By using Vagifem vaginal tablets, you will be able to lower plasma levels of estrogen and have greater effectiveness at controlling localised symptoms compared to a tablet.

Please avoid using Vagifem if you have an allergy or intolerance to any of the ingredients or if the following apply to you:

• You have a history of estrogen-sensitive cancers (e.g. breast cancer)
• You have/had endometrial thickening
• There's unexplained vaginal bleeding
• You have deep vein thrombosis
• You suffer from a blood clot disorder
• There's a history of liver disease or porphyria

Please let your doctor or pharmacist know if there's a history of epilepsy, endometrial cancer, immune conditions, diabetes, high blood pressure, migraines, and gallstones.

By using Vagifem vaginal tablets, you will be able to lower plasma levels of estrogen and have greater effectiveness at controlling localised symptoms compared to a tablet.

Vagifem is simple to use, and each pack of 24 tablets comes with convenient applicators. Insert the tablet into your vagina and use one tablet each day for the first two weeks of treatment. After two weeks, you'll need to reduce your dose to two tablets per week.

It's also important to only use Vagifem as long as your doctor or pharmacist recommends. They'll also advise whether you can use the tablets if you undergo surgery.

Due to the low estradiol dose, using too many tablets is unlikely to cause harm, but informing your doctor is still a good idea.

It can take several days or even weeks for Vagifem vaginal tablets to be effective for menopausal symptoms. It is best to use vaginal tablets regularly for results to be most effective. 

If you miss a dose of Vagifem, insert it as soon as you remember - unless your next dose is due soon. In that case, you should skip the missed dose and maintain your regular schedule. Never take extra Vagifem to compensate for a missed dose.

PharmacyOnline.co.uk can prescribe Vagifem as long as you have previously used this treatment. Our doctors must conduct an online assessment to determine your suitability.

While the medicine is safe for ongoing use in most people, it's important to consult a healthcare professional and understand the potential risks. Your doctor will discuss the long-term benefits and considerations, making sure you're comfortable with the decision.

Please leave Vagifem in the original blister pack at room temperature. You should also keep the tablets away from direct sunlight and moisture. Ensure children and pets can't access the medication at all times.

Vagifem might cause interactions with some medications, so it's best to inform the pharmacist or doctor of any other treatments, supplements, and vitamins you're taking. While it's a safe method for treating vaginal symptoms of menopause, Vagifem's interaction with certain medicines can increase your risk of side effects.

Inform your doctor about all medications, vitamins, and supplements you are taking, including prescription and over-the-counter products. Certain medications may interact with Vagifem, increasing the risk of side effects.

Unfortunately, doctors don't recommend using Vagifem if you have a history of breast cancer and hormone-sensitive conditions, as estrogen can increase the risks of cancer developing again.

If you have a history of hormone-related cancers, please consult your doctor, and they'll be able to advise an alternative treatment.

Yes, you can use Vagifem with most vaginal lubricants, but we recommend avoiding oil-based lubricants, as they can interfere with the tablets. Water-based lubricants are generally safer and don't cause as much irritation.

Please stop smoking when you use Vagifem, as it might increase your risk of developing blood clots. You should also let your doctor or pharmacist know if you're planning on having surgery in the near future, as you might need to discontinue Vagifem use.

While Vagifem is an effective treatment for vaginal discomfort and dryness, it won't treat mood swings and hot flashes. Your doctor can prescribe other medicines for these symptoms.