Gina 10 Micrograms Vaginal Tablets - 24 Tablets

Gina 10 Micrograms Vaginal Tablets are used to relieve vaginal dryness and irritation associated with menopause.

Like all medicines, Gina may cause side effects in some people, but these won’t affect everybody. Common side effects may include:

Headaches
Stomach pain
Vaginal bleeding, discharge or discomfort

If you experience any side effects, including any not included in the patient information leaflet, you can report them using the MHRA Yellow Card Scheme.

Serious side effects
Seek emergency medical attention if you notice any signs of a severe allergic reaction, symptoms of which include swelling of the face and throat, skin rash, breathing difficulties and/or loss of consciousness.

Stop using this product straight away and seek medical advice immediately if:

You expereince any new vaginal bleeding, spotting or itching
You have endometriosis, and your symptoms have come back
You develop a vaginal infection
You expereince painful swelling and redness of the legs, sudden chest pain and difficulty breathing
You experience yellowing of the skin or whites of your eyes (jaundice)
You experience a large rise in blood pressure. Symptoms may include headaches, tiredness and dizziness
Migraine-like headaches which happen for the first time

It is not known if Gina can be safely used in women who have had breast cancer in the past. Check your breasts regularly and speak to your healthcare provider if you notice any changes.

Ovarian cancer is rare. However, the use of oestrogen-only systemic HRT has been associated with a slightly higher risk of ovarian cancer.

The risk of developing a blood clot in your veins is 1.3-3 times higher in systemic HRT users than non-users, especially during the first year. Blood clots can be serious, and if one travels to the lungs, it can cause chest pain, breathlessness, fainting and can even be fatal.

The risk of having a stroke is about 1.5 times higher in HRT users than non-users. The risk increases slightly with age.

There is evidence to suggest that women who start using HRT after the age of 65 might be at higher risk of experiencing memory loss.

Warnings
Gina may be unsuitable for certain people. Do not use this product if you are allergic to any of the ingredients or if:

You have or have ever had womb or ovarian cancer, or you have symptoms such as vaginal bleeding or pain, bloating or swelling in your lower abdomen or pelvis
You have had any vaginal bleeding since your periods stopped
You have or are suspected to have endometrial hyperplasia
You have previously been treated with oestrogen-only HRT, and you have not had your womb removed
You have had any change in the vulval area, such as thickening or a lump, or if you have noticed any shrinking or scarring of this area
You currently have a vaginal infection
You have vulval dermatoses
You have any genital skin disorders e.g. severe vaginal itching, itchy patches or a rash
You have or have ever had breast cancer, or you are suspected of having it
You have ever had a blood clot in the vein in the legs or the lungs
You have recently had a disease caused by blood clots in the arteries e.g. heart attack, stroke, angina
You have a blood clotting disorder e.g. protein C deficiency, protein S deficiency or antithrombin deficiency
You have or have ever had liver disease, and your liver function tests have not returned to normal
You have porphyria

Talk to your doctor or pharmacist before using this medicine if:

You have a history of endometriosis
You have a history of endometrial hyperplasia
You have or have had uterine fibroids
You are at an increased risk of developing a blood clot e.g. you have had surgery and will be off your feet for a long time, you are overweight with a BMI greater than 30, or any of your close relatives have ever had a blood clot in the legs or lungs
You are at an increased risk of getting womb, ovarian or breast cancer
You have high blood pressure
You have a liver disorder e.g. a benign liver tumour
You have diabetes
You have gallstones
You have migraines or severe headaches
You have systemic lupus erythematosus (SLE)
You have epilepsy
You have asthma
You have a disease affecting the eardrum and hearing (otosclerosis)
You have a very high level of fat in your blood (triglycerides)
You have fluid retention due to cardiac or kidney problems
You have hereditary and acquired angioedema

Using/taking other medicines
If you are taking or have recently taken any medication, including medication obtained without a prescription, talk to your GP or pharmacist before using this product.

Age restrictions
This product is only suitable for women over 50 years old.

Pregnancy and breastfeeding
Do not use Gina if you are pregnant or breastfeeding. If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, you must ask your doctor or pharmacist for advice before using any new medicine.

Consult your doctor before use if you are taking any other medicines or if you have a health condition not mentioned in the patient information leaflet.

Always read the patient information leaflet before use.

May cause dizziness. Do not drive or operate machinery until you know how your body reacts to this treatment.

Do not take more than one tablet in any 24 hours.

This medicine must not be taken by women.

For further information on our medication restrictions policy, please click here

If you are concerned about addiction of 'over the counter' medication we urge you to visit the below links for professional help and advice

• NHS - Help & Advice on Drug Addiction
• Talk To Frank - Drug Addiction Help & Support