Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
7. Obstetrics, gynaecology and urinary-tract disorders

7.2. Treatment of vaginal and vulval conditions

7.2.1. Preparations for vaginal and vulval changes

Preferred List
ESTRIOL (OVESTIN) (INTRAVAGINAL CREAM (0.1%))

Prescribing Notes:

Ovestin cream contains 1mg estriol in 1g of cream (0.1%)

BNF Link

ESTRADIOL (VAGIFEM) (VAGINAL TABLETS)
Total Formulary
Specialist and GP
OSPEMIFENE (SENSHIO) (tablets)

Restrictions:

Treatment of moderate to severe symptomatic vulvar and vaginal atrophy (VVA) in post-menopausal women who are not candidates for local vaginal oestrogen therapy is restricted to intitiation by, or on advice of, a specialist.

BNF Link

OESTROGEN (ESTRING) (VAGINAL RING)
ESTRIOL (INTRAVAGINAL CREAM (0.01%))

Prescribing Notes:

The estriol concentration of estriol intravaginal cream is 0.01%. This preparation contains arachis (peanut) oil and is not suitable for patient with peanut allergy. This preparation also damages latex condoms.  Ovestin intravaginal cream is 0.1% and does not contain arachis oil.

BNF Link

7.2.2. Vaginal and vulval infections

Preferred List
CLOTRIMAZOLE (PESSARY)

Prescribing Notes:

One pessary contains 500mg of clotrimazole.

BNF Link

CLOTRIMAZOLE (CREAM)

Prescribing Notes:

the clotrimazole content is 1%.

BNF Link

Total Formulary
DEQUALINIUM CHLORIDE (FLUOMIZIN) (vaginal tablets)

Restrictions:

The treatment of bacterial vaginosis is restricted to use in patients for whom the initial treatment is not effective or well tolerated.

BNF Link

POVIDONE-IODINE
METRONIDAZOLE (VAGINAL GEL)

Restrictions: Metronidazole gel is restricted to patients unable to tolerate or comply with oral metronidazole therapy.

Prescribing Notes:

Strength: 0.75%

BNF Link

NYSTATIN
MICONAZOLE