Europe — EMA
Oekolp (Estriol)
GNH USA supplies Oekolp (Estriol), an estrogen indicated for vaginal atrophy, menopausal symptoms and estrogen deficiency.
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What is Estriol?
Estriol, the active ingredient in Oekolp, is an estrogen presented as a vaginal formulation for vaginal use. It helps alleviate symptoms of estrogen deficiency such as vaginal atrophy in post‑menopausal women.
GNH USA supplies Oekolp as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Estriol used for?
Estriol, a weak estrogen used in hormone replacement therapy, is indicated for conditions related to estrogen deficiency.
- Vaginal atrophy: improves vaginal mucosal health and reduces dryness. - Menopausal symptoms: alleviates mild urogenital discomfort and occasional hot flashes. - Estrogen deficiency: restores local estrogen activity in the genital tract.
What are the side effects of Estriol?
Common side effects are generally mild and localized to the application site.
Common Side Effects: - Vaginal irritation or burning sensation. - Increased vaginal discharge. - Mild itching or pruritus. - Headache. - Nausea. - Breast tenderness.
Serious or Rare Side Effects: - Endometrial hyperplasia. - Unexplained vaginal bleeding. - Allergic reactions, including rash or anaphylaxis. - Thromboembolic events such as deep vein thrombosis. - Severe pelvic pain. - Persistent urinary symptoms.
What precautions apply to Estriol?
Before initiating therapy, consider the following safety measures.
- Contraindications: avoid use in patients with known estrogen‑dependent tumors. - Bleeding: monitor for abnormal vaginal bleeding and discontinue if it occurs. - Breast health: perform regular breast examinations and imaging as indicated. - Dose: employ the lowest effective dose for the shortest duration needed. - Interactions: review concomitant estrogen‑containing products to prevent excess exposure. - Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.
What does Estriol interact with?
Estriol may interact with other medications; awareness of the interaction level is important.
Major Interactions (Avoid): - Combined systemic estrogen therapy: may increase overall estrogenic effect. - Anticoagulants: heightened risk of thrombotic events. - Hormonal contraceptives containing estrogen: additive estrogen exposure.
Moderate Interactions (Monitor Closely): - CYP450 inhibitors (e.g., ketoconazole): may alter estriol metabolism. - Tamoxifen: antagonistic action may reduce therapeutic benefit. - SSRIs (e.g., fluoxetine): possible effect on estrogen metabolism.



