An estrogen patch shortage in Alberta has left many women in a difficult situation, searching for supplies or alternatives. The drug product database of Health Canada revealed shortages of various strengths of Estradot and Estradiol Derm patches manufactured by Sandoz Canada. Diane Reid, a 59-year-old Edmonton resident, struggled to find relief for her menopause symptoms until she started using an Estradot patch. However, due to the current supply issues, she has faced challenges in obtaining the right dose, leading her to explore less effective alternatives.
Dr. Shafeena Premji, a Calgary family physician specializing in menopause care, highlighted the impact of the shortages on patients seeking treatment. While Climara patches by Bayer are also available in Canada, no shortages have been reported for this brand. Dr. Premji emphasized that switching to different hormone therapy delivery systems may not always align perfectly with the patient’s needs, potentially causing issues like breakthrough bleeding.
Sandoz Canada attributed the supply problems to fluctuations in demand, with plans to increase production by over 20% this year. The drug product database indicates end dates for the current shortages, suggesting a gradual return to normal stock levels. Health Canada reassured patients that alternative hormone therapy options are still accessible and advised individuals affected by the shortage to consult with their healthcare providers.
The Alberta government acknowledged the supply challenges and assured that certain strengths of Estradot patches and other estrogen products remain available. Dr. Fiona Mattatall, a Calgary-based obstetrician-gynecologist, expressed concerns about the difficulties in providing adequate menopausal healthcare amid the shortages. Awareness about menopause is increasing, leading to higher demand for hormone therapy. Despite the challenges, patients are encouraged to collaborate with healthcare professionals to explore suitable alternatives, such as cutting or doubling patches or utilizing compounded gels or creams tailored to individual needs.
