NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
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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: http://www.medicinescomplete.com/mc/bnf/current/4525.htm

ESTRADIOL (VAGIFEM) (VAGINAL TABLETS)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4528.htm#_4528

Total Formulary
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: http://www.medicinescomplete.com/mc/bnf/current/4522.htm

OESTROGEN (ESTRING) (VAGINAL RING)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/27404.htm

7.2.2 Vaginal and vulval infections

Preferred list
CLOTRIMAZOLE (CREAM)

Prescribing Notes:

the clotrimazole content is 1%.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/69941.htm#_69941

CLOTRIMAZOLE (PESSARY)

Prescribing Notes:

One pessary contains 500mg of clotrimazole.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/69941.htm#_69941

Total Formulary
NYSTATIN
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: http://www.medicinescomplete.com/mc/bnf/current/64487.htm

POVIDONE-IODINE
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.

MICONAZOLE

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/4539.htm