Shortage of Oestrogel HRT gel

There is currently a national shortage of Oestrogel. There is only one other alternative Oestrogen gel HRT in the UK – Sandrena

Please see this table for the equivalent dosage of Sandrena. 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.

OestrogelContains Ethinyloestradiol:Equivalent Sandrena
1 pump0.75 mgOne and half x 0.5mg sachets
2 pumps1.5 mgOne x1mg sachet + One x 0.5mg sachets
3 pumps2.25 mgTwo x1mg sachet + half x 0.5mg sachets
4 pumps3 mgThree x1mg sachet

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Published by

Dr Olivia Barney

Consultant Gynaecologist in Leicester