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Author Topic: HRT supply issues update on all Products see link  (Read 112680 times)

Butterfly22

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Re: HRT supply issues update on all Products see link
« Reply #315 on: October 13, 2019, 04:11:47 PM »

I take 100 estraderm but in 2 x 50 patches due to the size, I may try and cut one in half so wear 75 as will last longer, I have three boxes and I'm dreading them running out, this should be fine right.? Xx
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bear

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Re: HRT supply issues update on all Products see link
« Reply #316 on: October 13, 2019, 08:16:39 PM »

I take 100 estraderm but in 2 x 50 patches due to the size, I may try and cut one in half so wear 75 as will last longer, I have three boxes and I'm dreading them running out, this should be fine right.? Xx

Hi Butterfly22,

As long as they are Estraderm MX (matrix type) it will be fine.

BeaR.
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pepperminty

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Re: HRT supply issues update on all Products see link
« Reply #317 on: October 14, 2019, 06:53:22 AM »

Hi Ladies,

does anyone know of any further updates as o when they think the shortage may stop? Is this likely for another 6 months?

PMX
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bear

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Re: HRT supply issues update on all Products see link
« Reply #318 on: October 14, 2019, 01:23:29 PM »

Hi pepperminty,

There are many drugs listed, about 100, 1-2 added, 1-2 back in stock, daily. Regarding HRT, the situation has remained the same for Evorel (2020) and FemSeven (2020-2021), Elleste range is back in stock, except for Duet Conti, Femoston range is back in stock, except for 1/10, according to Mylan website.

Remaining stocks of Estradot, Estraderm and Progynova patches vary depending on local availability. I don't think they have any manufacturing issues, but I can't say Brexit is affecting their acquisition by the NHS and parallel traders.

BeaR.
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Hurdity

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Re: HRT supply issues update on all Products see link
« Reply #319 on: October 14, 2019, 05:11:22 PM »

Hi pepperminty

We haven't had any further updates since the comprehensive statement listing individual HRT products  from the BMS 23rd September which has been posted on this thread and here it is again: https://thebms.org.uk/2019/09/british-menopause-society-further-update-on-hrt-supply-shortages-23rd-september-2019/

The situation of course varies locally too due to wholesalers etc - which was clarified in the link I posted previously I think, from the pharmacists. Also the situation on the ground can be different from the drugs manufacturers due to products being somewhere in the supply chain - but might be out of stock in your particular product from your particular supply chain.

If there is one that you are interested in - refer to the BMS list or write to the manufacturers - although they are being inundated so are sending standard replies and even so the situation locally does not necessarily match due to increased demand somewhere in the supply chain.

None of us can give any further info on this - I think BMS and others like Louise Newson will update info to us as soon as they have it! Also who knows what effect Brexit might have on things if (when?  :'( ) it happens - we still don't know do we?!

It's all a right pain isn't it?!

Hurdity x
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Butterfly22

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Re: HRT supply issues update on all Products see link
« Reply #320 on: October 14, 2019, 05:20:14 PM »

I take 100 estraderm but in 2 x 50 patches due to the size, I may try and cut one in half so wear 75 as will last longer, I have three boxes and I'm dreading them running out, this should be fine right.? Xx

Hi Butterfly22,

As long as they are Estraderm MX (matrix type) it will be fine.

BeaR.


Thank you xx
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pepperminty

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Re: HRT supply issues update on all Products see link
« Reply #321 on: October 14, 2019, 05:30:22 PM »

Thanks Hurdity,

yes a great pain! My Femosten 1/10 is on the short supply list, but the 2/10 isn't so I could split the tablets on the estrogen phase only if the worst comes to the worst if I have to up the dose. I can't see changing at this point as whatever you choose could be in short supply. ::)

PMX
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bear

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Re: HRT supply issues update on all Products see link
« Reply #322 on: October 14, 2019, 09:11:29 PM »

Hi girls,

Latest update (7 Oct) on AAH out of stock drugs bulletin https://www.aah.co.uk/resource/blob/29878/73b17e664e7dee3cc494aa6672001e0f/stock-bulletin-data.pdf

Mylan's products are listed as 'Supplier Allocation' meaning:

'A product on allocation is one that is distributed in a manner that limits distribution of scarce supplies until a shortage is resolved. Allocation plans may include strategies to control the quantity and frequency of product releases, placing limitations on quantities sold or limiting release to emergency-only use to conserve product for patients with life-threatening conditions for which there is no alternative therapy.' ASHP - US.

The BMS link has not been updated since 23rd Sep.

BeaR.





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pepperminty

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Re: HRT supply issues update on all Products see link
« Reply #323 on: October 15, 2019, 08:02:30 AM »

Hi girls,

Latest update (7 Oct) on AAH out of stock drugs bulletin https://www.aah.co.uk/resource/blob/29878/73b17e664e7dee3cc494aa6672001e0f/stock-bulletin-data.pdf

Mylan's products are listed as 'Supplier Allocation' meaning:

'A product on allocation is one that is distributed in a manner that limits distribution of scarce supplies until a shortage is resolved. Allocation plans may include strategies to control the quantity and frequency of product releases, placing limitations on quantities sold or limiting release to emergency-only use to conserve product for patients with life-threatening conditions for which there is no alternative therapy.' ASHP - US.

The BMS link has not been updated since 23rd Sep.

BeaR.

OMG BeaR,

What qualifies as a life threatening condition? If I couldn't get my type of HRT from them I would be in a terrible state- as would many I am sure- not able to work etc- Just chopping and changing to find an alternative isn't great . Why place limitations on quantities sold - why not just produce more? Or am I missing something?  If this effected men  I am sure it would be resolved pretty quick .

PMX
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Wrensong

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Re: HRT supply issues update on all Products see link
« Reply #324 on: October 15, 2019, 08:29:28 AM »

A helpful link, thank you BeaR.
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bear

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Re: HRT supply issues update on all Products see link
« Reply #325 on: October 15, 2019, 01:53:13 PM »

Hi girls,

Pepperminty, they are having manufacturing issues, that's why they can't just increase production. What manufacturing issues is still being debated. I have recently looked at the online version of Elleste tablets patient information leaflets and came across this (scroll to the end of the document).

https://www.medicines.org.uk/emc/files/pil.9510.pdf

Although it's stated that Piramal UK (a subsidiary from an Indian pharma) is the manufacturer, at the bottom of the doc you can see that the actual manufacturer is Meda, Germany, which is a Mylan owned manufacturing plant (Meda has been acquired by Mylan in 2016). So I suppose that something went wrong at Piramal and Mylan has decided to shift production to Meda (again, because Elleste was originally a Meda product). The pharma world is extremely complex, so any disruption in supply chains is a big problem. They will eventually solve it, it's in their best interest to sell their products.

You're welcome, Wrensong!

BeaR.
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TaylorJ

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Re: HRT supply issues update on all Products see link
« Reply #326 on: October 15, 2019, 02:41:24 PM »

I've been looking on The Independent Pharmacy website and get my Evorel Sequi patches , 3 months for £81.00 or Oxford Online Pharmacy for £64.49 ...a little pricey but could be worth it instead of stressing about trying out new ones, I was feeling a bit more like myself after being on the patches since end of May . They did seem to agree with me . I'm finding I feel more stressed trailing from chemist to chemist in my local area where I'm only getting 3 weeks supply at a time , back and forward to GP for another option  :-\
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Katejo

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Re: HRT supply issues update on all Products see link
« Reply #327 on: October 15, 2019, 03:23:48 PM »

I've been looking on The Independent Pharmacy website and get my Evorel Sequi patches , 3 months for £81.00 or Oxford Online Pharmacy for £64.49 ...a little pricey but could be worth it instead of stressing about trying out new ones, I was feeling a bit more like myself after being on the patches since end of May . They did seem to agree with me . I'm finding I feel more stressed trailing from chemist to chemist in my local area where I'm only getting 3 weeks supply at a time , back and forward to GP for another option  :-\
If your GP supplies an NHS prescription, you don't have to pay these prices. You pay exactly the same as you would at the High St pharmacy. It depends how far in advance the GP is willing to supply a prescription. You post the prescription to the online pharmacy. I have done it once to the Independent Pharmacy.
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Hurdity

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Re: HRT supply issues update on all Products see link
« Reply #328 on: October 15, 2019, 05:28:47 PM »

Pepperminty - the information given on bear's link about Femoston at least is no different from what Mylan themselves have said on the last BMS update except using a new term "supplier allocation". On the BMS info it says this in lay terms ie "shortage of supplies" - but the company has given no additional information. I assume all concerned are just rationing it rather than supplying their limited stocks to just one warehouse or pharmacy ( further down the line).

From our point of view – the most important and relevant information – is that coming from the manufacturers themselves as to what the situation is in terms of delays, production etc.

We know that the last BMS information was 23rd September, but was from their contact with manufacturers – so this is as up to date as we have.  I would have thought the companies would highlight where projected shortages are likely to occur? Regarding Mylan's products (mentioned by bear), the BMS quoted detailed information from this company (and others where available) about what they were doing re the shortages in terms of manufacturing – so I'll reproduce it here:

“Earlier this year, Mylan was experiencing an interruption in the production of Elleste™, which included; Elleste Solo™ (1mg & 2mg), Elleste Duet™ (1mg & 2mg) and Elleste Duet™ Conti (2mg).

At that time, Mylan anticipated a temporary interruption and for stock levels to resume during the middle of 2019. To minimise disruption to patients and to support pharmacies, societies and healthcare professionals (HCPs) across the country Mylan took several proactive steps, including:

•   sending two Ellesteâ„¢ stock constraint mailers to 50,000+ HCPs;
•   informing the British Menopause Society;
•   continuously communicating with the National Pharmacy Association; and
•   creating a MyWay Pharmacist leaflet for our salesforce to use when visiting pharmacists across the country.

In addition, Mylan created a new promotional page on its dedicated HCP website, called MyWay HRT Overview and Stock Availability. This page provides details of Mylan range of HRT products, stock availability and options to switch patients to alternative products where appropriate.

To ensure the stable supply of Ellesteâ„¢ Oral Tablets in the future, Mylan will be transferring the production of Ellesteâ„¢ to a Mylan owned and operated facility.

The site transfer is in progress and Myaln anticipate production to resume by second half of 2020. In the meantime, any stock of Ellesteâ„¢ Oral Tablets in the market, is available to order and prescribe. Once that supply has been depleted, the replenishment of Ellesteâ„¢ Oral Tablets will not be available until the site transfer process has been completed.

Mylan will continue to support pharmacies, societies and healthcare professionals by providing updates on materials and communications including updates to stock availability, timing for resolution and information about Mylan's other HRT products.

Please note that this does not affect the transdermal patches; Elleste Soloâ„¢ MX (40 and 80mcg).

Mylan has a dedicated website for healthcare professionals, which has LIVE information about current supply of their HRT. The overview of stock availability page can be accessed on: https://mywayhub.co.uk/en-gb/range

Mylan HRT stock can only be obtained through AAH, Alliance and Phoenix

If you have difficulty obtaining supplies please contact Mylan Customer Service on:

[email protected]
”

So - we know what's happening with Elleste at least.

As you can see from the above, the company is also giving live updates for their products (Elleste solo, Elleste Duet and Femoston) on a dedicated website (link above). You can see at a glance which products are in stock. They have also provided detailed information about the production of their products and the timescale and this is what was communicated to the BMS (as above). Therefore the most up-to-date info re Mylan at least can be obtained directly from them without waiting for BMS.

Some of the other comapnies do not appear to be clear about their products - for example Novartis - to whom several have written but with unsatisfactory responses. I posted on another thread ( I think!) about what they said - I wrote back but did not hear again....they are all probably inundated.

Re bear's link to Aah stock. It looks like they are one of our wholesalers referred to in the pharmacy blog I linked to in previous post (and which Mylan refer to...)– extract below:

“Between the two main wholesalers in the UK, there are nearly 30 warehouses serving the whole country. When patients are informed of a shortage by their pharmacist, it's because there may be stock of the item somewhere in the supply system but not in the depot local to the pharmacy placing the order, which means it can't be ordered.”

Like I said in a previous post – it is clear that due to the complexity of the supply chain even if one organisation is out of stock – it may be in stock still somewhere in the supply chain until – if there is a manufacturing delay – it runs out. This is why there are such inconsistencies across the country Grrr!

Happy days :)  ::)

Hurdity x


 
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TaylorJ

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Re: HRT supply issues update on all Products see link
« Reply #329 on: October 16, 2019, 08:34:39 AM »

I've been looking on The Independent Pharmacy website and get my Evorel Sequi patches , 3 months for £81.00 or Oxford Online Pharmacy for £64.49 ...a little pricey but could be worth it instead of stressing about trying out new ones, I was feeling a bit more like myself after being on the patches since end of May . They did seem to agree with me . I'm finding I feel more stressed trailing from chemist to chemist in my local area where I'm only getting 3 weeks supply at a time , back and forward to GP for another option  :-\
If your GP supplies an NHS prescription, you don't have to pay these prices. You pay exactly the same as you would at the High St pharmacy. It depends how far in advance the GP is willing to supply a prescription. You post the prescription to the online pharmacy. I have done it once to the Independent Pharmacy.
Oh really Katejo, that's great , I'm so relieved  :) I'm willing pay anything just for peace of mind , I will try this .

Thank you xx
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