Online Formulary
  • Using the Formulary
  • Therapeutic Sections
    • 1. Gastro-intestinal system
    • 2. Cardiovascular system
    • 3. Respiratory
    • 4. Nervous system
    • 5. Infection
    • 6. Endocrine system
    • 7. Genito-urinary system
    • 8. Immune System
    • 8. Malignant disease
    • 9. Blood and blood-forming organs
    • 9. Nutrition and metabolic disorders
    • 10. Musculoskeletal system
    • 11. Eye
    • 12. Ear
    • 12. Nose
    • 12. Oropharynx
    • 13. Skin
    • 14. Vaccines
    • 15. Anaesthesia
    • 16. Emergency Treatment of Poisoning
    • Palliative Care
    • Wound management products
    • Stoma products
    • Continence products
    • Borderline substances
    • General recommendations and information
    • Shared Care
  • Using the Formulary
  • Therapeutic Sections
    • 1. Gastro-intestinal system
    • 2. Cardiovascular system
    • 3. Respiratory
    • 4. Nervous system
    • 5. Infection
    • 6. Endocrine system
    • 7. Genito-urinary system
      • 7.1 Bladder and urinary disorders
      • 7.2 Bladder instillations and urological surgery
      • 7.3 Contraception
      • 7.4 Erectile and ejaculatory conditions
      • 7.5 Obstetrics
      • 7.6 Vaginal and vulval conditions
        • 7.6.1 Vaginal and vulval infections
        • 7.6.2 Vaginal atrophy
          • 7.6.2.1 Oestrogens
      • 7.7 Uterine conditions
      • Local recommendations (Genito-urinary)
    • 8. Immune System
    • 8. Malignant disease
    • 9. Blood and blood-forming organs
    • 9. Nutrition and metabolic disorders
    • 10. Musculoskeletal system
    • 11. Eye
    • 12. Ear
    • 12. Nose
    • 12. Oropharynx
    • 13. Skin
    • 14. Vaccines
    • 15. Anaesthesia
    • 16. Emergency Treatment of Poisoning
    • Palliative Care
    • Wound management products
    • Stoma products
    • Continence products
    • Borderline substances
    • General recommendations and information
    • Shared Care
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Drug Status Key

  • On Formulary
  • Specialist Initiation

    On formulary but requires initiation by a specialist. 
    GPs may then take on maintenance prescribing - 
    Using the Formulary (eastkentformulary.nhs.uk)

  • Shared Care
  • Hospital Only
  • Not Recommended

Preferences

  • First Line
  • Second Line
  • Third Line
  • No Preference

7.6.2.1 Oestrogens

Kent and Medway Hormone Replacement Therapy (HRT) Prescribing Guideline

Expand All / Expand All (incl. cost)

Estriol

NICE EMC

Estriol 0.01% cream with applicator

Pack Price
1 pack £25.00

Ovestin 0.1% cream (Preferred cost-effective estriol vaginal cream)

Preferred cost-effective estriol vaginal cream

Pack Price
15 gram £4.45

Blissel 50micrograms/g vaginal gel with applicator

Imvaggis 0.03mg pessaries

Estradiol

NICE EMC

Vagirux 10microgram vaginal tablets (preferred - cost effective)

Pack Price
24 pessary £11.34

Vagifem 10microgram vaginal tablets

Pack Price
24 pessary (4 x 6 pessaries) £16.72

Estring 2mg vaginal ring

Pack Price
1 device

Prasterone

NICE EMC

Intrarosa 6.5mg pessaries

Pack Price
28 pessary (4 x 7 pessaries) £15.94

Ospemifene

NICE EMC

Senshio 60mg tablets

Pack Price
28 tablet (2 x 14 tablets) £39.50

Online Formulary by M.O.M. Systems

NICE guidance is available from https://www.nice.org.uk/guidance All rights reserved. Subject to Notice of rights.
NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

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