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

Combined patches

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.

Pharmac have recently announced that restrictions on the prescription of Utrogestan® will be removed from 1 December 2022. This will mean that women will be able to access fully funded Utrogestan® for a range of uses, including for menopausal hormone therapy.

The Australasian Menopause Society provided a letter of support to Pharmac in June 2022 supporting the funding of Utrogestan® for MHT as the endometrial protection agent when women require oestrogen for the treatment of menopausal symptoms in the perimenopausal time and also as part of hormone replacement therapy for premature ovarian insufficiency. Being a bioidentical progesterone, international opinion says that it is the safest progesterone to use with the lowest side effect profile. it is considered best practice to use this progesterone as it has a more favourable effect on lipid profiles and potentially less likely to impact on breast cancer risk. It has the additional advantage of having a soporific effect.

More information about the announcement can be found here.

Content updated 26 September 2022