Frequently Used Medications Guide

1. Remove the cap and film covering.
2. Gently squeeze the tube to move the cream towards the top.
3. Insert the tip of the syringe into the tube.
4. Gently squeeze the base of the tube while slowly withdrawing the plunger to draw the cream into the applicator barrel.
5. Fill slightly past the required dose mark (for example 0.5 mL) to remove air bubbles, then push the plunger back to the correct dose mark.

1. Remove the applicator from the tube and replace the tube cap.
2. Apply the cream directly to clean, dry skin on the upper outer thigh, lower abdomen or buttock by depressing the plunger.
3. Massage the cream into the skin until fully absorbed, usually around 30 seconds.
4. Rotate application sites to reduce the risk of localised hair growth.
5. Wash your hands thoroughly with soap and water after application.
6. Rinse the syringe in hot water and allow it to dry.

Dispose of empty tubes and syringes in household waste.

• A small amount of cream remains in the syringe tip. This is expected and is accounted for in dosing.
• Once you are confident with dosing, your clinician may advise applying directly from the tube onto your finger.

1. Remove the cap and use the pointed tip on the cap to pierce the tube seal.
2. If using internally, screw the open end of the reusable plastic applicator onto the tube.
3. Squeeze the tube from the bottom with both hands to fill the applicator barrel up to the red ring mark.
4. The plunger stops automatically at the correct dose (standard dose is 0.5 g of cream, containing 0.5 mg estriol).
5. Unscrew the filled applicator from the tube and replace the cap on the tube.

1. Lie on your back with knees bent and apart, or stand in a comfortable position.
2. Insert the open end of the applicator into the vagina as far as comfortable.
3. Push the plunger slowly and steadily all the way in to empty the cream.
4. Keep the plunger pressed down as you gently remove the applicator.
5. After use, pull the plunger fully out of the barrel and wash both parts in warm, soapy water.
6. Rinse well with clean water and allow to dry.
7. Do not use detergents or boiling water.
8. If advised, the cream can also be applied to the vulva using fingertips.

Dispose of empty tubes and applicators in household waste.

• There are two different strengths of estriol cream in use: 0.1 percent (standard) and 0.01 percent (low dose). Check your prescription and clinic letter.

1. Ensure the skin is clean, dry and free from oils, lotions, creams or powders.
2. Tear open the sachet along the notched edge when you are ready to apply the patch.

1. Bend the patch and peel off half of the protective liner, avoiding touching the sticky side where possible.
2. Place the adhesive side onto a skin area below the waist.
3. Remove the remaining liner.
4. Press firmly with the palm of your hand for around 10 seconds, making sure the edges stick well.
5. Wash your hands after applying.

Fold the used patch in half so the sticky sides stick together, then dispose of it and the packaging in household waste. Do not flush patches down the toilet.

• Evorel Conti patches are usually changed twice weekly on the same days each week.
• If a patch falls off, apply a new patch and then return to your usual schedule.

1. Prime a new container before first use. This only needs to be done once per container.
2. Keep the cover on and hold the container upright.
3. Press the button down fully three times.
4. Mark the three priming sprays on the dose tracker on the carton if helpful.

1. Apply to clean, dry, unbroken skin on the inner thigh or forearm.
2. Avoid the face, breasts and genital area.
3. Remove the plastic cover and hold the container upright.
4. Rest the plastic cone flat against the skin so there are no gaps.
5. Press the button down fully once for a single dose.
6. If prescribed more than one spray, move to an adjacent, non overlapping area for each spray.
7. Allow to dry for at least 2 minutes before dressing. Do not rub or massage it in.
8. Wait at least 60 minutes before bathing, swimming or washing the area.
9. Avoid skin contact with others until the area is dry. Take care to prevent children and pets from touching the application site.

Return finished devices to a pharmacy, as they may contain a small amount of hormone.

• The spray contains alcohol and is flammable until dry. Keep away from open flames, lit cigarettes and hot devices until it has fully dried.
• Lenzetto delivers 56 sprays after priming. Marking the dose tracker can help you keep count.

1. Wash your hands before use.
2. Remove the capsule from the packaging.

1. Take the capsule at bedtime with a glass of water.
2. Take on an empty stomach, ideally 2 hours after eating.
3. Your prescription may be for one capsule every night, or two capsules for 12 to 14 days of your cycle. Follow the instructions on your prescription and clinic letter.
4. If you forget a dose, take it as soon as you remember unless it is nearly time for the next dose. Do not take a double dose.

Dispose of empty packaging and blister packs in household waste. Return unused medication to a pharmacy.

• Some brands contain soybean lecithin. If you have a soya or peanut allergy, check with your pharmacist before taking.
• Progesterone can cause drowsiness. Taking it at night may reduce daytime sleepiness.

1. Wash your hands before use.
2. Remove the capsule from the packaging.

1. Take with a glass of water at bedtime.
2. Take on an empty stomach, ideally 2 hours after food.
3. Your prescription may be one capsule nightly or two capsules for 12 to 14 days of your cycle. Follow your prescription and clinic letter.
4. If you forget a dose, take it as soon as you remember unless it is nearly time for the next dose. Do not take a double dose.

Dispose of empty packaging and blister packs in household waste. Return unused medication to a pharmacy.

• Utrogestan contains soya. If you have a soya or peanut allergy, check with your pharmacist before use.
• The dose and route may vary. Follow your clinician instructions and ask if you are unsure.
• May cause drowsiness. Night time use may help reduce daytime sleepiness.

1. Wash your hands before use
2. Remove the ring from the pouch.
3. Find a comfortable position- standing with one leg raised, squatting or lying on back with legs bent.

1. Squeeze the ring between your fingers to make it oval
2. Gently insert the ring into the vagina as far as it is comfortable.
3. The ring stays in for 90 days
4. You can shower, bathe, exercise and have sex with it in (it does not usually need to be removed)

1. Wash your hands before removal
2. Insert one finger into your vagina
3. Hook your finger around the ring
4. Gently pull out
5. Insert the new ring immediately after removal if replacing

Dispose of the ring in household waste.

• If the ring falls out, rinse in lukewarm water immediately and reinsert as soon as possible. Please let your healthcare provider know if this happens.
• It can take 8-12 weeks to feel the full benefit.

1. Wash your hands before use.
2. Take the tablet out of the packaging.

1. Take with a glass of water at the same time each day.
2. Swallow tablet whole, (do not crush or chew).
3. Take as prescribed every day.

Return any unused or out-of-date tablets to your pharmacist, do not put unused tablets in household waste.

• If you forget to take a dose, take it as soon as you remember.
• If you are using this for contraception and you take it over 12 hours lat,e you will need to use extra protection for the next 48 hours.
• If you have had unprotected intercourse in the last 5 days and you are taking it over 12 hours late, you should contact your health care provider or pharmacist to discuss emergency contraception.

1. Ensure the skin is clean, dry and free from oils, lotions, creams or powders.
2. Tear open the sachet along the notched edge when you are ready to apply the patch.
   

1. Bend the patch and peel off half of the protective liner, avoiding touching the sticky side where possible.
2. Place the adhesive side onto the skin area below the waist (lower abdomen, upper thigh or buttock).
3. Remove the remaining liner.
4. Press firmly with the palm of your hand for around 10 seconds making sure all the edges stick well.
5. Wash your hands after applying
   

Fold the used patch in half so the sticky sides stick together, then dispose of it and the packaging in household waste. Do not flush patches down the toilet.

• Estraderm patches are normally changed twice weekly on the same days of the week
• If a patch falls off, apply a new patch and then return to your usual schedule
  

1. Ensure the skin is clean, dry and free from oils, lotions, creams or powders.
2. Tear open the sachet along the notched edge when you are ready to apply the patch.
   
   

1. Bend the patch and peel off half of the protective liner, avoiding touching the sticky side where possible.
2. Place the adhesive side onto the skin area below the waist (lower abdomen, upper thigh or buttock)
3. Remove the remaining liner
4. Press firmly with the palm of your hand for around 10 seconds making sure all the edges stick well
5. Wash your hands after applying
   

Fold the used patch in half so the sticky sides stick together, then dispose of it and the packaging in household waste. Do not flush patches down the toilet.

Femseven patches are normally changed weekly on the same day of the week. If a patch falls off, apply a new patch and then return to your usual schedule.

1. Ensure the skin is clean, dry and free from oils, lotions, creams or powders.
2. Tear open the sachet along the notched edge when you are ready to apply the patch
   
   

1. Bend the patch and peel off half of the protective liner, avoiding touching the sticky side where possible.
2. Place the adhesive side onto the skin area below the waist (lower abdomen, upper thigh or buttock)
3. Remove the remaining liner
4. Press firmly with the palm of your hand for around 10 seconds, making sure all the edges stick well
5. Wash your hands after applying
   

Fold the used patch in half so the sticky sides stick together, then dispose of it and the packaging in household waste. Do not flush patches down the toilet.

Femseven sequi patches are normally changed weekly on the same day of the week. If a patch falls off, apply a new patch and then return to your usual schedule.

Femseven Sequi packs contain two types of patches. Unless you have been advised otherwise, you usually start with Femseven oestrogen patches for the first 2 weeks, then switch to Femseven Combined patches for the next 2 weeks.

1. Wash your hands before use.
2. Take the tablet out of the packaging.
   
   
   

1. Take with a glass of water at the same time every day
2. Swallow the tablet whole. Do not crush or chew
3. Take as prescribed every day
   
   

Fold the used patch in half so the sticky sides stick together, then dispose of it and the packaging in household waste. Do not flush patches down the toilet.

Femseven sequi patches are normally changed weekly on the same day of the week. If a patch falls off, apply a new patch and then return to your usual schedule.

Femseven Sequi packs contain two types of patches. Unless you have been advised otherwise, you usually start with Femseven oestrogen patches for the first 2 weeks, then switch to Femseven Combined patches for the next 2 weeks.

1. Wash your hands before use.
2. Take the tablet out of the packaging.
   
   
   

1. Take with a glass of water at the same time every day
2. Swallow the tablet whole. Do not crush or chew
3. Take as prescribed every day
   
   

Fold the used patch in half so the sticky sides stick together, then dispose of it and the packaging in household waste. Do not flush patches down the toilet.

Femseven sequi patches are normally changed weekly on the same day of the week. If a patch falls off, apply a new patch and then return to your usual schedule.

Femseven Sequi packs contain two types of patches. Unless you have been advised otherwise, you usually start with Femseven oestrogen patches for the first 2 weeks, then switch to Femseven Combined patches for the next 2 weeks.