Divigel® offers plant-based bioidentical estradiol in three dosing options for individualized treatment of vasomotor symptoms due to menopause:

Divigel® is the only estrogen therapy to offer the lowest FDA approved dose at 0.25 mg/day.

0.25mg 0.5mg 1mg

Divigel® is effective at reducing hot flashes1

Divigel® reduced the frequency of vasomotor symptoms1
Chart 1
Severity Chart

This was a 12-week, randomized, double-blind, placebo-controlled clinical trial of 488 post-menopausal women who received 1 mg, 0.5 mg, or 0.25 mg of Divigel® or placebo gel daily.1 98.6% [481/488] of all patients had severe vasomotor symptoms at baseline.1

0.5mg/day is not statistically significant from placebo until week 4 and beyond, and week 5 and beyond 0.25/day.

  • At the highest dose (1 mg/day) Divigel® eliminated nearly 9 out of 10 daily hot flashes by week 12.1
  • As early as 2 weeks, Divigel® (1 mg/day) was shown to reduce the frequency of hot flashes by nearly HALF.1
  • At the lowest dose (0.25 mg/day) Divigel® eliminated about 70% of daily hot flashes by 12 weeks.1
Divigel® reduced the severity of vasomotor symptoms in 12 weeks1
Chart 2

This was a 12-week, randomized, double-blind, placebo-controlled clinical trial of 488 post-menopausal women who had severe host flash symptoms

Data remain significant from placebo at week 12.

  • Divigel® reduced the severity of hot flashes by 67% at 12 Weeks (1 mg/day).1
  • All dose strengths have been proven to reduce the severity of hot flashes.
  • 0.25 mg is not statistically significant until 7 weeks.
  • On Divigel® your patients may not only experience fewer hot flashes and night sweats over time but those symptoms may also be less severe.
Divigel® provides 24-hour estradiol coverage at all dose strengths2


Chart 1
  • Divigel® sustained serum concentrations of estradiol over 24 hours.
1 mg/day
0.5 mg/day
0.25 mg/day
30.5 pg/mL
21 pg/mL
9.8 pg/mL*
*Day 14 following multiple daily doses of Divigel® 0.1% [values uncorrected for baseline].
  • Divigel® offers 3 dosing options of plant-based estradiol for individualized treatment.
  • Divigel® is the only estrogen therapy with the lowest FDA approved dose at 0.25 mg/day compared to other non-patch estrogen therapy.2-5


Divigel® delivers estrogen directly through the skin to the bloodstream, avoiding the stomach and liver. This way, therapies applied to the skin, such as Divigel®, can be used at lower doses to achieve similar relief as hormone pills.6,7




1. Divigel® [package insert]. Vertical Pharmaceuticals, LLC; 2017. 2. EstroGel® [package insert]. Herndon, VA: ASCEND Therapeutics, Inc; 2014. 3. Elestrin® [package insert]. Somerset, NJ: Meda Pharmaceuticals™; 2014. 4. Evamist® [package insert]. Minneapolis, MN: Perrigo®; 2015. 5. Hedrick RE, Ackerman RT, Koltun WD, Halvorsen MB, Lambrecht LJ. Transdermal estradiol gel 0.1% for the treatment of vasomotor symptoms in postmenopausal women. Menopause. 2009;16(1):132-140. 6. Goodman NF, Cobin RH, Ginzburg SB, Katz IA, Woode DE; American Association of Clinical Endocrinologists. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the diagnosis and treatment of menopause. Endocr Pract. 2011;17(suppl 6):1-25. 7. Samsioe G. Transdermal hormone therapy: gels and patches. Climacteric. 2004;7(4):347-356.

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