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OESCLIM: summary of tolerability and safety
1Laboratoires Fournier, Garches, France.
Introduction:
The benefits of transdermally administered estradiol have been well documented in a number of studies. OESCLIM is a new transdermal matrix system which has been developed with the objective of providing improved local skin tolerability and adhesion, whilst minimising hyperestrogenic effects.
Methods:
Data relating to OESCLIM's tolerability and safety profile were reviewed.
Results:
In a randomised, controlled comparative clinical trial, OESCLIM resulted in less than half as many application site reactions than Estraderm TTS (4.3 compared to 9.5%). In addition, the duration of reactions was significantly lower in the OESCLIM group. OESCLIM has been well tolerated in all clinical trials and was reported to have comparable estrogen-specific tolerability as Estraderm TTS. Low dose OESCLIM (25 microg/day) is associated with a reduction in hyperestrogenic side effects compared to higher doses. In a study of long term OESCLIM therapy, 79% of patients wished to continue therapy after 1 year, and in a follow up study 79.8% wished to continue at the end of the 3 year study.
Conclusion:
OESCLIM offers doctors an alternative to current transdermal therapy that is safe and effective and suitable for the majority of women. It has a better local tolerability and safety profile than Estraderm TTS and its safety has been proven in both short and long-term trials. The extensive range of OESCLIM doses available means doctors have a large flexibility and choice when it comes to deciding on an appropriate regimen including the option to initiate therapy at a low dose.