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Menopausal Hormone Therapy (MHT) discontinuation and shortages November 2024

Australia 

Patch Shortages

There are a number of MHTs that are currently unavailable. Please note that the TGA has approved some unregistered products under Section 19A and some substitute doses are currently in supply in Australia. Pharmacists are encouraged to contact suppliers Medsurge Healthcare Pty Ltd on 1300 788 261 for orders of Estramon and Sandoz on 1800 726 369 for orders of Estradiol Transdermal System.

Oestradiol patches

 

Expected supply due

Alternative supply under Section 19A

Dose

Estradot

Estraderm

Estramon

Estradiol Transdermal System

25 mcg

31 Dec 2024

5 Dec 2024

Available

 

37.5 mcg

30 Jun 2025

 

Available

Available

50 mcg

31 Jan 2025

5 Dec 2024

Available

Unavailable

75 mcg

31 Jan 2025

5 Dec 2024

Available

Unavailable

100 mcg

31 Dec 2024

5 Dec 2024

Available

Available

Combined patches

Dose

Estalis Sequi

Estalis Conti

50/140

Available

Available

50/250

Available

Available

All doses of Climara have been deleted from the market and there will be a reduction in supply until supply is exhausted.

The AMS Guide to MHT Doses (Australia only) provides a guideline to approximately equivalent doses of the different MHT/HRT products in Australia.

New Zealand

As at 21 November 2024, patch availability is provided below.

Dose

Estradot

Viatris

Estraderm MX

25mcg

Low

Available 

Available

50mcg

Low

Available

 

75mcg

Low

Available

 

100mcg

Low

Available

 

More information can be found here  

The AMS Guide to MHT Doses (New Zealand only) provides a guideline to approximately equivalent doses of the different MHT/HRT products in New Zealand.