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Molecule

Ospemifene

Estrogen Agonist/Antagonist
Available on requestFertility
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Ospemifene is an estrogen agonist/antagonist indicated for oSPHENA is an estrogen agonist/antagonist indicated for, among other approved uses. It is available as tablets for oral use. MedsAcross supplies Ospemifene for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Estrogen Agonist/Antagonist, Selective Estrogen Receptor Modulators
ATC classification
G03XC05 Ospemifene · Selective estrogen-receptor modulators
US FDA first approval
26 February 2013
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII B0P231ILBKRxCUI 1370971CAS 128607-22-7DrugBank DB04938Q7107372

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

OSPHENA is indicated for: OSPHENA is an estrogen agonist/antagonist indicated for: The treatment of moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause. The treatment of moderate to severe vaginal dryness, a symptom of vulvar and vaginal atrophy, due to menopause.

Source: US FDA prescribing information

How it works

OSPHENA is an estrogen receptor agonist/antagonist with tissue selective effects. Its biological actions are mediated through binding to estrogen receptors. This binding results in activation of estrogenic pathways in some tissues (agonism) and blockade of estrogenic pathways in others (antagonism).

Source: US FDA prescribing information

Dosing overview

OSPHENA is an estrogen agonist/antagonist which has agonistic effects on the endometrium. Use OSPHENA for the shortest duration consistent with treatment goals and risks for the individual woman. Reevaluate postmenopausal women periodically as clinically appropriate to determine if treatment is still necessary. One tablet taken orally once daily with food.

Source: US FDA prescribing information

Contraindications

OSPHENA is contraindicated in women with any of the following conditions: Undiagnosed abnormal genital bleeding. Estrogen-dependent neoplasia. Active DVT, PE, or a history of these conditions. Active arterial thromboembolic disease (for example, stroke and MI), or a history of these conditions. Hypersensitivity (for example, angioedema, urticaria, rash, pruritus) to OSPHENA or any ingredients. OSPHENA is contraindicated in women who are or may become pregnant. OSPHENA may cause fetal harm when administered to a pregnant woman.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (endometrial cancer and cardiovascular disorders warning: endometrial cancer and cardiovascular disorders osphena): is an estrogen agonist/antagonist with tissue selective effects. In the endometrium, OSPHENA has estrogen agonistic effects. There is an increased risk of endometrial cancer in a woman with a uterus who uses unopposed estrogens. Venous Thromboembolism: Risk of DVT and PE. Known, suspected, or history of breast cancer. Severe Hepatic Impairment

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are discussed elsewhere in the labeling: Cardiovascular Disorders Malignant Neoplasms The most common adverse reactions (≥1 percent) with OSPHENA are: hot flush, vaginal discharge, muscle spasms, headache, hyperhidrosis, vaginal hemorrhage, night sweats.

Source: US FDA prescribing information

Interactions

OSPHENA is primarily metabolized by CYP3A4 and CYP2C9. CYP2C19 and other pathways contribute to the metabolism of ospemifene. Do not use estrogens or estrogen agonist/antagonist concomitantly with OSPHENA. Do not use fluconazole concomitantly with OSPHENA. Fluconazole increases serum concentrations of OSPHENA. Do not use rifampin concomitantly with OSPHENA. Rifampin decreases serum concentration of OSPHENA.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Ospemifene, sorted by availability.

MedicineManufacturerRegisterAvailability
Osphena 60 mg tabletOralDuchesnayUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 26 February 2013Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Ospemifene in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Ospemifene available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Ospemifene and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Ospemifene have?

The catalogue lists 1 brand names for Ospemifene, including Osphena.

Is Ospemifene approved by the US FDA?

Yes. The US FDA first approved Ospemifene on 26 February 2013, according to Drugs@FDA.

Is Ospemifene authorised in the European Union?

Yes. Ospemifene has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Ospemifene need cold chain shipping?

No listed presentation of Ospemifene is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Ospemifene in?

Ospemifene is classified under ATC code G03XC05 (Ospemifene).

References

  1. Osphena prescribing information (Duchesnay). U.S. National Library of Medicine, DailyMed. Retrieved 14 February 2025
  2. Senshio: European public assessment report (EPAR). European Medicines Agency. Retrieved 25 November 2024

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