means of preventing osteoporosis, a bone-weakening condition which some women are more vulnerable to during the menopause.

How does Angeliq work?

Angeliq contains synthetic versions of the hormones known as oestrogen and progesterone. The level of oestrogen the female body naturally produces drops during the menopause, and it’s this change that causes a lot of the potential symptoms such as hot flushes, headaches and increased sweating during sleep. HRT tablets like Angeliq help to restore oestrogen to its original level so that symptoms are relieved.

Progesterone is added in order to keep oestrogen levels in the body at a suitable level, because if it is left unchecked it could potentially create medical issues in the womb. If a woman has had a hysterectomy – a procedure to surgically remove the womb – then they will be prescribed a form of HRT that only contains oestrogen.

How do I take Angeliq?

A single tablet of this medication is taken each day, preferably always at about the same time. The tablets are swallowed whole with a glass of water or milk and they can be taken either with or without food. Avoid taking this medication with grapefruit juice, since it can disrupt its effects.

There are 28 tablets in a strip and they should be taken one day after another uninterrupted. When a strip of tablets is finished, the next one should be moved on to the following day. Each tablet in a strip is marked with the day of the week and arrows to make it easier to keep track of what tablet should be taken next and when.

When is the right time to start using Angeliq?

If this is your first HRT treatment, then you can start taking these tablets on any day. If, however, you are switching over from a different HRT, then you should continue using that until you have finished your current pack. Start taking the Angeliq tablets the day after finishing your previous HRT treatment.

What are the side effects of Angeliq?

Like with other types of HRT, it is possible to experience side effects from taking Angeliq, but not every patient will get them. The most frequent side effects reported from users of this medication include:

  • Breast tenderness
  • Breast pain
  • Breakthrough bleeding at unexpected times

These side effects (if they occur) are most likely to occur during the first few months of using this medication. They are usually temporary and will disappear with continued treatment, but you should contact your doctor if they do not. The following side effects are also fairly common when taking this treatment:

  • Mood changes
  • Headaches
  • Stomach ache and nausea
  • Swollen breasts and non-cancerous breast tumours (benign breast neoplasm)
  • Vaginal discharge
  • Loss of energy and localised swelling

There are other potential side effects and some of them are serious, but they are also rarely experienced by patients. If you do get any side effects that are serious or lasting for an unusually long time, then speak to your doctor or pharmacist as soon as possible.

Can I take Angeliq?

Before you start using Angeliq or other types of HRT, you should be sure that you do not have any conditions or are using any medication that could potentially create complications with this particular treatment. Avoid taking this medication if any of the following apply to you:

  • You have or have previously had breast cancer
  • You have cancer that’s sensitive to oestrogens (such as cancer of the womb)
  • You have unexplained vaginal bleeding
  • You have excessive thickening of the womb lining that is untreated
  • You have or have had a blood clot in a vein such as one in the legs or the lungs
  • You have a blood clotting disorder (e.g. antithrombin deficiency)
  • You have or have had a liver disease and your liver does not function normally at the moment
  • You have a rare blood problem called porphyria

Let your doctor or pharmacist know about any other medication you are currently taking before you start using Angeliq. In particular, it’s important to highlight these medications if you are using any of them:

  • Medicines for treating epilepsy (such as phenytoin, primidone and barbiturates)
  • Medicines for treating tuberculosis (such as rifampicin and rifabutin)
  • Medicines for treating HIV and Hepatitis C infections (such as ritonavir)
  • Medicines for treating inflammation or pain (such as aspirin)
  • Medicines for treating high blood pressure or certain heart diseases (such as ACE inhibitors)
  • Medicines for treating fungal infections (such as itraconazole and fluconazole)
  • Medicines for treating bacterial infections (such as erythromycin and clarithromycin)
  • Herbal remedies that contain St. John’s Wort

What if I take more Angeliq than I should?

If you take more of these tablets than you are meant to, then there should not be any serious side effects. However, you could start to feel sick or vomit and menstruation-like bleeding may occur as well. No specific treatment should be necessary, but consult your doctor or pharmacist if you’re worried about your symptoms.

What if I forget to take Angeliq?

If you remember you were meant to take an Angeliq tablet earlier and it’s less than 24 hours since it was originally due, then take it as soon as you remember. Take the next tablets at the usual time.

But if it has been more than 24 hours since your tablet was due, simply skip this one and have the next tablet you were due to take at the usual time. If you forget to take a tablet on multiple days, you may experience irregular bleeding as a consequence. Symptoms of the menopause may also return to some extent.

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Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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