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.

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.

PharmacyOnline.co.uk can prescribe Vagifem, so long as you have previously used this treatment. Our doctors will need to carry out an online assessment to determine your suitability.

Using the applicator, the vaginal tablet is inserted into the vagina on the day of your choice. When starting Vagifem, one tablet is used every day for the first two weeks. Thereafter, one tablet is inserted two times a week, leaving a three or four-day gap between each tablet. Begin with the lowest dose of Vagifem that is effective for you and use it for only as long as you need to. Regardless of your reason for stopping this medicine, discuss this with your doctor before actually stopping. If you need to have surgery, you must discuss your use of Vagifem with the surgeon who will advise you about stopping and restarting the medicine.

You are unlikely to come to harm if you use too many tablets, as the estradiol dose per tablet is relatively low, but let your doctor know. A forgotten dose should be used when you remember, but twice the dose must never be used if you forget to use Vagifem.

Postmenopausal women only can use Vagifem vaginal tablets. There are risks associated with using HRT, which need to be considered by each woman and her doctor. Prior to starting, your doctor will take your medical history (as well as your family's) and may carry out a physical examination. Regular check-ups are recommended when on treatment. The Online Clinic can continue your treatment if you have been initiated by your own doctor or gynaecologist.

Women who have experienced an allergic reaction to estradiol or any other constituent (e.g., lactose) of Vagifem cannot use this medicine. Neither can Vagifem be used by women who have/have had breast cancer, cancer or thickening of the endometrium (womb lining), oestrogen-sensitive cancer, unexplained vaginal bleeding, blood clot in a vein (e.g., legs or lungs) or conditions due to a blood clot in an artery (e.g., heart attack or stroke), blood clotting condition, porphyria, or liver disease.

Before starting Vagifem your doctor will want to know if you have had high blood pressure, migraine/severe headaches, diabetes, a liver disorder, gallstones, high blood triglycerides (fat) levels, epilepsy, asthma, conditions affecting the immune system or the ear or causing fluid retention, any abnormalities of the endometrium (e.g., endometriosis or hyperplasia), fibroids, or if you are at greater risk of blood clots or oestrogen-sensitive cancer. Vagifem could cause these conditions to recur. Stop the medicine if you get pregnant, or develop high blood pressure, migraine, yellow-tinged eyes or skin, a blood clot (signs include leg pain and swelling, chest pain, breathing problems), or any condition (listed above) that prohibits its use.

Report all medicines that you take to your doctor as these can alter Vagifem's effect. These include treatments for epilepsy, tuberculosis, and HIV infection, or contain St John's Wort.