PAD Formulary : Surrey Heartlands
PAD - Prescribing Advisory Database
PLEASE NOTE : This is a development system.

For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Estriol - Vaginal atrophy

Keywords :
Menopause, menopausal symptoms, HRT, hormone replacement therapy, Vaginal gel, vaginal cream, urogenital atrophy, estrogen, oestrogen only HRT, vaginal atrophy, vaginal dryness, vaginal oestrogen, oestrogen deficiency, atrophic vaginitis, oestradiol pessaries
Brand Names Include :
Blissel, Imvaggis, Ovestin, Ovesse

Traffic Light Status

Status 1 of 5.

Status :
Green (see narrative)
Important
Formulations :
  • Vaginal gel
Important Information :
Estriol (Blissel) vaginal gel is reserved for women who do not tolerate estriol vaginal cream or estradiol pessaries
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
R
Comments :
No comments returned.
Documents :

Status 2 of 5.

Status :
Non Formulary
Important
Formulations :
  • Vaginal cream
Important Information :
Estriol vaginal cream 0.01% is non-formulary
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
Comments :
No comments returned.
Documents :

Status 3 of 5.

Status :
Green
Important
Formulations :
  • Vaginal cream
Important Information :
Estriol vaginal cream 0.1%
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
Comments :
No comments returned.
Documents :

Status 4 of 5.

Status :
Non Formulary
Important
Formulations :
  • Vaginal tablets
Important Information :
Estriol 500mcg vaginal tablets are non-formulary.
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
Comments :
No comments returned.
Documents :

Status 5 of 5.

Status :
Non Formulary
Important
Formulations :
  • Pessaries
Important Information :
Estriol pessaries (Imvaggis) are non-formulary.
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
BNF NICE SPC
Comments :
No comments returned.
Documents :

Guidelines

No guidelines returned.

Other Drugs

Other Indications

No indications returned.

Additional Documents

Type
Document
Review Date
Webpage
NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC)
Webpage
NICE NG23 menopause-diagnosis-and-management

Committee Recommendations

Date
Committee Name
Narrative
05 February 2025
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands Integrated Care System Area Prescribing Committee (APC) has agreed a GREEN traffic light status for:

 Estriol (Blissel®) topical gel

in women who do not tolerate topical oestrogen creams or vaginal pessaries.

03 July 2024
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands APC has agreed a traffic light status and place in therapy for the treatments of menopausal disorders in line with the CKS recommenations:

Menopause | Health topics A to Z | CKS | NICE

05 April 2023
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

A NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC) is now available to be bought. Not all HRT medicines are covered. Please see link below for full list of medicines covered and other useful information.

Associated BNF Codes

06. Endocrine System
06.04.01. Female sex hormones and their modulators
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