Buy Vagifem Online
Book a quick face-to-face video consultation with a certified prescribing pharmacist, nurse, or doctor. If approved, your Vagifem will be prescribed* and delivered straight to your door with free next-day delivery†. No hidden fees. No delays. Just expert care.
* Includes Free Private Prescription & Consultation.
† Applies to UK only.
Manufactured by Novo Nordisk. Vagifem is indicated for the treatment of Menopause
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How it works
Available options
Your clinician will recommend the right strength and quantity for you during the consultation.
Price£39.89
Shipment£5.94
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Vagifem Prices
| Brand/Generic | Form | Dosage | Quantity | Price | Delivery Cost | Consultation Cost |
|---|---|---|---|---|---|---|
| VagifemBrand | Tablets | 10mcg | 24 | £39.89 | £0.00*(with Core+ Plan) | £0.00 |
Key facts about Vagifem
Other Related Names or Treatments
Vagirux, Ovestin
About Vagifem
Vagifem is classed as a hormone replacement therapy (HRT). It contains estradiol, which acts in the same way as the female sex hormone oestrogen. It is used to treat vaginal atrophy and for the prophylaxis of recurring urinary tract infections (UTIs) in postmenopausal women. Vagifem pessaries help to treat menopausal symptoms such as vaginal dryness and irritation.
NowPatient offers Vagifem, Vagirux, or estradiol pessaries as a treatment for HRT only, following an online consultation with a prescribing clinician.
Key facts of Vagifem
- For the treatment of vaginal atrophy and for the prophylaxis of recurring urinary tract infections (UTIs) in postmenopausal women
- Vagifem has some common side effects which include nausea and headaches
- Vagifem will not prevent pregnancy in otherwise fertile women
- Estrogens may increase the risk of endometrial cancer. Taking a progestin can help reduce this risk
- It can be dangerous if you use Vagifem with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
Who is Vagifem not suitable for?
Vagifem may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before using Vagifem if you:
- Have hypersensitivity to the active ingredients estradiol
- Have ever had breast cancer
- Have cancer sensitive to oestrogen
- Have untreated endometrial hyperplasia (an excessively thick womb lining)
- Suffer from a blood clots
- Suffer from porphyria
- Have had a heart attack, angina, stroke, or high blood pressure
- Have unusual vaginal bleeding
- Have liver disease or any other liver problems
- Are pregnant or breastfeeding
- Have fibroids
- Have uterine problems such as endometriosis or endometrial hyperplasia
- Have diabetes
- Suffer from migraines
- Have gallbladder disease
- Have asthma
- Have epilepsy
- Have fluid retention
- Have high cholesterol levels in the blood
- Are obese
- Have a hereditary ear disorder
How and where to get Vagifem?
You can buy Vagifem safely and securely from NowPatient. You can start a consultation today for free and if you qualify for treatment, you only pay for the cost of the medication. Delivery is made to your home or office from our registered pharmacy.
Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician, you can discuss if Vagifem is a suitable treatment option for you.
At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.
Dosage and strength for Vagifem pessaries for HRT
Vagifem contains estradiol as the active ingredient. It is available as pessaries containing 10 micrograms of estradiol.
Information about how to use Vagifem for HRT
Use one vaginal tablet each day for the first 2 weeks of treatment. Then use 1 vaginal tablet twice a week, leaving 3 to 4 days between each dose. Vagifem tablets are inserted into the vagina using a single-use applicator. Read the patient information leaflet provided or speak to a healthcare professional for further information.
What happens if you use too much Vagifem?
If you use more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have used too much Vagifem and you experience any of the following side effects:
What are the side effects of Vagifem?
Side effects of Vagifem are split into common and serious.
Common side effects include:
- Nausea
- Headache, dizziness
- Breast tenderness, breast pain
- Change in sex drive
- Anxiety, insomnia
- Stomach pain, indigestion, flatulence, diarrhoea
- Irregular bleeding
- Acne, skin irritation, rash
- Vaginal discharge
- Fluid retention, weight gain, bloating
- Hot flush
Serious side effects include:
- Blood clots
- Stroke
- Heart disease – chest pain passing into the neck or arm
- Liver disease – jaundice (yellowing of the skin or eyes), abdominal pain
If you experience any serious side effects, you should contact NHS 111.
If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.
- Your lips, mouth, throat or tongue suddenly become swollen
- You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
- Your throat feels tight or you’re struggling to swallow
- Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
- You suddenly become very confused, drowsy or dizzy
- Someone faints and cannot be woken up
Information about using Vagifem at the same time as other medications or herbal supplements
There is not enough evidence to suggest there are any drug interactions between herbal supplements and Vagifem. In any event, you should let your prescribing clinician know if you are taking any herbal supplements or other prescription drugs.
Can Vagifem used for HRT be used long-term?
HRT should only be used as a short-term treatment for the menopause. Women who use HRT for more than 5 years may be at an increased risk of ovarian cancer. Speak to your GP to review your treatment at least once each year and have regular checkups.
Is there a herbal Vagifem?
No. Herbal Vagifem does not exist. If you have been marketed such a formulation, it may be fake.
Should I avoid any particular food or drink when using Vagifem?
You can eat and drink normally when using Vagifem.
What lifestyle changes can I make to help me with HRT?
You modify your lifestyle in a number of ways, and this may have a positive impact on your symptoms:
- Using a fan
- Cool showers
- Light clothing
- Lubricants
- Healthy diet
- Regular exercise
- Quit smoking
Alternatives to Vagifem
Alternative HRT pessaries include Gina, Ovestin, and Vagirux.
Sources
FAQs
Answers to Popular Questions About Vagifem
What is Vagifem?
Vagifem is a vaginal tablet containing oestradiol 10 micrograms, used to treat vaginal atrophy (dryness, itching, discomfort, and painful sex) caused by oestrogen deficiency after the menopause. Each small tablet is inserted into the vagina using an applicator. Vagifem provides local oestrogen replacement with minimal systemic absorption, making it very safe for long-term use. It is manufactured by Novo Nordisk.
How does Vagifem work?
Vagifem delivers a tiny dose of oestradiol directly to the vaginal tissues, restoring the thickness, moisture, and elasticity of the vaginal wall. It normalises vaginal pH, reduces the risk of vaginal infections, and can improve urinary symptoms such as urgency and recurrent UTIs. Because the dose is so low and local, systemic absorption is negligible.
How do I use Vagifem?
Insert one Vagifem tablet into the vagina at bedtime using the single-use applicator. For the first 2 weeks, use one tablet daily (initial phase). After 2 weeks, reduce to one tablet twice weekly (maintenance). Do not use more frequently than recommended. The applicator is for single use only — dispose of it after each insertion.
How long should I use Vagifem?
Vagifem is intended for long-term use, as vaginal atrophy is a chronic condition and symptoms return when treatment is stopped. There is no time limit on vaginal oestrogen use. Annual reviews with your prescriber are recommended but treatment can continue indefinitely if it remains beneficial.
What are the side effects of Vagifem?
Side effects are uncommon. Local vaginal irritation, itching, or burning may occur when first starting, usually settling within a few days. Very rare systemic effects include breast tenderness and headache. Vagifem does not carry the risks associated with systemic HRT and does not require progestogen addition, even in women with an intact uterus.
Is Vagifem safe for breast cancer survivors?
Vaginal oestrogen is generally considered acceptable for breast cancer survivors with vaginal atrophy, although the decision should be made in consultation with your oncologist. BMS and NICE guidance supports the cautious use of vaginal oestrogen when non-hormonal treatments have been tried. Vagifem’s ultra-low dose (10 mcg) has negligible systemic absorption.
How can I get Vagifem?
Vagifem requires a prescription and is available on the NHS from your GP, menopause clinic, or through NowPatient’s online service. NowPatient offers convenient consultations and home delivery.
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