Product advice

The following information should be shared in all consultations:

1. Gina is a vaginal tablet that will help to restore the vaginal wall and relieve symptoms of VA.¹
2. Dosage instructions, and what to do if they miss a dose. Click here for a reminder.

   You can let patients know that there is a table in the leaflet that they can use as a reminder.

   If they miss a dose, they can use one as soon as is convenient, but they should not use more than 1 vaginal tablet in 1 day. The next vaginal tablet can be used as planned.

3. Women that have never previously used a local oestrogen therapy may not see an improvement that they consider significant until after 3 months of treatment; however, Gina can significantly relieve women’s most bothersome symptoms in 8-12 weeks, so they may notice improvements earlier.³
4. As VA is chronic and progressive, symptoms are likely to return if they stop using Gina.
5. Initiation and continuation of treatment should be at the lowest effective dose for the shortest duration. However, women can continue to use Gina as long as they wish to, unless they are no longer suitable, which may be years, if appropriate. You should discuss this with your patients when they purchase a new supply of Gina (every 3 months).
6. They will need to return to the pharmacy for a consultation for each supply, and they should let their GP know that they are using Gina.
7. Patients should read the Patient Information Leaflet.
8. When they should stop using Gina and seek medical advice. Click here for a reminder.

INITIAL DOSE 1 vaginal tablet daily for 2 weeks, then follow maintenance dose.

MAINTENANCE DOSE 1 vaginal tablet twice a week, leaving 3 or 4 days between each dose.

Dosing regimen

		Mon	Tue	Wed	Thur	Fri	Sat	Sun
Initial	Week 1One vaginal tablet per day
	Week 2One vaginal tablet per day
Maintenance	Week 3 and thereafterOne vaginal tablet twice per week (3-4 days apart) e.g. every Tuesday and Friday as illustrated

Example day of week phasing