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Cervagem® is commonly used for the dilation and softening of the cervix prior to surgical procedures during pregnancy or for the induction of miscarriage.
Your doctor may have prescribed Cervagem® for another reason.
This medicine is available only with a doctor’s prescription.
Cervagem® is administered by insertion via the vagina by a doctor or nurse.
Cervagem® is stored in a freezer at below minus 10 degrees C in the original pack in the pharmacy or on the ward.
Once the foil sachet has been opened, any pessary not used within 12 hours should be destroyed.
Before using this drug, tell your doctor if:
Cervagem® is not to be used to soften the cervix or to induce labor in the pregnant woman at term.
You must not be given Cervagem® after the expiry date (EXP) printed on the pack.
There isn’t enough information about the safety of using Cervagem® during pregnancy and breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Cervagem®.
Common side effects include:
Symptoms of an allergic reaction may include asthma, wheezing or shortness of breath, swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing, hives, itching, skin rash or fainting.
Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.
Cervagem® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.
Cervagem® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.
Cervagem® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.
Health conditions may interact with this drug, include:
The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Cervagem® (gemeprost).
Softening & dilatation of cervix
One pessary to be inserted into the posterior vaginal fornix 3 hours before surgery.
Therapeutic termination of pregnancy
One pessary to be inserted into the posterior vaginal fornix at 3 hourly intervals to a maximum of 5 administrations. A second course of treatment may be instituted starting 24 hours after the initial commencement of treatment. If abortion is not well established after 10 pessaries, a further course of Gemeprost treatment is not recommended and alternative means should be employed to effect uterine emptying.
Intra-uterine fetal death
One pessary to be inserted into the posterior vaginal fornix at 3 hourly intervals up to a maximum of 5 administrations.
The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.
Cervagem® is available in the following dosage forms and strengths:
In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.
If you miss a dose of Cervagem®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.
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