How to Store EstroGel and Divigel (Estradiol Gel)
[Storage · EstroGel and Divigel]

How to store EstroGel and Divigel (estradiol gel)

Quoted from the US label · Unopened vs in use · Travel · Sources · Reviewed

Short answer: Store EstroGel and Divigel at room temperature, 68-77°F (20-25°C), with excursions allowed to 59-86°F (15-30°C). Throw away an EstroGel canister after priming and 30 doses, even if it is not empty. Throw away each empty Divigel packet in the trash. EstroGel contains alcohol and is flammable until dry. Sources: both labels, section 16 and patient leaflets.

What do the labels say?

EstroGel 0.06% and Divigel 0.1% US prescribing information, section 16, and patient leaflets.
ProductTemperaturePackaging
EstroGel 0.06%20-25°C (68-77°F); excursions 15-30°C (59-86°F)50-gram metered-dose pump; 1.25 g of gel (0.75 mg estradiol) per pump depression
Divigel 0.1%20-25°C (68-77°F); excursions 15-30°C (59-86°F)Single-dose foil packets of 0.25, 0.5, 0.75, 1.0 and 1.25 g; cartons of 30

Neither label says anything about the refrigerator or freezer.

When do you throw away the EstroGel pump?

EstroGel leaflet: the 50-gram canister holds enough for priming with up to 5 full pump depressions and 30 daily doses. “After you have first primed your canister and used 30 doses, you will need to throw away the canister. Do not use the canister for more than 30 doses even though the canister may not be completely empty. You may not get the correct dose.”

Gel pumped out while priming is discarded by rinsing it down the sink or placing it in the household trash (section 2). Divigel leaflet: throw away the empty packet in the trash.

EstroGel contains alcohol, which is flammable: avoid fire, flame or smoking until the gel has dried. See EstroGel side effects, Divigel side effects, the EstroGel and Divigel dosing schedules, EstroGel vs Divigel and the estradiol page.

How do you travel with them?

Both are room-temperature products, so they need no ice pack. Keep them in your carry-on, within 59-86°F (15-30°C), and out of a hot car. Divigel packets are single-dose, which makes them easy to count out for a trip.

  • TSA allows medically necessary liquids and gels over 3.4 oz in carry-on bags; declare them at the checkpoint for inspection.
Quoted from the current US label on DailyMed, not personalized advice. Labels change; the leaflet in your own carton, your pharmacist and your prescriber are the final word on how to store it.

Frequently asked questions

Does estradiol gel need to be refrigerated?+
No. The EstroGel and Divigel labels both say store at 68-77°F (20-25°C), with excursions allowed to 59-86°F (15-30°C).
Why throw away EstroGel before the canister is empty?+
The leaflet says the canister holds priming plus 30 doses; past 30 doses you may not get the correct dose.
Is estradiol gel flammable?+
The EstroGel label says it contains alcohol and is flammable until dry: avoid fire, flame or smoking until it has dried.