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[Dotty]

https://thebms.org.uk/2019/09/british-menopause-society-further-update-on-hrt-supply-shortages-23rd-september-2019/?fbclid=IwAR07l9MOqUz8oMYLUYc_JI3Rjm7_HAWEON6Mmj1h7J4920lPUznRN-yzaBE

Thought I'd start a new thread with the latest update on hrt supplies xxx

[Foxylady]

Thanks for that Dotty, not good for the majority of us!! It's everol & provera I'm on.

[Ladybt28]

Hey Dotty- just looking down the list and wanted to say I was surprised to see Premique for Pfizer available..,I would have sworn it was discontinued???

[Butterfly22]

It was the higher dose of premique discontinued a couple of years ago as I was on it.
Im really worried no update on Estraderm I can't cope with another HRT discontinued. Xx

[Ladybt28]

Thank for answering Butterfly22, sorry I didn't look at the dose, just was flabbergasted to see it on the list 

[ladylollipop]

Hello everybody, that's right what you have read , stellajane. I can't get venlafaxine 37.5 mg retard ( AD) anymore. I live in Germany. I really don't know what is going on . A lady in the pharmacy told me she can't get hold of 120 articles.

Lady lollipop

[Butterfly22]

Yes I saw that, Prozac! How they keep saying nothing to do with brexit is a bit strange too xx

[Butterfly22]

Hello everybody, that's right what you have read , stellajane. I can't get venlafaxine 37.5 mg retard ( AD) anymore. I live in Germany. I really don't know what is going on . A lady in the pharmacy told me she can't get hold of 120 articles.

Lady lollipop

Wow, now that's worrying, I'm on venlafaxine and take 3 x75mg a day and I missed one dose a year or so ago and had the most horrendous withdrawal symptoms xx

[Rosebush]

Thanks for updates Dotty, i am on Everol Conti, i see Jansen states stock will run out Oct and Pharmacies will run out mid 2020, so i presume they know they will not be back in production until way after mid 2020

I did hear on Tv news last night UK have a stock for 6weeks of medicine due to Brexit, wonder if the stock piling has been going on for months & months and that's why we cannot get our meds, also very worried if 'after' Brexit the other EU countries with hold all meds to UK if they are not happy with the outcome!!

Never thought i would see stuff like this happening due to Politics!!!!  x

[Butterfly22]

It's worrying times. No one seems to know what the heck is going on but I've never known medication to run out like this. Xx

[bear]

Hi girls,

If you click the links below you will have an idea why Brexit is a complicating factor:

Parallel trade in the UK/EU:

https://www.pinsentmasons.com/out-law/news/no-deal-brexit-parallel-importers

All products (HRT and others) included in the shortages lists can be traced back to parallel imports:

https://www.gov.uk/government/collections/parallel-import-licences-lists-of-approved-products

You reap what you sow...

www.pharmafile.com/news/522642/uk-government-refuses-sign-who-pricing-transparency-resolution

If the UK had signed this resolution maybe the shortages could have been avoided.

And this is even worse:

CMU (Commercial Medicines Unit) request for stockholding is a tool used by pharmaceutical suppliers to upload data on their stock levels which is then used to supply accurate volumes to suppliers for tendering

www.cmu.nhs.uk/stockholdinguploadportal/

The NHS has decommissioned its stockholding system, not an IT priority. 

Another complicating factor:

'The shortages stem from a lack of generic manufacturers. Suppliers opt for more profitable branded therapies over generics, so one natural disaster or quality issue throws a wrench in the entire supply chain. Manufacturers base production on historic supply levels, which means it's a reactive process when shortages arise.
Providers also claim to have minimal insight into the causes of shortages. Manufacturers aren't mandated to share with the public whether contaminated raw ingredients, a production snafu or other factors led to the shortage, which means stakeholders can't target vulnerable products and plan ahead, they say.'

https://www.modernhealthcare.com/finance/drug-shortages-drain-least-359m-health-systems

BeaR.