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Shortage of HRT gel

There is currently a national shortage of HRT gel. There are only two brands of Oestrogen gel in the UK – Sandrena and Oestrogel and one type of skin spray Lenzetto.

Please see this table for the equivalent dosage of Oestrogel, Sandrena and Lenzetto. Technically, the higher doses exceed the UK licence for Sandrena gel, however there is no safety concern with exceeding the dose as per the licence as this amount of Oestrogen remains in the licence for Oestrogel and Lenzetto.

Level	Tablet	Patch	Oestrogel	Sandrena	Lenzetto
Ultralow	0.5mg	half 25	Half-1 pump	half a 0.5mg sachet	1 spray
Low	1mg	25	1 pumps	One 0.5mg sachet	2 spray
Medium	2mg	50	2 pumps	1mg or 1mg plus 0.5mg sachet	3 sprays
High	3-4mg	75-100	3-4 pumps	2-3 x 1mg sachet	–

Alternative options for types of HRT tablet, patch, transdermal gel or spray

Olivia awarded “Shine Bright Superstar”

Olivia was nominated for an award at UHL by one of the nursing team at UHL. She acknowledged Olivia’s support during the pandemic and her leadership in her role as Head of Service for Gynaecology at this most challenging of times.