Welcome to Unichem Bishopdale Pharmacy

HRT patches shortage

The current estradiol patch situation is very dire. All strengths of estradiol patches are currently out of stock and the availability of patches can change rapidly and varies around the country. We are getting drip fed from our wholesaler with alternative brands but we are continually unsure of what, when and how many patches we will receive.  Small shipments are expected in the country in the coming months but that will not be enough for the current demand.

These supply issues are expected to continue all year and into 2025 as it is a worldwide supply issue.

If you are having difficulty getting your regular HRT, speak to your doctor about alternative options for your situation. Other forms of HRT are available including oral tablets or topical gels. It is important to note that these are different medicines so will require a new prescription and guidance from your doctor.

Oral:

1mg Progynova = 25mcg patch, 2mg Progynova = 50mcg patch. Doses higher than this are unapproved and may need specialist input. The prescriber has to bear in mind the contraindications and cautions with oral vs patch therapy.

Gel:

These are not funded but an alternative for those unable to have oral therapy. 

Oestrogel 0.06% gel, 0.75mg /pump: 1 pump = 25mcg patch, 2 pumps = 50mcg patch, 3 pumps = 75mcg patch, 4 pumps = 100mcg patch.  Oestrogel should be administered daily on a continuous basis and applied to outer arm/inner thigh. https://www.oestrogel.co.uk/how-to-use-oestrogel

Sandrena 1mg/sachet (1g of gel). Doses of 0.5mg-1.5mg estradiol used per day and adjusted based on response. The Sandrena dose is applied once daily on the skin of the lower trunk of the right or left thigh. **Currently out of stock

We fully appreciate the stress and frustration these shortages are causing and we are doing all we can to procur stock.

Pharmac contact details:

enquiry@pharmac.govt.nz     0800 660 050