Ovestin Ovula Pessaries 15


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Drug Name: oestriol
Our Price $17.69
PBS $22.48
Concession $6.00
Safety Net $0.00

S8 Note - This prescription item is Schedule 8 and can only be supplied on a script from a registered doctor in Queensland. Any prescriptions from any other state cannot be filled and will be returned in the mail

Note: Private, PBS and our prices are available to the general public. Concession and Safety Net prices are only available to people with the appropriate concession or Safety Net cards. See Prescriptions for more details.


This prescription item requires a pre approved authority from the Government in order to get this item at the quoted price. Authority prescriptions need to be applied for by the doctor writing the script and can include reasons such as increased quantities due to dosage, increased repeats, use for a pre determined specified use, or the nature of the medication itself requiring specialist interaction. In the event that an authority is not granted on the script, the price will revert to the private price quoted for that item


This item contains more than one pack of a prescription product. Before this can be dispensed the doctor has to give approval. The prescription must be written for the total quantity or the prescription must be endorsed by your doctor "Regulation 24" otherwise we will be unable to dispense the increased amount. If you proceed with the order without approval, we will only send out one pack at the single pack price and refund the difference. Eg If your prescription is written out for 30 Tablets with 5 repeats and it does not have “Regulation 24 “ written on the script, the ONLY quantity we can dispense is 30 at one time. Further dispensing of this product could only occur after an appropriate length of time - usually 21 days but depends on dosage. In this example if you would like to obtain 180 Tablets then the doctor must endorse the prescription “Regulation 24” or the quantity must be written out for 180 and not 30. NB Conditions apply on the writing of a Regulation 24 prescription. Ask your doctor or pharmacist for details.

We can no longer accept signed authority forms from your doctor as permission to dispense more than one pack. Please contact our pharmacist for more information.

If you order this item as Private, NO PBS stickers will be issued. Once any prescription order has been sent the product cannot be returned for a refund even if your doctor changes your medication or you have an adverse reaction.

Ovestin Ovula Pessaries 15

Ovestin Ovula Pessaries 15

Product ID: 6927
Temporarily Low Stock Online
Temporarily Low Stock Online -
Please Try Your Local Store

Pharmacist Only Medicine

This product is a Pharmacist Only Medicine and requires pharmacist advice before we can dispatch this product. You must first place the order and then contact our pharmacists within 48 hours on 1300 367 283. The pharmacist will determine if this product is appropriate for you and if so, approve the order. In the event that you do not do this, the product will be deleted from your order and the balance of your order will be dispatched. This is not required if you have a doctor's prescription.


General Information

Consumer Medicine Information

Organon (Australia) Pty Limited
Lane Cove NSW 2066

Before this medicine is inserted, please read this page carefully. Below on this page you will find more information about Ovestin Ovula pessaries, as well as some general advice on using medicines. If you have any questions or you would like further information, please ask your doctor or pharmacist.

What is in this leaflet

What Ovestin Ovula pessaries are used for
Before using Ovestin Ovula pessaries
Using Ovestin Ovula pessaries
While you are using Ovestin Ovula pessaries
Side effects
After using Ovestin Ovula pessaries
Product Description

This leaflet answers some common questions about Ovestin Ovula pessaries. It does not contain all of the available information and it does not take the place of talking to your doctor.

Keep this information handy. You may wish to read it again

What Ovestin Ovula pessaries are used for

Ovestin Ovula pessaries are used in Hormone Replacement Therapy in women. Ovestin Ovula contains Oestriol. Oestriol is one of the female hormones, called oestrogens, that your body makes. During and after the change of life (menopause) the oestrogen production by your body decreases. This decrease may lead to hot flushes, vaginal irritation, recurrent urinary tract infections and urinary incontinence. Ovestin Ovula pessaries can be prescribed for the loss of oestrogen production by your body. After insertion into the vagina, oestriol is slowly released and absorbed into the surrounding area and even into the bloodstream.

Before using Ovestin Ovula pessaries

Ovestin Ovula pessaries may not be suitable for you if you suffer or have suffered from certain medical conditions.

You must tell your doctor if you answer YES to any of the following questions:
are you pregnant or do you think you may be pregnant?
do you have or have you ever had, a tumour (eg. a tumour in your breast or womb)?
do you have or have you had endometriosis (abnormal growth of the inner lining of the womb outside the womb)?
have you recently had unexpected vaginal bleeding?
do you have affected hearing (otosclerosis) during pregnancy or previous use of hormones?
do you have a rare metabolic liver disease called porphyria, or any other liver disease?
do you have inflammation of a vein usually with a clot (thrombophlebitis), most commonly in a leg?
do you have disturbed lipid metabolism, particularly with other cardiac problems?
do you have or have you had in the past 2 years a stroke or a blood clot (thrombus) in a vein or a blood clot that has travelled to your lung?
Have you ever had recurrent venous thromboembolism or do you have a thrombophilic (blood clotting) disease, which is not being treated with anticoagulant drugs?

You must also tell your doctor if you have or have ever had:
high blood pressure;
factors associated with a higher risk to develop blood clots (eg. diabetes, smoking, overweight, varicose veins, prolonged bed rest, immobilisation due to eg. planned surgery);
disease or symptoms that may be aggravated during pregnancy or previous use of hormones such as severe itching, yellowing of the eyes or skin (jaundice), skin rash (herpes gestationis), migraine or severe headache, or chloasma (brown, blotchy spots on skin exposed to the sun that may appear during pregnancy);
uterine fibroids.
diabetes, severe migraine, epilepsy, asthma, fibrocystic mastopathy, significant cardiac or renal dysfunction
metabolic bone disease

Breast cancer

Before starting with hormone replacement therapy (HRT) you have to inform your doctor of your personal and family medical history. You will get a general and gynaecological examination. You will also get periodic check-ups, especially examinations of the breasts. Every woman is at risk of getting breast cancer, whether or not she takes HRT. Breast cancer has been found slightly more often in women using HRT than in women of the same age who have never used HRT.

It is not known whether Ovestin is associated with the same higher chance of having breast cancer diagnosed as other hormone replacement therapies. Nevertheless, if you are concerned about the risk of breast cancer, discuss the risk compared to the benefits of treatment with your doctor.

Stroke It is not known if there is an increased risk of stroke when using this product.

Ovarian Cancer It is not known if there is an increased risk of ovarian cancer when using this product.

Dementia It is not known if there is an increased risk of dementia when using this product.

Thrombosis (blood clots)

All women have a very small chance of having a blood clot in the veins of the leg, lung or other parts of the body whether or not they take HRT. Using some forms of HRT may slightly increase this small chance. Whether or not Ovestin may increase the chance of having a blood clot is not known.

You are more likely to have a blood clot (whether or not you use HRT) if:
you are very overweight
you have had a blood clot in the veins of your legs or in your lungs before
blood clots run in your family
you have systemic lupus erythematosus (a disease of your immune system)
you are unable to move for long periods, for example after a long illness or major operation
may be also if you have varicose veins.

If any of these apply to you, you should talk to your doctor about whether you should use Ovestin.

If an operation is planned, which is likely to keep you off your feet for some time, you should talk to your doctor as you may need to stop using Ovestin four to six weeks before the operation.

If you get a blood clot while you are using Ovestin you should stop taking it immediately and contact your doctor. Warning signs to look out for are:
unusual pains or swelling of your legs
pain in your chest or sudden shortness of breath

If you have a vaginal infection, your doctor will also prescribe a medicine to treat the infection.

If you are pregnant, or think that you may be pregnant, Ovestin Ovula pessaries should not be inserted.

If you are breast-feeding, tell your doctor before Ovestin Ovula pessaries are inserted. Small amounts of the active oestriol can be excreted in the breast milk. Milk production could also be reduced.

Using Ovestin Ovula pessaries

Ovestin Ovula are intended to be put in the vagina. Each pessary contains 0.5 mg oestriol. Your doctor will usually prescribe this product in the doses listed below. However your doctor may well prescribe different quantities for certain patients.
For vulvo-vaginal complaints associated with the menopause - initially one pessary per day for 2-3 weeks. Later you may only need one pessary once or twice a week.
Before surgery - (one pessary daily) beginning 2 weeks before the operation.
When having a PAP smear your doctor may recommend a daily application of a pessary for 7 days.

Your doctor may ask you to stop medication every 2 to 3 months for 4 weeks to check the need for further treatment.

If an unexpected vaginal bleed occurs, you should contact your physician.

How the Ovula pessary is inserted.

The pessary should be inserted before retiring at night.

Remove one pessary from its wrapper. Either using a squatting position or lying on your back or side, insert the pessary deeply into the vagina.

You may need to moisten your first few pessaries with water before insertion if you are particularly dry and insertion feels uncomfortable.

What to do if you miss a dose. If you forget to administer a dose, administer it as soon as you remember, unless you notice the missed dose at the day of your next dose. If you notice the missed dose at the day of your next dose, do not administer the missed dose, and just carry on with the next dose as normal. Never administer two doses on the same day.

What to do if someone has swallowed some pessaries accidentally

If someone has swallowed some pessaries, there is no need for great concern. However, you should consult a doctor. Symptoms that may arise are nausea and vomiting; in females vaginal bleeding may occur after a few days.

While you are using Ovestin Ovula

Ability to drive or operate machinery.

As far is known, this medicine has no adverse effect on alertness and concentration.

Other medicines may influence the effects of oestriol, or oestriol may affect other medicines. You must tell your doctor or pharmacist if you are taking (or intend to take) other medicines such as:
anticoagulants (medicines to stop blood clots);
corticosteroid hormones (includes many anti-asthmatic drugs);
succinylcholine (medicine for muscle relaxation);
theophyllines (medicine for asthma);
barbiturates, including primodone, carbamazepine, and hydantoines (medicines for epilepsy or sleeplessness);
medicines for fungal or bacterial infections;
medicines to control blood sugar levels (for diabetes).

If you wish to discuss any aspect of the product further, you may speak with your doctor or pharmacist.

Side Effects of Ovestin Ovula pessaries

At the beginning of treatment local irritation or itching may occur. Dependent on dosage and your sensitivity, swelling and increased tenderness of the breasts may occasionally occur. In most patients these side-effects go away with continued use.

Side-effects which are generally attributed to female hormones and which may possibly occur during Ovestin Ovula pessaries therapy are: vaginal bleeding; breast complaints; nausea; gall stones; yellowing of the eyes or skin (jaundice); thrombosis (blood clots); rise of blood pressure; brown, blotchy spots on exposed skin (chloasma); redness of the skin (erythema); rash; discomfort of the eyes if contact lenses are used; headache; migraine; mood swings; swelling of ankles or feet; change in body weight. HRT even with Ovestin may increase the risk of acquiring blood clots.

Tell your doctor if vaginal bleeding occurs, or if any side effect becomes troublesome or continues. It is also important to tell your doctor or pharmacist if you experience any other unusual or unexpected symptoms during treatment with Ovestin Ovula pessaries.

HRT may increase the risk of venous thromboembolism

Seek advice from your doctor or pharmacist before using other medications to deal with any side effects you may be experiencing.

See the section "Before using Ovestin".

After Using Ovestin Ovula pessaries


Ovula Pessaries: 3 years when stored below 25 deg C.

Avoid excessive heat: the pessary will melt at temperatures above 32 deg C.

Keep in a safe place out of reach of children. Check if there are special storage conditions given on the box. The expiry date (sometimes written as "exp") is printed on the pack - do not use after this date.

Do not use if the product does not look quite right.

Product Description

What it looks like.

Ovula Pessaries: Box containing 15 Ovestin Ovula (3 strips, each containing 5 off-white pessaries of 0.5 mg oestriol). Ovestin Ovula pessaries also contain hard fat.

Manufactured by:

E Pharma

Distributed by:
Organon (Australia) Pty Limited
Lane Cove, NSW, Australia

Australian Registration Number:
Ovula pessaries UST R 35632

General advice
1. This medicine has been prescribed only for your current medical problem. It should not be used for other medical conditions.
2. Never give your medicine to anyone else and do not use medicines meant for other people.
3. Tell every doctor treating you what medicines you are taking. Always carry a medical information card stating which medicines you are using. This can be very important if for example you are involved in an accident.
4. Return unused medicines to your pharmacy for disposal.
5. Make sure that other people who live with you or who look after you read this information.

Prepared October 2004

The information supplied relates only to Ovestin Ovula pessaries and should not be used in relation to any other product which may also contain the same active ingredients.

For further information please ask your doctor or pharmacist.

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