Climara Estrogen patch box
Estrogen Patch

Get your Climara medication filled online

With Felix, you can get Climara prescribed by a licensed healthcare practitioner and delivered to your door for free.

At a glance
Estradiol Hemihydrate
25mcg and 50mcg transdermal patches
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Prescribed by a Canadian healthcare professional
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What is

Climara is a transdermal patch that contains the medication estradiol hemihydrate.

It’s indicated for use as a treatment for menopausal and postmenopausal symptoms relating to estrogen-deficiency.

Climara 50mcg patches are also indicated for use in the prevention of osteoporosis in estrogen-deficient people, or to further reduce bone loss in people that are already diagnosed with osteoporosis.

Climara 25mcg patches are not indicated for the prevention or treatment of osteoporosis.

For more resources, including a full list of the risks and benefits of Climara, please review the product monograph.

How does

Climara transdermal patches contain the estradiol hemihydrate, which is very similar to the naturally occurring hormone estrogen.

Throughout the menopausal transition, estrogen levels drop due to the body’s natural end of menstrual cycles.

These transdermal patches allow for your body to take in estradiol/estrogen gradually through the patch.

In turn, it can reduce the severity of menopause/postmenopause symptoms, and helps lower the risks of osteoporosis in estrogen deficient people.

For those that have already been diagnosed with osteoporosis, Cimara patches (specifically 50mcg) can be used to help prevent further bone loss, by replacing some of the hormones that cause this condition.

What is
used to treat?

Climara patches have two indicated uses:

The first is as a treatment for menopause and postmenopause-related symptoms in estrogen-deficient individuals.

The second indication has two potential scenarios of use.

50 mcg Climara patches can be used as a preventative measure to reduce the risks of osteoporosis occurring in people that are estrogen deficient.

Alternatively, if a person has already been diagnosed with osteoporosis, 50mcg Climara patches can be used to help stop further bone loss.

25mcg Climara patches aren’t indicated for the prevention or treatment of osteoporosis.

How do you take

Each Climara patch comes in its own individual packaging. Always follow the opening directions on the packaging to ensure that you don’t damage the patch, while opening its packaging.

Climara patches should be applied once a week, and worn for 7 consecutive days. After 7 days, the patch should be removed, and another patch  should be put on. Only one patch per week should be worn, and only one patch at a time.

If you’re using the Climara patch and you have not had a hysterectomy (removal of the uterus), then you should also be taking a progestin medication for a certain number of days during each cycle.

This reduces the risks of endometrial hyperplasia (overgrowth of the lining of the uterus) and endometrial carcinoma (cancer of the uterine lining) from occurring.

How long does
last after you take it?

What are the common side effects of

Some of the most common side effects of Climara patches include:

  • Changes in body weight
  • Heavy periods
  • Migraines
  • Fluid retention
  • Persistent skin irritation

If any of these symptoms start to become severe, be sure to talk to your healthcare practitioner. They may be able to suggest an alternative dosage or medication that could work better for you.

There are some other possible side effects that require investigation. Be sure to talk to your healthcare practitioner if you start to experience:

  • Abdominal pain
  • Nausea
  • Vomiting
  • Unexpected vaginal bleeding
  • Breast lumps
  • Changes in vision
  • Easy bruising, excessive nose bleeds, or extremely heavy periods
  • First migraine headache (if you’ve never experienced one before)
  • Bloating or fluid retention lasting longer than 6 weeks
  • High blood pressure
  • Rapid pulse
  • Dizziness
  • Skin redness, swelling, tenderness, pain or hardening of tissue around a vein

Additionally, you should stop your treatments and seek immediate medical assistance if you start to experience:

  • Change in speech
  • Crushing chest pain or chest heaviness
  • Pain or swelling in the leg
  • Persistent sad mood
  • Sharp pain in the chest, coughing blood, or sudden shortness of breath
  • Sudden partial or complete loss of vision
  • Sudden severe headache or worsening of headache, vomiting, dizziness, fainting, disturbance of vision or speech, or weakness or numbness in an arm or leg
  • Yellowing of the eyes or skin (jaundice)

Who shouldn't take

There are a number of people that shouldn’t use Climara patches, including:

  • People who are pregnant or breastfeeding
  • People with liver disease, or that have or have had a liver tumour
  • People with a history of certain types of cancer (i.e., endometrial cancer)
  • People that have known, suspected, or have had breast cancer
  • People that have endometrial hyperplasia (overgrowth of the lining of the uterus)
  • People with undiagnosed or abnormal genital bleeding
  • People with a history of heart attacks, heart disease, or strokes
  • People with a history of blood clots or active thrombophlebitis (inflammation of the veins)
  • People at high risk of blood clots, including those born with certain blood clotting disorders
  • People with vision issues caused by blood vessel disease of the eye
  • People that have ever had an allergic or unusual reaction to estrogen or any other ingredient of Climara

In addition to these people, there are others that should be cautious about using Climara patches. Be sure to tell your healthcare practitioner before starting Climara if you:

  • Have a history of allergies or intolerances to any medications or other substances
  • Have a history of breast disease (including lumps), breast biopsies, or a family history of breast cancer
  • Have experienced any unusual or undiagnosed vaginal bleeding
  • Have a history of uterine fibroids or endometriosis
  • Have a history of liver disease or jaundice (yellowing of the skin or eyes)
  • Have a history of itching related to estrogen use or during pregnancy
  • Have or have had chloasma (yellow-brown patches on your skin)
  • Have inherited deafness (otosclerosis)
  • Have systemic lupus erythematosus (SLE)
  • Have or have had chorea minor (illness with unusual movements)
  • Have hereditary angioedema
  • Have experienced episodes of rapid swelling of the hands, feet, face, lips, eyes, tongue, throat (airway blockage), or digestive tract
  • Have a history of migraines
  • Have a history of high blood pressure
  • Have a history or family history of blood clots
  • Have a personal history of heart disease or strokes
  • Are undergoing surgery or are required to have long bed rest
  • Have a history of kidney disease, asthma, or epilepsy
  • Have a history of bone disease, including certain conditions or cancers that affect calcium and phosphorus levels in the blood
  • Have diabetes
  • Have porphyria (a blood pigment disease)
  • Have high prolactin levels or prolactinoma
  • Have a history of high cholesterol or high triglycerides
  • Are pregnant or may be pregnant
  • Are breastfeeding
  • Have had a hysterectomy (surgical removal of the uterus)
  • Smoke
  • Have a history of depression

Your practitioner may want to suggest an alternative dosage or medication that could work better for you, based on your health and medical history.

There are also some medications that can interact with Climara patches. Be sure to tell your healthcare practitioner if you’re taking:

  • Anticoagulants, antidiabetic agents
  • Drugs used for treating certain heart disease or high blood pressure (i.e., diltiazem, verapamil)
  • Drugs used for treating HIV and Hepatitis C infections (i.e., nelfinavir, ritonavir, ritonavir-boosted protease inhibitors, boceprevir, telaprevir, nevirapine)
  • Barbiturates, carbamazepine, meprobamate, phenylbutazone, primidone, phenytoin, oxcarbazepine, topiramate, felbamate, or rifampicin
  • Antibiotics (i.e., erythromycin, clarithromycin, penicillin, tetracycline)
  • Antifungals (i.e., griseofulvin, fluconazole, itraconazole, ketoconazole, voriconazole)

Alcohol, grapefruit juice, and St. John’s wort may also interact with Climara.

In these cases, your practitioner may want to suggest an alternative medication that won’t interact with your other ongoing medications.

What happens if
is taken regularly by men?

02247499, 02231509

We’d love to tell you more

Health Canada regulations require us to confirm your patient status to access further information on Climara.
The drug identification number (DIN) is easy to find. It’ll be printed on your Climara packaging and the receipt from your pharmacist.

Sorry the DIN you entered is incorrect. Please verify the number and try again.

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Trusted by over 500,000 Canadians

Very easy and professional experience. Quick response from the doctor and easy ordering, billing and shipped and delivered on time. Hassle free.
Great service and products. Everything always arrived in a timely manner.
Simple, respectful, professional with good follow up and guidance, and fast service and delivery.
Best place to get birth control. No more annoying doctor visits
Within an hour . . . a doctor contacted me to make sure that particular medication was what I wanted. Doctor was friendly and knowledgeable. Within minutes . . . being confirmed my order was put through and I received my medication after 2 days.
Great service! I really appreciate being able to put my auto-refill on pause.
Easy and simple.
The best service!!! So happy I never have to try and get myself to the pharmacy anymore. This is the future!!!
The whole process of signing up with Felix, the online visit, and getting my prescription in the mail was very easy and very convenient.
Super convenient, and amazing customer service! The team always responds +++ fast and answers every question and concern. Very pleased with Felix!
Discreet, quick, very professional, and feels totally safe. This is such a convenient service and I'm a huge fan already.
Sign up was a breeze, and items shipped faster than expected. A positive, painless experience from start to finish!
Felix gets you into contact with doctors discreetly online to address personal matters that you'd rather not go to a doctor in person to see, you get the prescription best suited to your needs, and they'll deliver it to your local pharmacy or even your house!
Very quick and easy to do. Can ask the doctor any questions about the medication.
The process was a whole lot easier and faster than I imagined. And the doctor was absolutely helpful and answered relatively fast. I highly recommend Felix.
Super convenient and affordable! Much easier than having to book a doctors appointment and wait to get a prescription filled.

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Frequently asked questions


Felix 101

What is Felix?

Felix is Canada’s first truly integrated healthcare platform. We provide on-demand treatment for everyday health needs like weight loss, mental health, sexual health, and more. Founded in 2019, our digital-first approach to healthcare includes everything from diagnosis to prescription — all accessible from the comfort of home.

Who can use Felix?

Anyone who is 18 years or older older (16 or older for acne and birth control prescriptions), and is located in Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Prince Edward Island, Saskatchewan or Ontario. We cannot ship medication outside of these provinces at this time.

Does Felix replace my doctor?

No. Felix provides a faster, hassle-free way for you to get a prescription to certain medications but our service does not replace your primary care provider. For matters that extend beyond obtaining a prescription lifestyle medication safely and easily, we encourage you to consult your primary health practitioner in person — whether for checkups, personal health concerns, or to inform them about the medications you are currently using.

Can I be accurately assessed remotely?

Absolutely. Our online assessments have been designed to ask all the necessary questions required for diagnosis. We've worked with specialist to create an assessment process that can provide sufficient information for the healthcare practitioner to determine whether or not you are eligible for a prescription and craft an appropriate treatment plan.

It's an emergency. What do I do?

Call 911 or proceed to your nearest emergency room immediately. Felix is not intended for medical emergencies. Once the emergency has been addressed or resolved, contact your prescribing practitioner to inform them of your experience as this may impact your current treatment plan.

Online Visits

How does this visit work?

After creating an account, you will complete a medical assessment for evaluation by one of the Felix healthcare practitioners. 

During your assessment, you will have the opportunity to send your practitioner questions via secure messaging.  

In most cases, practitioners will complete your assessment with secure messaging alone but sometimes they may determine you require an audio or video visit and/or further diagnostic testing to help determine the best treatment plan for you. 

If your practitioner has determined a prescription treatment is appropriate, they will approve your visit and write you a prescription. Our pharmacy will then ship your prescription to your home.

You’ll be able to message your healthcare practitioner if you have questions about your medication or want to make changes to your treatment at any time.

Do I need to complete my online visit at a scheduled time?

No. We use an asynchronous telemedicine model so you can complete your online visit in your own time and we save your progress so you can come back later to finish it.

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

Does the online visit require a phone or video appointment?

Most assessments do not require a phone or video conversation. Once a prescriber has reviewed the info in your assessment they will respond to you via secure instant messages that you can access within your Felix account.  

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

How quickly will a healthcare practitioner review my online visit?

You can expect to receive a response from a healthcare practitioner within 24 hours of submission. If you’ve been waiting longer than this, please email and we’ll look into it.

Can I just get the medication and skip the online visit?

No. A prescription written by a licensed healthcare practitioner is required for all medication currently provided through Felix’s service. If you already have a prescription with at least one refill remaining, you can transfer it to the Felix Pharmacy network.

Please email our Customer Support team at and they will be able to assist you with the transfer.


How long will it take to get my medication?

Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.

The pharmacy will process and fill your prescription within 2-3 business days of your prescription approval date if there is nothing blocking them from doing so.

All packages are shipped via Express Post, which usually takes 2-3 business days. You will receive an email with your tracking number once your treatment has been shipped.

Is your packaging discreet?

Absolutely. All Felix shipments arrive in a nondescript blister package so you can have your medication shipped wherever makes sense for you as long as there is someone there to sign for it.

Do I have to be home to receive my package?

A signature upon delivery may be required.

How much does it cost for shipping my medication?

There is currently no cost to have your medication sent to you from our Felix Pharmacy network.

What courier do you use for shipping?

Our pharmacy partners use Canada Post and/or Purolator for shipping.

Privacy and Security

Is my information private and secure?

Yes, your security is paramount to Felix’s mission. Personal health information provided during your medical assessment is strictly and legally confidential between you and the Felix healthcare practitioner.

Beyond that, all your account information (including the medical assessment, credit card, and shipping information, etc.) is also stored safely and securely. Felix is compliant with all federal and provincial health privacy legislation. It is our duty to protect your data with comprehensive security infrastructure and stringent data policies to ensure it stays private and secure.

Read more on our Privacy Policy.

Is this legal?

Yes! In Canada, only a licensed healthcare practitioner can write a prescription, and only a registered pharmacist can fill that prescription. We are supported by leaders in the Canadian pharmacology and specialized medical fields. Felix adheres strictly to all the regulations set forth by all applicable Colleges of Pharmacists and Colleges of Physicians and Surgeons in which we operate.

Is this safe?

Absolutely. All prescriptions obtained via Felix are provided by licensed Canadian healthcare practitioners—the same as you would get at a hospital, doctor’s office, or clinic. These practitioners do not provide prescriptions unless they deem it medically safe and appropriate to write them based on your medical profile and assessment answers. Our assessments have been crafted by the experts on our medical team. Finally, all Felix Pharmacies are provincially accredited just like any retail pharmacy.

How is my privacy protected?

Your privacy is our top priority. All your data is 256 bit SSL/TLS encrypted, and we take significant steps to keep your data secure. You can read our Privacy Policy for more information. 

Pricing and Payment

How much is the online visit?

Felix charges a fee for the online visit, but only if and when you are approved by the healthcare practitioner. In most cases the fee is $40 but varies by treatment category. The visit fee includes a prescription valid for up to a year (depending on the condition) and on-going support from the healthcare practitioner or pharmacist.

How much will my medication cost?

It depends. Medication costs vary from treatment to treatment but will be in line with what you would pay at a pharmacy in person. You will see the estimated cost of your medication before insurance, during the online visit but will only be charged once approved. Once approved, your prescription will be sent to the pharmacy and we will process the payment and fill the prescription within one to two days.

Keep in mind that you won’t necessarily need to pay the full price yourself. If you have insurance, Felix’s partner pharmacies will bill your insurer directly. You may also be eligible for financial support in your province.

What payment methods do you accept?

We accept all major credit cards for any aspect of your treatment not covered by insurance or other financial support

When am I charged?

You will be charged for the online visit as soon as it is approved by the healthcare practitioner. From there, and after your prescription is activated by the pharmacy, you will be charged the medication cost for each shipment based on your chosen refill schedule. If you have provided insurance or benefits coverage details, it will be applied according to your plan.


Am I covered by my insurance?

Medication coverage varies greatly between different insurance plans.

The good news is that if you are covered, Felix can bill your insurer directly, and then ship your medications right to your door at no additional cost to you. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before shipping your meds.

Insurance coverage for medications through Felix doesn't include the cost of your visit.

Is the online visit covered by my insurance or provincial health plans?

A Felix online visit is considered asynchronous since it is conveniently completed through a secure chat bases system. Currently, asynchronous visits are not covered by insurance or provincial health plans so you will be charged a visit fee, depending on the category of treatment you are requesting.

Is the medication covered by my insurance or provincial health plans?

Medication coverage varies greatly between different plans, provinces, and has specific criteria that determine eligibility. For private insurance, we recommend contacting your benefits administrator with your details and the Drug Identification Number (DIN) and the drug name to determine your coverage.

For more details on provincial health plan coverage see below:

Alberta: Learn more about AHCIP here. Search for covered drugs here.

British Columbia: Learn more about MSP here. Search for covered drugs here.

Manitoba: Learn more about MHSIP here. Search for covered drugs here.

Newfoundland and Labrador: Learn more about MCP here. Search for covered drugs here.

Nova Scotia: Learn more about MSI here. Search for covered drugs here.

Ontario: Learn more about OHIP+ here. Search for covered drugs here.

Prince Edward Island: Learn more about Health PEI here. Search for covered drugs here.

Saskatchewan: Learn more about Saskatchewan Health Coverage here. Search for covered drugs here.

Is birth control covered by OHIP in Ontario?

OHIP+ covers some birth control for eligible residents of Ontario who are under 25 years old and do not have private insurance. You can check if your birth control medication is covered here. Make sure to upload your Ontario health card during your online visit so our pharmacy partners can apply your coverage directly.

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