This leaflet answers some common questions about Cervagem.

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CERVAGEM gemeprost Consumer Medicine Information (CMI) What is in this leaflet This leaflet answers some common questions about Cervagem. It does not contain all the available information. It does not take the place of talking to your doctor, pharmacist or nurse. All medicines have risks and benefits. Your doctor has weighed the risks of you receiving Cervagem against the benefits they expect it will have for you. If you have any concerns about using this medicine, ask your doctor or pharmacist. Keep this leaflet with the medicine. You may need to read it again. What Cervagem is used for Cervagem is used for the dilation and softening of the cervix prior to surgical procedures during pregnancy or for the induction of miscarriage. CERVAGEM 1

Your doctor may have prescribed Cervagem for another reason. Ask your doctor if you have any questions about why Cervagem has been prescribed for you. This medicine is available only with a doctor's prescription. Before you are given Cervagem When you must not be given it You must not be given Cervagem if you have an allergy to Cervagem, any prostaglandins or any of the ingredients listed at the end of this leaflet. 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. Cervagem is not to be used to soften the cervix or to induce labour in the pregnant woman at term. You must not be given Cervagem after the expiry date (EXP) printed on the pack. Before you are given it Tell your doctor if you have allergies to: prostaglandins CERVAGEM 2

any other medicines any other substances, such as foods, preservatives or dyes. Tell your doctor if you have or have had any medical conditions, especially the following: given birth more than twice uterine scarring cervical narrowing vaginal bleeding of unknown origin twin pregnancy respiratory conditions cardiovascular disease elevated intraocular pressure e.g. as in glaucoma an infection of the cervix or vagina. If you have not told your doctor about any of the above, tell them before you start receiving Cervagem. Taking other medicines Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop. CERVAGEM 3

Some medicines and Cervagem may interfere with each other. How Cervagem is given Cervagem is administered by insertion via the vagina by a doctor or nurse. Side effects All medicines have some unwanted side effects. Sometimes they are serious, but most of the time they are not. Your doctor has weighed the risks of using this medicine against the benefits it is expect to have for you. Do not be alarmed by this list of possible side effects. You may not experience any of them. Tell your doctor or nurse as soon as possible if you do not feel well while you are receiving Cervagem. You may need medical treatment if you get some of the side effects. Ask your doctor or nurse to answer any questions you may have. These are the more common side effects of Cervagem: vaginal bleeding or uterine pain nausea, vomiting CERVAGEM 4

lower abdominal pain, backache headache, slight fever, flushing, chills dizziness irregular heart beats muscle weakness shortness of breath. Tell your doctor or nurse immediately if you notice any of the following: 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. These are symptoms of an allergic reaction. chest spasm or pain. These may be serious side effects. You may need urgent medical attention. Serious side effects are rare. After using Cervagem 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. CERVAGEM 5

Product description What it looks like White to creamy torpedo shaped pessaries. Ingredients Each pessary contains 1mg of gemeprost. The other ingredients are alcohol and witepsol. Supplier Cervagem is supplied in Australia by: sanofi-aventis australia pty ltd 12-24 Talavera Road Macquarie Park NSW 2113 Australian Register Number AUST R 27491 This leaflet was prepared in December 2006 CERVAGEM 6