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Vagifem 10mcg Tablets

Vagifem Vaginal Tablets (24 vaginal tablets)

Order before 3pm for delivery from Fri. 18 Jun and Mon. 21 Jun.

Vagifem - Vaginal Dryness Pessaries

Vagifem pessaries are hormone replacement therapy (HRT) tablets used to treat vaginal dryness and irritation associated with the menopause. These tablets are applied directly inside your vagina using a convenient, smooth plastic applicator, giving localised relief from menopausal symptoms.

Vagifem (also called vaginal tablets) are available on prescription from The Independent Pharmacy for menopausal women. To get Vagifem delivered directly to your door, why not complete a short online consultation with us today.

Vagifem Information

  • Age: 18 years +

    Maximum per order: 1

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

What is Vagifem?

Vagifem vaginal tablets are a form of HRT for women who are experiencing symptoms of the menopause that are mostly vaginal dryness and discomfort. Vagifem contains only the female sex hormone estradiol, which is a form of oestrogen that is exactly like the oestrogen produced by the ovaries. 

The menopause can cause some women to experience a range of different unpleasant symptoms that are all a result of the ovaries no longer producing eggs and a drop in levels of female sex hormones in the blood. 

Because Vagifem tablets are inserted directly into the vagina the oestrogen works at the site of the problem. Vagifem is, therefore, an excellent choice of HRT for women that are affected by vaginal dryness, irritation, pain and problems with urination but do not need treatment for other menopausal symptoms such as hot flushes. 

 

What is Vagifem used for?

In some menopausal women, the drop in oestrogen levels can cause vaginal dryness, itching and irritation, which can result in pain and possibly bleeding during intercourse. Vagifem replenishes lost estrogen levels inside the vagina and is used to directly relieve these symptoms known as “vaginal atrophy”.

 

Vagifem to treat bladder problems

Although Vagifem is primarily prescribed to treat discomfort associated with the vagina, it has also demonstrated that it can be effective for some women at reducing issues with the bladder and urinary tract, such as painful urination and urinary incontinence.

 

How does Vagifem work?

Like other HRT, Vagifem works by restoring the female body’s estrogen levels, which before the menopause would have been produced by the ovaries. 

Because Vagifem tablets are inserted directly into the vagina instead of swallowed, the estrogen is absorbed directly where it is needed relieving discomfort without the same increased risks associated with oral HRT tablets.

 

What are the benefits of Vagifem?

Vagifem has the same benefits as other topical vaginal treatments, such as creams or vaginal rings for menopausal symptoms. These topical treatments have been shown to effectively reduce vaginal and urinary symptoms to the same extent of oral HRT but without the same risks and side effects. 

Further to its effectiveness, because Vagifem is inserted directly into the vagina a smaller dose of estrogen is needed, to reduce symptoms, then if it is taken orally, again making experiencing side effects less likely when using topical HRT. 

 

Is Vagifem safe?

Vagifem has been used internationally to treat millions of women with symptoms of the menopause since 1999 and its use has been widely researched to indicate its effectiveness.

However, like other HRT, Vagifem can cause some women to experience unwanted side effects and it may not be suitable for all women due to certain risks. You can find out more information about the warnings and precautions associated with Vagifem on the Warnings section of this page.

 

Vagifem - weight loss & weight gain

There is no current evidence that suggests that there is a link between using any form of HRT and weight gain or weight loss, however, in rare circumstances, women have reported putting on weight when using it. 

Using estrogen-only HRT such as Vagifem can cause swelling of the body due to fluid retention which also may make women feel bloated. This normally improves within the first 3 months. 

Women that are also of menopausal age also tend to notice an increase in their weight regardless of whether they are using any form of HRT, or not. It is therefore recommended that you should continue to get regular exercise and eat a balanced diet to maintain a healthy weight. 

 

Alternatives to Vagifem

Vagifem is a topical or local HRT that is inserted directly into the vagina, as a tablet or pessary, to reduce symptoms of the menopause. Using a small tablet such as Vagifem is the most common form of topical oestrogen.

Menopausal women who are looking for another form of localised oestrogen can also receive a prescription of either a cream, gel or a vaginal ring that is similarly inserted inside the vagina and the creams and gels can also be spread on to the surrounding skin. 

You can also use vaginal lubricants such as Sylk, Replens MD or Canesintima alongside Vagifem vaginal tablets to help decrease discomfort experienced during the day and whilst having sex.

At The Independent Pharmacy, we offer a range of HRT on prescription, including those taken orally and patches. For more information about available treatments, take a look at our Advice for Menopause (HRT) page.

You should speak to a doctor if you are suffering from symptoms of the menopause, they will be able to discuss the best HRT options for you.

 

Sources

*Prescription medicines are supplied subject to a medical consultation at the discretion of a doctor.

Vagifem dosage

  • You will use 1 vaginal tablet a day for the first 2 weeks. 
  • After the first 2 weeks, you will use 1 vaginal tablet every 3-4 days.

Vagifem is suitable for menopausal women over the age of 18 years who have been prescribed it by a doctor. 

You should only insert Vagifem tablets into the vagina. You should not take this medication orally. 

Each tablet is pre-inserted into a single-use applicator. You will need to open a new applicator for every dose of Vagifem.

 

How to use Vagifem

  1. Wash your hands and dry them thoroughly before and after use.
  2. Open one applicator from the end, and take it out of the packet without touching the insertion end. 
  3. Insert the end of the applicator containing the tablet inside the vagina until you reach some resistance, this will be approximately 8-10cm. 
  4. Release the tablet by pushing down on the plunger end of the applicator until you feel it click.
  5. Take out the applicator and throw it away in the bin. 

You must read the Patient Information Leaflet thoroughly before using Vagifem tablets. 

 

Can you use Vagifem more than twice a week?

Vagifem should only be used as directed in the Patient Information Leaflet or as advised by your doctor. In the first 2 weeks of treatment, you will insert 1 Vagifem tablet into the vagina every day. After this, you must only use 1 tablet twice a week. 

If you do not feel that Vagifem is working for you, do not use more than is recommended, you should discuss your options with a doctor or pharmacist.

 

How to stop taking Vagifem

You should speak to your doctor before stopping using Vagifem. Your doctor will explain the effects of stopping treatment and they will be able to discuss the possibilities for further treatment with you.

Vagifem side effects

In the same way as other HRT, Vagifem can cause some women to experience side effects. These symptoms are less common and less severe than in women who take oral HRT. 

If you are concerned about any side effects or you do not feel that they are improving over the first few months you should discuss this with a doctor or pharmacist. 

If you experience a severe side effect or have an allergic reaction you must seek medical support from your nearest emergency department as soon as possible.

Most commonly women who use Vagifem report the following side effects:

  • Headaches
  • Stomach pain and nausea
  • Vaginal bleeding, discharge or discomfort
  • Vaginal thrush
  • Rash
  • Weight gain or fluid retention
  • Hot flush
  • High blood pressure

You must read the Patient Information Leaflet thoroughly before using Vagifem tablets.

Vagifem Ingredients

Each Vagifem vaginal tablet contains the active ingredient: 10 micrograms of estradiol hemihydrate. 

Each Vagifem vaginal tablet contains the inactive ingredients: hypromellose, lactose monohydrate, maize starch and magnesium stearate, hypromellose and macrogol 6000.

You must read the Patient Information Leaflet thoroughly before using Vagifem tablets.

Vagifem warnings

  • You should not use Vagifem if you have unexplained vaginal bleeding, thickening of the womb lining, liver disease, you have ever had breast cancer or other estrogen-sensitive cancers or have ever had a blood clot or have a clotting disorder. 
  • Speak to your doctor before using Vagifem if you have asthma, epilepsy, diabetes, gallstones, high blood pressure, suffer from migraines or severe headaches, endometriosis, otosclerosis, SLE or fibroids inside your womb.
  • You should tell your doctor before using Vagifem if you are currently or have recently stopped using any prescribed or non-prescribed medication.

 

Vagifem and cancer

Oestrogen-only HRT taken orally can increase the risk of developing cancer of the womb lining and also that of cervical cancers and breast cancers. Because Vagifem vaginal tablets have a very low absorption rate of oestrogen into the bloodstream it is, therefore, less likely to cause cancers. 

It continues to be very important, however, for all women that take any form of HRT to attend regular health check-ups with their GP and to also regularly check their own breasts for changes and to see a doctor if they experience any abnormal vaginal bleeding.

 

Vagifem and blood clots

Using any form of HRT including Vagifem can slightly increase your chances of developing a blood clot in a vein or experiencing a stroke. You should see a doctor immediately if you think you are developing symptoms of a blood clot

The following people are at an even higher risk of developing a blood clot and you should speak to a doctor before using Vagifem if any of them apply to you:

  • You are immobile for an extended amount of time due to surgery, injury or illness.
  • Your BMI is over 30.
  • Your close relatives have ever had a blood clot.
  • You have systemic lupus erythematosus.
  • You have cancer.

 

Pregnancy and breastfeeding

Vagifem® is for use in postmenopausal women only. If you become pregnant, stop using Vagifem® and contact your doctor.

You must read the Patient Information Leaflet thoroughly before using Vagifem tablets.

 

Vagifem and pregnancy

Vagifem should only be used by postmenopausal women and is not a contraceptive. If you are under 50 years old or have had a natural period in the last 12 months you should speak to a doctor about contraceptive options.

If you become pregnant while using Vagifem you should stop using this medication and speak to a doctor for advice. 

Delivery & Shipping Information

Please note that due to the current situation with COVID-19, Royal Mail are experiencing some delays. This may mean that your order takes longer to arrive than you would normally expect. We are working hard to ensure that, where possible, all orders placed before 15:00 are still dispatched the same working day.

 

UK Orders

We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

  • Standard Tracked Delivery - 2 - 3 day delivery - £2.95
  • Express Tracked Delivery - 1 - 2 day delivery - £4.45
  • DPD Next Day - 1 - 2 working days - £6.95
  • Special Delivery (Guaranteed before 21:00) - £8.95
  • Saturday Guaranteed before 21:00 - £10.45

Important Delivery Information

All our orders are sent out using Royal Mail (unless stated). We always aim to dispatch all Royal Mail & DPD orders received before 15:00 the same working day. Any orders received after 15:00 or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders are subject to approval by our team of doctors and pharmacists. Your delivery date in the checkout is subject to your consultation being approved by our healthcare team.

All orders can be fully tracked from your dispatch email, in your online account and from any notifications from your courier.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods. Where possible, we will attempt to size all parcels to fit through your letterbox in tamper-proof packaging. By placing an order on our website, you confirm that it is safe and appropriate for a package containing medicines to be posted through your letterbox, if the carrier is able to do so. You should notify our customer support team if it is not safe for the package to be posted through the letterbox, for example due to animals or small children.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

Delivery is free for all NHS prescriptions.

 

Royal Mail

Features:

  • Fully tracked delivery
  • SMS & email notifications
  • Four-hour delivery window
  • Change delivery date directly with Royal Mail
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local Post Office or Royal Mail Customer Service Point.

Royal Mail are the most widely recognised mail delivery company in the UK. Being on the UK’s 29 million doorsteps six days a week means they offer unparalleled price and convenience. The Independent Pharmacy uses Royal Mail’s Tracked 48, Tracked 24, and Special Delivery Guaranteed parcel services to offer reliable, fully-tracked delivery at very competitive prices. Your Royal Mail parcel will arrive with your normal daily delivery of post.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.

 

DPD

Features:

  • Fully tracked delivery
  • SMS & email notifications
  • One-hour delivery window
  • Change delivery date directly with DPD
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local collection point.

DPD Local is the most innovative parcel carrier around. Thanks to their industry-leading Predict service, they provide parcel recipients with a one hour delivery window, notified by email, so you don't have to wait in all day. What's more, it enables receivers to watch the progress of their delivery on a real-time map, all the way down to a final 15 minute time-slot. 

As well as keeping customers informed at every stage of the journey, DPD believe in maximising choice and convenience. That's why DPD provide access to a suite of options both on the day of delivery and the night before, allowing customers to take delivery of their goods in a way that suits. If you wish to reschedule, you can:

  • Select an alternative delivery date
  • Opt for delivery to a nominated neighbour
  • Have the parcel left in a specified safe place
  • Collect the parcel from your local DPD Pickup Shop
  • Upgrade delivery to By 12

Please note: DPD do not deliver on Saturdays, Sundays or Bank Holidays - this should be taken into account when ordering. 

Once a package has been shipped with DPD we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.

 

Forwarding houses

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

 

BFPO Postcodes

Unfortunately we are unable to deliver medicines to BFPO postcodes.

 

Remote Areas

Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail advise customers of the following:

We deliver by 17:30 the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KA27, 28
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA20 (0&9)
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50
ZE1

 

We deliver within two working days by 17:30 to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
GY10
HS2
PA60 - 75, 78
ZE2, 3

 

We deliver within three working days by 17:30 to the following postcode areas:
KW16 - non-Town
KW17
PH30, 41 - 44

 

Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.

 

International Orders

We are currently unable to ship orders outside of the UK.

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

Need to know more about Vaginal Dryness?

Our UK based support team can help, email us at support@theindependentpharmacy.co.uk.

Vagifem Vaginal Tablets Reviews

Unsure about a treatment?
Ask our medical team for impartial information and advice about any treatment we provide or medical condition that we treat before you buy.

Authored By:

A photo of  Scott McDougall

Scott McDougall

MPharm

Published on: 24-12-2020

Last modified on: 24-12-2020


Scott is one of the two founders of The Independent Pharmacy. He is a registered pharmacist and the registered manager of our service with the CQC.

Reviewed By:

A photo of  Andy Boysan

Andy Boysan

BPharm

Reviewed on: 24-12-2020

Next review date: 24-12-2022


Andy is a co-founder, the superintendent pharmacist and director at The Independent Pharmacy.


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