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US health department to remove broad black box warning from three estrogen patch products

The action expands earlier label changes as the FDA says 29 companies have submitted proposed revisions to menopausal hormone therapy products.

  • On Friday, the US health department approved removing the strictest "black box" warnings from labels of three estradiol transdermal patches, hormone therapies used to treat menopause symptoms in the United States.
  • Women in the United States have struggled to find hormone replacement treatments for mood swings and hot flashes amid surging demand, prompting the FDA to work with manufacturers to boost estrogen patch supplies.
  • Estrogen patch market output has doubled over the past year, and the FDA has expedited review and approval of 10 supplements this year, with two approved within the past week.
  • Labeling changes for six menopausal hormone therapy products were expanded to remove warnings related to CVD, breast cancer, and probable dementia, clarifying risk-benefit associations for patients and doctors.
  • The FDA is working expeditiously to address label modifications for remaining menopausal hormone therapy products, though scarcities have previously impacted certain vaginal and injectable estrogen options despite no official shortage designation.
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Reuters broke the news in London, United Kingdom on Friday, October 30, 2026.
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