Gina 10 Micrograms Vaginal Tablets

Do Not use Gina® if you:

• Are allergic to estradiol or any of the other ingredients

• Have or ever had womb or ovarian cancer

• Have or recently had vaginal or genital bleeding, since your periods stopped due to the menopause

• Have recent or suspected endometrial hyperplasia (or e.g. if you have been referred for an ultrasound of your

womb and are waiting for the results)

• Have previously been treated with oestrogen only HRT (without Progestogen) and you have not had your womb

removed

• Have a current vaginal infection prior to starting treatment with Gina®

• Have any thickening, lump or scarring on your vulva

• Have severe vaginal itching, or itchy patches or rash on your vulva

• Have or ever had breast cancer, or have a lump / change in appearance in your breast, or nipple discharge

• Have or ever had a blood clot in a vein

• Have or ever had a heart attack, stroke or angina

• Have a blood clotting disorder

• Have liver disease and your liver function tests have not returned to normal

• Have a rare condition called ‘porphyria’.

Certain conditions may be aggravated during oestrogen treatment, see section 2 of the package leaflet for more information.

You may need to speak to your doctor before using Gina®, ask your pharmacist for advice if you:

• Have a history of endometriosis

• Have a history of excessive thickening of the womb lining

• Are receiving any hormonal therapy, including tablets, gels or patches

• Are switching from another vaginal oestrogen.

Stop using Gina immediately and seek prompt advice from your doctor if you notice any of the following during treatment:

• New vaginal bleeding, spotting or itching

• You have endometriosis and your symptoms come back

• Or any of the conditions listed in the ‘do not use’ section.

Get prompt advice from your doctor if you:

• Have yellowing of the skin or whites of your eyes

• Have large rise in blood pressure (symptoms may be headache, tiredness, dizziness)

• Have migraine-like headache for the first time

• Become pregnant.

Please read the enclosed leaflet carefully before use.

You should inform your doctor at your next appointment that you are using Gina.

Common: 

 Headache, Abdominal pain,Vaginal haemorrhage, Vaginal discharge or Vaginal discomfort

Uncommon:

Nausea, Rash, Hot flushes, Vulvovaginal mycotic infection, Hypertension

Read the package leaflet.