Should i expect the signs to stop? I am currently on evorel 75mg and have been for a couple of months. (And an IUS) Since being on this dose I have managed to come off venlafaxine. I am still getting some usually mild hot flashes and palpitations, but still can be several an hour. But a couple of weeks ago I was somewhere very hot and couldn't leave and had a really bad and very obvious flash with the people around me asking if I was OK. Since then I have started leaving the old patch on until it falls off so wearing 1new and 1 old patch for most of the week. I am also only 40 and so expect to be on HRT for the next decade.