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Estrogel
Estrogel
Estrogen gel

Get your Estrogel medication filled online

Through Felix, you can get Estrogel prescribed by a licensed healthcare practitioner with free delivery to your door.

At a glance
17β-estradiol - estradiol hemihydrate
Estrogel gel 0.06%
Why Felix
Prescribed by a Canadian healthcare professional
Support and resources along your journey
Free and fast shipping to your door
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What is
Estrogel
?

Estrogel is a gel containing 17β-estradiol, which is meant to be used transdermally.

This medication is used in Menopause Hormone Therapy (MHT) for women in an estrogen-deficient state caused by menopausal or postmenopausal symptoms.

In some cases, Estrogel gel is also prescribed alongside progestin for women that have intact uteri. This is done to help prevent endometrial hyperplasia/carcinoma.

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

How does
Estrogel
work?

The active ingredient in doses of Estrogel is estradiol, which is a naturally occurring female hormone.

As women enter menopause, their bodies begin producing less estrogen, and some stop producing it completely by the time they reach the postmenopausal life stage.

Estrogel works by helping to replace the missing hormones, and by doing so, alleviates symptoms that often occur in menopause/postmenopause (i.e., hot flashes, night sweats, vaginal dryness, difficulty sleeping, etc.)

What is
Estrogel
used to treat?

Estrogel has two primary uses:

Its primary use is as a medication in Menopause Hormone Therapy (MHT), which may also be called hormone replacement therapy (HRT).

As women enter menopause and then postmenopause, their bodies produce less estrogen. Some stop producing it entirely.

Doses of Estrogel help replace these missing hormones, which reduces the severity of menopause-related symptoms.

Additionally, Estrogel is often used in tandem with a progestin medication to help prevent endometrial hyperplasia/carcinoma in women that have intact uteri.

How do you take
Estrogel
?

Before you can start dosing your Estrogel, you’ll need to remove the pump cover.

Next, you should prime the pump, so that a full dose is ready to dispense. This usually takes a pump or two. Discard these partial doses of Estrogel. Note that you only need to prime a pump before your first use of a new Estrogel.

Wash your hands, as well as the areas that you’re going to be applying the medication. You’ll need to use two distinct areas. If you’re using your arms, use the opposite hand to apply to each respective arm.

A full dosage of Estrogel is usually two pumps, but because you’re going to spread it over two areas, you should use one pump to apply at a time.

Apply to each area, and make sure the medication is spread evenly across the area. Then leave for at least two minutes to dry, before covering with clothing.

Always replace the pump cover after each use.  

NOTE: Never apply Estrogel on your face, your breasts, or to any area that has irritated or damaged skin. Estrogel is for topical use only.

How long does
Estrogel
last after you take it?

What are the common side effects of
Estrogel
?

Side effects from taking Estrogel could include:

  • Vaginal bleeding or spotting in between normal periods
  • Headaches
  • Depressive mood
  • Endometrial hyperplasia
  • Tenderness or swelling of the breasts
  • Water retention
  • Nausea, vomiting, or abdominal discomfort
  • Gallbladder disorder
  • Impaired liver function
  • Menstrual cramps
  • Vaginal itching or discharge
  • Pain during intercourse
  • Change in libido
  • Difficulty or pain during urinating
  • Premenstrual Syndrome (PMS)
  • Inflammation of the bladder
  • Brown, blotchy spots on exposed skin (melasma)
  • Skin rash, tender red lumps/nodules, or other skin reactions
  • Loss of hair or hair growth
  • Acne
  • Worsening varicose veins
  • Heart palpitations
  • Nervousness or irritability
  • Fatigue
  • Intolerance to contact lenses
  • Changes in appetites
  • Changes in body weight (increase or decrease)
  • Pain in joints or muscles, usually lasting only 3-6 weeks

If you start to experience any of the side effects severely, be sure to talk to your healthcare practitioner. They may be able to suggest an alternative Estrogel dose (1 pump instead of 2), or a different medication that may work better for you.

Who shouldn't take
Estrogel
?

There are a number of people who shouldn’t use Estrogel, such as:

  • People with liver disease
  • People with a history of breast or endometrial cancer
  • People with unexpected or undiagnosed vaginal bleeding
  • People who are pregnant or think they may be pregnant
  • People that are breastfeeding
  • People with a history of coronary heart disease, heart attacks, or strokes
  • People that experience migraine headaches
  • People with a history of blood clots
  • People that have active thrombophlebitis (inflammation of the veins)
  • People with vision issues resulting from blood vessel disease of the eye
  • People that have a known or suspected hormone-dependent cancer
  • People who are allergic to estradiol or any of the other ingredients in Estrogel

In addition to these people, there are others who should be extra cautious about using Estrogel, such as:

  • People with a history of liver disease, liver tumours, or jaundice
  • People with a history of breast disease, breast biopsies, or a family history of breast cancer
  • People who have a history of endometrial hyperplasia, which is an overgrowth of the lining of the uterus
  • People who have experienced undiagnosed or unusual vaginal bleeding
  • People who have experienced pain or pressure in their abdomen or pelvis
  • People with a history of uterine fibroids
  • People with a personal history of heart disease or stroke or a family history of blood clots
  • People with a history of migraine headaches
  • People with a history of allergy or intolerance to Estrogel or any of its ingredients, or to any other medications or substances
  • People with a history of high blood pressure
  • People with a history of kidney disease, asthma, or epilepsy
  • People with a history of bone disease
  • People with diabetes
  • People with porphyria, which is a blood pigment disease
  • People with a history of high cholesterol or high triglycerides
  • People with a history of depression
  • People who have had a hysterectomy
  • People that have a condition called hereditary or acquired angioedema
  • People that have had episodes of rapid swelling of the hands, feet, face, lips, eyes, tongue, throat, or digestive tract
  • People with lupus
  • People with hearing loss due to otosclerosis
  • People with Hepatitis C
  • People who are breastfeeding

If any of these conditions apply to you, be sure to talk to your healthcare practitioner at Felix before requesting Estrogel gel online in Canada. They may be able to suggest alternative medications that will work better for you, based on your current health and medical history.

The following drugs may interact with Estrogel:

  • Barbiturates
  • Hydantoins
  • Carbamazepine
  • Meprobamate
  • Phenylbutazone or rifampin
  • Atorvastatin
  • Antibiotics
  • Aminoglutethimide
  • Some herbal products (e.g. St. John’s wort)
  • Phenobarbital
  • Phenytoin troglitazone
  • Ascorbic acid
  • Acetaminophen
  • Oral contraceptives containing ethinyl estradiol, progestin

Estrogens may diminish the effectiveness of anticoagulant, antidiabetic, or antihypertensive drugs.

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We’d love to tell you more

Health Canada regulations require us to confirm your patient status to access further information on Estrogel.
The drug identification number (DIN) is easy to find. It’ll be printed on your Estrogel 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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How Felix works

Step 1

Tell us about your health

Answer a few simple questions about your health and complete your lab work. 

Step 2

Receive a treatment plan

Your healthcare practitioner will build a personalized plan just for you.

Step 3

Get your medication

We’ll deliver your medication directly to your home for free in discreet packaging.

Trusted by over 1 million Canadians

Very easy and professional experience. Quick response from the doctor and easy ordering, billing and shipped and delivered on time. Hassle free.
Warren
Customer
Great service and products. Everything always arrived in a timely manner.
Tim
Customer
Simple, respectful, professional with good follow up and guidance, and fast service and delivery.
Scott
Customer
Best place to get birth control. No more annoying doctor visits
Savannah
Customer
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.
Samantha
Great service! I really appreciate being able to put my auto-refill on pause.
Rowan
Easy and simple.
Pete
Customer
The best service!!! So happy I never have to try and get myself to the pharmacy anymore. This is the future!!!
Paige
The whole process of signing up with Felix, the online visit, and getting my prescription in the mail was very easy and very convenient.
Paul
Customer
Super convenient, and amazing customer service! The team always responds +++ fast and answers every question and concern. Very pleased with Felix!
Nicole
Customer
Discreet, quick, very professional, and feels totally safe. This is such a convenient service and I'm a huge fan already.
Nicky
Customer
Sign up was a breeze, and items shipped faster than expected. A positive, painless experience from start to finish!
Jon
Customer
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!
Matt
Customer
Very quick and easy to do. Can ask the doctor any questions about the medication.
Maren
Customer
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.
Kristian
Customer
Super convenient and affordable! Much easier than having to book a doctors appointment and wait to get a prescription filled.
Jillian
Customer

Other medications

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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.

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.

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 treatments outside of these provinces at this time.

Online Visits

How does the 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 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 hello@felixforyou.ca and we’ll look into it.

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

No. A visit with a licensed healthcare practitioner is required for all treatments currently provided through Felix’s service.

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

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 practitioners 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. 

Shipping

How long will it take to get my treatment?

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

Treatment plans will be processed within 2-3 business days of your approval date if there is nothing blocking fulfillment.

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 treatment 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 to ship my treatment?

There is currently no cost to have your treatment shipped 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.

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 treatment cost?

It depends. Treatment costs vary but will be in line with what you would pay at a pharmacy in person. You will see the estimated cost of your treatment before insurance, during the online visit but will only be charged once approved. Once approved, your treatment and payment will be processed 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.

Insurance

Am I covered by my insurance?

Treatment coverage varies greatly between different insurance plans.

The good news is that if you are covered, Felix can bill your insurer directly, and then process your treatment plan 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 processing your treatment plan.

Insurance coverage for treatment plans 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.

Have more questions? We’ve got answers.
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