Premarin 0.625% Vaginal Cream
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Overview
Premarin 0.625% Vaginal Cream is supplied as a cream, with Conjugated Estrogens 0.625%. It is supplied in a pack size of 14g.
No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.
If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.
Directions for Use
Use Premarin Vaginal Cream exactly as prescribed by your doctor, typically inserted into the vagina using the applicator provided, often at bedtime. Wash your hands before and after use, and wash the applicator with mild soap and water after each use. Your doctor will usually prescribe a higher-frequency regimen for the first few weeks, followed by a reduced maintenance frequency; do not change how often you apply it without your doctor’s advice.
Dosage
The amount and frequency of application is individualised by your doctor based on your symptoms and response to treatment, and is generally kept to the lowest effective amount used for the shortest duration needed to control symptoms. Do not increase the dose or frequency on your own. If you miss an application, apply it as soon as you remember unless it is close to the next scheduled application.
Shelf Life
Premarin Vaginal Cream remains stable until the expiry date printed on the tube and carton when stored correctly and unopened. Once opened, use within the period advised by your pharmacist, and do not use beyond the labelled expiry date.
Storage Instructions
Store below 30°C (or as stated on the packaging) in a cool, dry place away from direct sunlight. Keep the tube tightly capped when not in use, and keep it out of the reach and sight of children.
Side Effects
- Breast tenderness or pain
- Headache or migraine
- Nausea or bloating
- Mood swings or depression
- Vaginal spotting or discharge
- Swelling in hands or feet
- Increased risk of blood clots (rare)
Contraindications
- Undiagnosed abnormal vaginal bleeding
- Known, suspected, or past history of breast cancer or other estrogen-dependent cancer
- Current or past history of blood clots in the veins (deep vein thrombosis, pulmonary embolism)
- Current or recent arterial thromboembolic disease such as stroke or heart attack
- Active liver disease or significantly impaired liver function
- Known or suspected pregnancy
- Known hypersensitivity to conjugated estrogens or any ingredient in the cream
Drug / Food Interactions
- Enzyme-inducing medicines such as rifampicin or certain anticonvulsants, which may reduce estrogen’s effectiveness if the cream is used long-term or at higher doses
- St John’s Wort, which may reduce estrogen effectiveness
- Latex condoms or diaphragms, as the cream’s oil-based components may weaken latex, potentially reducing barrier contraceptive reliability
- Other vaginal products used at the same time, which may affect local absorption or cause additional irritation
Quick Tips
- Use the applicator provided and follow your doctor’s instructions on how often to apply the cream
- Wash the applicator after each use and store it clean and dry
- Allow time for the cream to absorb before sexual intercourse to reduce the chance of irritating a partner
- Attend follow-up visits so your doctor can review your symptoms and adjust the frequency of use
- Report any unusual vaginal bleeding to your doctor promptly
- Do not use more cream or more often than prescribed, even if symptoms have not fully resolved
Frequently Asked Questions
Do I need a prescription to buy Premarin 0.625% Vaginal Cream?
No. Premarin 0.625% Vaginal Cream is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.
What does Premarin 0.625% Vaginal Cream contain?
Premarin 0.625% Vaginal Cream is a cream containing Conjugated Estrogens 0.625%. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.
What pack sizes does Premarin 0.625% Vaginal Cream come in?
It is supplied in a pack size of 14g. Choose the pack size you need from the options shown on this page before adding the item to your cart.
Why is there no information here about what Premarin 0.625% Vaginal Cream is for?
This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.
How should I use Premarin 0.625% Vaginal Cream?
Use it exactly as stated on the pack label, without changing the amount or how often you use it. If anything on the label is unclear, check with a pharmacist before the first use, and read the Directions for Use section on this page.
Can I speak to a doctor or pharmacist about Premarin 0.625% Vaginal Cream before I buy it?
Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.
How should I store Premarin 0.625% Vaginal Cream?
Store below 30°C (or as stated on the packaging) in a cool, dry place away from direct sunlight. Keep the tube tightly capped when not in use, and keep it out of the reach and sight of children. Keep it in its original pack and do not use it after the expiry date printed on the packaging.
What should I do if I notice side effects after using Premarin 0.625% Vaginal Cream?
Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
How long will delivery take?
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
What payment methods can I use?
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Can Premarin 0.625% Vaginal Cream be delivered to Singapore?
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Is Premarin 0.625% Vaginal Cream registered with the authorities?
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
Who do I contact if there is a problem with my order?
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Ingredients / Active Ingredients
- Conjugated Estrogens 0.625%
- Cream base (emollient/emulsifying agents)
- Preservative
- Thickening and stabilising agents
Safety Advice
Pregnancy
This medicine is not considered safe during pregnancy and should be avoided.
Breastfeeding
Use with caution. Monitor infant for potential adverse reactions.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Not recommended in patients with liver disease.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
This medicine is generally safe and should not impair your driving ability.
Relevant Information
Premarin 0.625% Vaginal Cream is a local estrogen treatment mainly for vaginal dryness and atrophy, which is different from Premarin oral tablets that treat menopausal symptoms systemically throughout the body; the two forms are not interchangeable and your doctor will advise which is appropriate for your symptoms. Even though absorption into the bloodstream is generally lower with the cream, the same class of precautions for estrogen therapy still applies, so ongoing doctor review is recommended, especially for long-term use.
Medical Review
