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Osphena
Osphena
Ospemifene tablets

Get your Osphena medication filled online

Through Felix, you can get Osphena prescribed by a licensed healthcare practitioner with free delivery to your door.

At a glance
Ospemifene - Selective Estrogen Receptor Modulator (SERM)
60mg tablets
Why Felix
Prescribed by a Canadian healthcare professional
Support and resources along your journey
Free and fast shipping to your door
WARNING: This product contains nicotine. Nicotine is highly addictive. This product is intended for smoking cessation only. Do not use if you are under 18 years of age.me text inside of a div block.
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What is
Osphena
?

Osphena tablets are a medication that contains ospemifene.

It’s used as a treatment for women that are experiencing moderate to severe  postmenopausal symptoms of Genitourinary Syndrome of Menopause (GSM).

This is a condition that’s caused by the natural reduction of oestrogen in the body, which starts during the menopausal transition and carries through to postmenopause.

For more resources, including a full list of the risks and benefits of Osphena, please review the product monograph.

How does
Osphena
work?

When a woman’s body naturally begins producing less estrogen, this causes the walls of the vagina to become thinner. In turn, this can lead to pain and discomfort.

Osphena works by helping to replace that missing oestrogen with a very similar hormone that functions the same way.

This works to thicken the lining of the vagina, as well as help restore vaginal pH levels.

What is
Osphena
used to treat?

Osphena is a medication used to treat moderate to severe symptoms related to Genitourinary Syndrome of Menopause (GSM) in postmenopausal women.

These symptoms include:

  • Pain during sex, which is caused by changes in and around the vagina
  • Dryness in and around the vagina

Osphena helps to increase hormone levels in the vagina, which reduces these symptoms.

How do you take
Osphena
?

The most common dosage of Osphena is one 60 mg tablet per day, to be taken orally. It’s important to note that this medication should be taken with food.

Follow any additional Osphena dosing instructions provided by your healthcare practitioner, and be sure to check-in with them every 3 to 6 months.

This will allow them to determine whether you should continue taking Osphena, switch to an alternative medication, or stop your treatments.

How long does
Osphena
last after you take it?

What are the common side effects of
Osphena
?

The most common side effects that you could experiencing while taking Osphena include:

  • Acne
  • Dry, red, itchy skin
  • Diarrhea
  • Excess hair growth on fair, chest, abdomen, or legs
  • Hot flashes or night sweats
  • Headache
  • Excessive sweating
  • Joint or muscle pain
  • Muscle spasms (i.e., leg cramps, etc.)
  • Nausea
  • Swelling of the legs or hands
  • Stomach pain
  • The urge to move your legs or fidget
  • Vaginal discharge

If any of these side effects become severe or begin to affect your daily quality of life, be sure to talk to your healthcare practitioner at Felix. They may be able to suggest an alternative dosage or medication that could work better for you.

MHT is the most effective treatment for menopausal symptoms and has been shown to prevent bone loss.

In menopausal women who start appropriately-dosed MHT prior to age 60 OR within 10 years of their last period, the health benefits outweigh the risks.

Risks of MHT are considered very rare (~1 case per 1000 to 10,000 women on MHT per year) and may include:

  • risks of stroke or blood clots in legs or lungs with oral estrogen (much lower risk with estrogen gel or patch)
  • risks of dementia in women older than 65 years,
  • risk of breast cancer (less than ~1 case per 1000 women on MHT per year)  

These conditions are all rare, but they highlight the importance of having a full discussion with your healthcare practitioner; especially if you’re experiencing moderate to severe side effects.

Individualization is key, and your MHT treatment plan should be reassessed (at least) once a year to monitor your health, as well as ensure that you are on the correct dosage and formulation.

Your practitioner can help you find balance between treating your symptoms safely, and avoiding increased risks.

Who shouldn't take
Osphena
?

There are certain people that shouldn’t use Osphena, including:

  • People with unexplained vaginal bleeding
  • People that have or have had cancers that are sensitive to estrogens
  • People that have or have had blood clots in a vein (thrombosis)
  • People that have or have had blood clots in an artery (i.e., heart attacks or stroke)
  • People with severe liver problems
  • People who are pregnant or believe that they may be pregnant
  • People that have allergies or intolerances to any of the ingredients in Osphena

In addition to these people, there are others who need to be extra cautious when taking Osphena. These include people who:

  • Have or have had cancer of the lining of the uterus
  • Have or have had breast cancer
  • Are at risk of developing a blood circulation problem
  • Have or have had heart-related conditions
  • People that are breastfeeding or planning to breastfeed

If any of these conditions could apply to you, be sure to talk to your healthcare practitioner before starting Osphena. They may be able to suggest an alternative medication that may work better for you, based on your current health and medical history.

There are some other medications that can interact with Osphena, including:

  • Antifungals (i.e., fluconazole and ketoconazole)
  • Antibiotics (i.e., rifampin)
  • Proton-pump inhibitors used for heartburn or stomach ulcers (i.e., omeprazole)
  • Estrogens
  • Menopause Hormone Therapy (MHT) or estrogens agonist / antagonist (i.e., tamoxifen and bazedoxifene)
  • Medications used to reduce the formation of clots (i.e., warfarin)
  • Medications used to treat osteoporosis (i.e., raloxifene)
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We’d love to tell you more

Health Canada regulations require us to confirm your patient status to access further information on Osphena.
The drug identification number (DIN) is easy to find. It’ll be printed on your Osphena packaging and the receipt from your pharmacist.

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How Felix works

Step 1

Tell us about your health

Answer a few simple questions about your health and complete your lab work. 

Step 2

Receive a treatment plan

Your healthcare practitioner will build a personalized plan just for you.

Step 3

Get your medication

We’ll deliver your medication directly to your home for free in discreet packaging.

Trusted by over 1 million Canadians

Very easy and professional experience. Quick response from the doctor and easy ordering, billing and shipped and delivered on time. Hassle free.
Warren
Customer
Great service and products. Everything always arrived in a timely manner.
Tim
Customer
Simple, respectful, professional with good follow up and guidance, and fast service and delivery.
Scott
Customer
Best place to get birth control. No more annoying doctor visits
Savannah
Customer
Within an hour . . . a doctor contacted me to make sure that particular medication was what I wanted. Doctor was friendly and knowledgeable. Within minutes . . . being confirmed my order was put through and I received my medication after 2 days.
Samantha
Great service! I really appreciate being able to put my auto-refill on pause.
Rowan
Easy and simple.
Pete
Customer
The best service!!! So happy I never have to try and get myself to the pharmacy anymore. This is the future!!!
Paige
The whole process of signing up with Felix, the online visit, and getting my prescription in the mail was very easy and very convenient.
Paul
Customer
Super convenient, and amazing customer service! The team always responds +++ fast and answers every question and concern. Very pleased with Felix!
Nicole
Customer
Discreet, quick, very professional, and feels totally safe. This is such a convenient service and I'm a huge fan already.
Nicky
Customer
Sign up was a breeze, and items shipped faster than expected. A positive, painless experience from start to finish!
Jon
Customer
Felix gets you into contact with doctors discreetly online to address personal matters that you'd rather not go to a doctor in person to see, you get the prescription best suited to your needs, and they'll deliver it to your local pharmacy or even your house!
Matt
Customer
Very quick and easy to do. Can ask the doctor any questions about the medication.
Maren
Customer
The process was a whole lot easier and faster than I imagined. And the doctor was absolutely helpful and answered relatively fast. I highly recommend Felix.
Kristian
Customer
Super convenient and affordable! Much easier than having to book a doctors appointment and wait to get a prescription filled.
Jillian
Customer

Other medications

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Frequently asked questions

Osphena

Felix 101

What is Felix?

Felix is Canada’s first truly integrated healthcare platform. We provide on-demand treatment for everyday health needs like weight loss, mental health, sexual health, and more. Founded in 2019, our digital-first approach to healthcare includes everything from diagnosis to prescription — all accessible from the comfort of home.

Does Felix replace my doctor?

No. Felix provides a faster, hassle-free way for you to get a prescription to certain medications but our service does not replace your primary care provider. For matters that extend beyond obtaining a prescription lifestyle medication safely and easily, we encourage you to consult your primary health practitioner in person — whether for checkups, personal health concerns, or to inform them about the medications you are currently using.

Can I be accurately assessed remotely?

Absolutely. Our online assessments have been designed to ask all the necessary questions required for diagnosis. We've worked with specialist to create an assessment process that can provide sufficient information for the healthcare practitioner to determine whether or not you are eligible for a prescription and craft an appropriate treatment plan.

It's an emergency. What do I do?

Call 911 or proceed to your nearest emergency room immediately. Felix is not intended for medical emergencies. Once the emergency has been addressed or resolved, contact your prescribing practitioner to inform them of your experience as this may impact your current treatment plan.

Who can use Felix?

Anyone who is 18 years or older older (16 or older for acne and birth control prescriptions), and is located in Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Prince Edward Island, Saskatchewan or Ontario. We cannot ship treatments outside of these provinces at this time.

Online Visits

How does the visit work?

After creating an account, you will complete a medical assessment for evaluation by one of the Felix healthcare practitioners. 

During your assessment, you will have the opportunity to send your practitioner questions via secure messaging.  

In most cases, practitioners will complete your assessment with secure messaging alone but sometimes they may determine you require an audio or video visit and/or further diagnostic testing to help determine the best treatment plan for you. 

If your practitioner has determined a prescription treatment is appropriate, they will approve your visit and write you a prescription. Our pharmacy will then ship your prescription to your home.

You’ll be able to message your healthcare practitioner if you have questions or want to make changes to your treatment at any time.

Do I need to complete my online visit at a scheduled time?

No. We use an asynchronous telemedicine model so you can complete your online visit in your own time and we save your progress so you can come back later to finish it.

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

Does the online visit require a phone or video appointment?

Most assessments do not require a phone or video conversation. Once a prescriber has reviewed the info in your assessment they will respond to you via secure instant messages that you can access within your Felix account.  

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

How quickly will a healthcare practitioner review my online visit?

You can expect to receive a response from a healthcare practitioner within 24 hours of submission. If you’ve been waiting longer than this, please email hello@felixforyou.ca and we’ll look into it.

Can I just get the treatment and skip the online visit?

No. A visit with a licensed healthcare practitioner is required for all treatments currently provided through Felix’s service.

Please email our Customer Support team at hello@felixforyou.ca and they will be able to assist you with the transfer.

Privacy and Security

Is my information private and secure?

Yes, your security is paramount to Felix’s mission. Personal health information provided during your medical assessment is strictly and legally confidential between you and the Felix healthcare practitioner.

Beyond that, all your account information (including the medical assessment, credit card, and shipping information, etc.) is also stored safely and securely. Felix is compliant with all federal and provincial health privacy legislation. It is our duty to protect your data with comprehensive security infrastructure and stringent data policies to ensure it stays private and secure.

Read more on our Privacy Policy.

Is this legal?

Yes! In Canada, only a licensed healthcare practitioner can write a prescription, and only a registered pharmacist can fill that prescription. We are supported by leaders in the Canadian pharmacology and specialized medical fields. Felix adheres strictly to all the regulations set forth by all applicable Colleges of Pharmacists and Colleges of Physicians and Surgeons in which we operate.

Is this safe?

Absolutely. All prescriptions obtained via Felix are provided by licensed Canadian healthcare practitioners—the same as you would get at a hospital, doctor’s office, or clinic. These practitioners do not provide prescriptions unless they deem it medically safe and appropriate to write them based on your medical profile and assessment answers. Our assessments have been crafted by the practitioners on our medical team. Finally, all Felix Pharmacies are provincially accredited just like any retail pharmacy.

How is my privacy protected?

Your privacy is our top priority. All your data is 256 bit SSL/TLS encrypted, and we take significant steps to keep your data secure. You can read our Privacy Policy for more information. 

Shipping

How long will it take to get my treatment?

Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.

Treatment plans will be processed within 2-3 business days of your approval date if there is nothing blocking fulfillment.

All packages are shipped via Express Post, which usually takes 2-3 business days. You will receive an email with your tracking number once your treatment has been shipped.

Is your packaging discreet?

Absolutely. All Felix shipments arrive in a nondescript blister package so you can have your treatment shipped wherever makes sense for you as long as there is someone there to sign for it.

Do I have to be home to receive my package?

A signature upon delivery may be required.

How much does it cost to ship my treatment?

There is currently no cost to have your treatment shipped to you from our Felix Pharmacy network.

What courier do you use for shipping?

Our pharmacy partners use Canada Post and/or Purolator for shipping.

Pricing and Payment

How much is the online visit?

Felix charges a fee for the online visit, but only if and when you are approved by the healthcare practitioner. In most cases the fee is $40 but varies by treatment category. The visit fee includes a prescription valid for up to a year (depending on the condition) and on-going support from the healthcare practitioner or pharmacist.

How much will my treatment cost?

It depends. Treatment costs vary but will be in line with what you would pay at a pharmacy in person. You will see the estimated cost of your treatment before insurance, during the online visit but will only be charged once approved. Once approved, your treatment and payment will be processed within one to two days.

Keep in mind that you won’t necessarily need to pay the full price yourself. If you have insurance, Felix’s partner pharmacies will bill your insurer directly. You may also be eligible for financial support in your province.

What payment methods do you accept?

We accept all major credit cards for any aspect of your treatment not covered by insurance or other financial support

When am I charged?

You will be charged for the online visit as soon as it is approved by the healthcare practitioner. From there, and after your prescription is activated by the pharmacy, you will be charged the medication cost for each shipment based on your chosen refill schedule. If you have provided insurance or benefits coverage details, it will be applied according to your plan.

Insurance

Am I covered by my insurance?

Treatment coverage varies greatly between different insurance plans.

The good news is that if you are covered, Felix can bill your insurer directly, and then process your treatment plan at no additional cost to you. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before processing your treatment plan.

Insurance coverage for treatment plans through Felix doesn't include the cost of your visit.

Is the online visit covered by my insurance or provincial health plans?

A Felix online visit is considered asynchronous since it is conveniently completed through a secure chat bases system. Currently, asynchronous visits are not covered by insurance or provincial health plans so you will be charged a visit fee, depending on the category of treatment you are requesting.

Is the medication covered by my insurance or provincial health plans?

Medication coverage varies greatly between different plans, provinces, and has specific criteria that determine eligibility. For private insurance, we recommend contacting your benefits administrator with your details and the Drug Identification Number (DIN) and the drug name to determine your coverage.

For more details on provincial health plan coverage see below:

Alberta: Learn more about AHCIP here. Search for covered drugs here.

British Columbia: Learn more about MSP here. Search for covered drugs here.

Manitoba: Learn more about MHSIP here. Search for covered drugs here.

Newfoundland and Labrador: Learn more about MCP here. Search for covered drugs here.

Nova Scotia: Learn more about MSI here. Search for covered drugs here.

Ontario: Learn more about OHIP+ here. Search for covered drugs here.

Prince Edward Island: Learn more about Health PEI here. Search for covered drugs here.

Saskatchewan: Learn more about Saskatchewan Health Coverage here. Search for covered drugs here.

Is birth control covered by OHIP in Ontario?

OHIP+ covers some birth control for eligible residents of Ontario who are under 25 years old and do not have private insurance. You can check if your birth control medication is covered here. Make sure to upload your Ontario health card during your online visit so our pharmacy partners can apply your coverage directly.

Have more questions? We’ve got answers.
See all FAQs