What is a Patient Information Leaflet and why is it useful?

The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged.

Below is a text only representation of the Patient Information Leaflet. The original leaflet can be viewed using the link above.

The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL 04425/0373.



Cervagem 1mg Pessary


Is this leaflet hard to see or read?

Phone 0845 372 7101 for help

Read all of this leaflet carefully before you are given this medicine

  • Keep this leaflet. You may need to read it again.
  • If you have any further questions, ask you doctor or nurse.
  • If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or nurse.

In this leaflet:

1. What Cervagem Pessary is and what it is used for.
2. What you need to know before you take Cervagem Pessary.
3. How you are given Cervagem Pessary
4. Possible side effects
5. How Cervagem Pessary is stored
6. Contents of the pack and other information.

1. What Cervagem Pessary is and what it is used for

Cervagem Pessary contains a medicine called gemeprost.

This belongs to a group of medicines called prostaglandins. It works by making the womb contract.Cervagem is normally given to women in the following situations:

  • To make the operation to terminate a pregnancy in the first three months easier.
  • To terminate a pregnancy between the fourth and sixth month.
  • To terminate a pregnancy between the fourth and sixth month, if the unborn baby (foetus) has already died.

2. What you need to know before you use Cervagem Pessary

Do not use Cervagem Pessary if:

  • You are allergic (hypersensitive) to gemeprost or any of the other ingredients of this medicine (See section 6: Further information). Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue.
  • You are allergic or sensitive to prostaglandin medicines such as alprostadil, bimatoprost, latanoprost, travoprost or misoprostol.
  • You have or have had placenta previa (light or heavy vaginal bleeding which may be sudden, painless and recurring). Your doctor should check on this and may perform an ultrasound scan.
  • You have kidney problems.
  • You have had an operation on your womb, like a caesarean section.

Do not use this medicine if any of the above apply to you. If you are not sure, talk to your doctor or nurse before you are given the first pessary.

Take special care with Cervagem Pessary

Talk to your doctor or nurse before you are given this medicine if:

  • You have breathing problems.
  • You have glaucoma (raised pressure in the eye which affects your sight).
  • You have any heart problems.
  • You have dizziness, lightheadedness or fainting. This may be due to low blood pressure
  • You have a rare genetic disease known as sickle cell anaemia
  • You have epilepsy
  • You have unusual vaginal discharge, pain when passing water or increased need to pass water.
    These may be signs of cervicitis
  • You have vaginal pain, itching or discharge. These may be signs of vaginitis
  • You have an illness where the level of glucose in your blood is not controlled properly (diabetes mellitus)
  • You have a problem with your blood clotting

Taking or using other medicines

Please tell your doctor or nurse if you are taking or have recently taken any other medicines, including medicines obtained without prescription. This includes medicines you can buy without prescription, including herbal medicines. This is because Cervagem can affect the way some other medicines work. Also some medicines can affect the way Cervagem works.

In particular, tell your doctor you are taking any of the following.

Medicines used to speed up labour such as oxytocin. This can increase the effect of Cervagem.

3. How you will be given Cervagem Pessary

  • Cervagem pessaries will be given to you by a doctor or nurse.
  • The pessaries are inserted into your vagina.
  • The number of pessaries given to you will depend on the reason for its use.

The doctor or nurse will keep an eye on you while you are being treated with Cervagem pessaries.

Cervagem pessaries can be given in one of the following ways in these situations:

Termination of pregnancy in the first three months to make the operation easier

  • One pessary inserted three hours before the operation.
  • If the operation is delayed for more than three hours, you will be kept under observation. This is because termination may occur anyway.
  • If you start to bleed, tell the doctor or nurse.

Termination of pregnancy between the fourth and sixth month

  • One pessary inserted every three hours.
  • Up to 5 pessaries are normally given.
  • Sometimes you may need up to five more pessaries.
  • If the termination has not happened by this time, your doctor or nurse will use another method to finish the termination.

Termination of a pregnancy between the fourth and sixth month, if the unborn baby (foetus) has already died

  • One pessary will be inserted every three hours.
  • Up to 5 pessaries are normally given to you.

After the treatment, the doctor or nurse will check to make sure the termination has been completed properly.

It is important to keep your appointment if you are due a follow-up examination after this treatment.

4. Possible side effects

Like all medicines, Cervagem Pessary can cause side effects, although not everybody gets them.

Very rare allergic reactions that can occur with prostaglandins such as Cervagem

You could notice the following signs of an allergic reaction:

  • Flushing, fainting, fever and chills
  • Itching and redness all over your body
  • Tight chest and difficulty in breathing
  • Back pain

If you think that Cervagem is causing an allergic reaction, tell your doctor straight away.

Very rare side effects

  • Splitting or tearing of the womb. This usually happens in women who have had several children or a previous operation on the womb (such as a caesarian section).
  • Heart and circulation problems.

Other side effects

If you have any of the following side effects, do not worry. However if they are troublesome, talk to your doctor or nurse.

These side effects usually last for a short time.

  • Bleeding from your vagina and mild pain in your womb (like period pain)
  • Feeling sick (nausea) and being sick (vomiting)
  • Diarrhoea
  • Headache and flushing
  • Muscle weakness and backache
  • Feeling dizzy, light headed and faint
  • High temperature and chills (shivering)
  • Difficulty in breathing
  • Very fast and uneven heartbeat (palpitations)
  • Fall in blood pressure
  • Chest pain or in some cases with tightness, crushing or squeezing pressure on the chest and may radiate to the neck, shoulder or arms (coronary spasm)
  • Heart attack

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Cervagem Pessary

  • Keep this medicine in a safe place where children cannot see or reach them
  • Store below minus 10┬░C in a freezer
  • Do not use Cervagem Pessary after the expiry date stated on the box and the foil pouches. The expiry date refers to the last day of that month.
  • Before use, each pessary should be allowed to warm up to room temperature

Medicines should not be disposed of via wastewater or household waste. Ask your doctor or nurse how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Contents of the pack and other information

What Cervagem Pessary contains

  • The active substance is gemeprost.
  • The other ingredients are Witepsol S52 and dehydrated ethanol.

What Cervagem Pessary looks like and contents of the pack

The pessary is a bullet-shaped waxy solid, 2-3 centimetres long and it comes in boxes of 5 pessaries.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

410 Thames Valley Park Drive
Tel: 0845 372 7101


Sanofi S.p.A.
Via Valcanello 4
03012 Anagni (FR)

This leaflet does not contain all the information about your medicine. If you have any questions or are not sure about anything, ask your doctor or pharmacist.

This leaflet was last revised in July 2019

┬ęSanofi, 2000 - 2019