Scottish medicines body to reassess menopause drug amid HRT shortage | Menopause


A sought-after hormone alternative remedy is being reassessed to be used in Scotland after TV presenter and menopause campaigner Davina McCall revealed a postcode lottery in its prescription throughout the UK.

Amid an ongoing provide disaster of HRT merchandise, McCall spoke to specialists about the advantages of utrogestan, a “physique similar” micronised progesterone, which is derived from crops, in her Channel 4 documentary Intercourse, Thoughts and Menopause, broadcast on Monday.

The Scottish Medicines Consortium (SMC), an unbiased group that decides which medicines ought to be accepted to be used by NHS Scotland, rejected utrogestan for normal use in 2009.

However on Tuesday, the SMC revealed that – whereas it was not beforehand happy that the drug provided worth for cash – one other firm now owned the rights to the drugs since that recommendation was issued and it had been inspired to resubmit its utility.

A spokeswoman stated: “It has been urged to make a resubmission in order that we will assess the proof and supply up to date recommendation to NHS Scotland.”

The Scottish authorities stated it was dedicated to making sure that menopausal ladies obtain equitable entry to medicines, including that though utrogestan was not routinely out there, clinicians might nonetheless prescribe it on a case-by-case foundation.

A spokesperson added: “We’ve got inspired the producer of utrogestan to resubmit its drugs to the Scottish Medicines Consortium, in order that it may be thought-about for routine entry inside NHS Scotland, and we perceive that the producer is within the means of confirming timescales for a resubmission.”

Caroline Phipps-Urch, who lives in Edinburgh and presents the Menopause Sisters present on UK Well being Radio along with her sibling, the GP Dr Claire Phipps, began a petition final yr to influence her native well being board, NHS Lothian, to prescribe the drug.

“Loads of ladies simply don’t know this can be a risk,” she instructed the Guardian, including that many specialists contemplate utrogestan safer than artificial progesterones, such because the Mirena coil, and solely marginally costlier.

She stated that celebrities like McCall talking out about their experiences of the menopause was including to a momentum amongst all ladies to push for higher therapy. “Loads of celebrities round this age are feeling assured to talk out about it, and extra typically there’s a sense amongst ladies that we’ve had sufficient.”

“Ladies’s well being on the whole has lengthy been uncared for and that is about having shared decision-making with their GP and about alternative. We all know that HRT protects ladies from coronary heart illness, stroke and osteoporosis, so we’re saving cash in therapy long-term.”

Final week, Prof Martin Marshall, the chair of the Royal Faculty of GPs, instructed the Guardian that “so many” ladies had been experiencing misery and a few had been risking severe unwanted side effects through the use of remedy prescribed to others, due to acute shortages of some HRT merchandise, that are utilized by about 1 million ladies within the UK to deal with signs of the menopause.

Fuel, food and fertilizer shortage will hit biodiversity and climate


In addition to the humanitarian disaster it’s inflicting, Russia’s invasion of Ukraine in February is disrupting world flows of important commodities comparable to gasoline, meals and fertilizer. This can have an effect on biodiversity and the surroundings far past the battle zones, with implications for sustainability and well-being worldwide.

Competing Pursuits

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Irish dairy and beef farmers urged to grow crops amid Ukraine shortage fears | Food & drink industry


Irish dairy and beef farmers are being urged to begin rising crops, as agriculture ministers from G7 nations together with Britain’s George Eustice put together to satisfy on Friday to debate grain shortages and meals value volatility amid the struggle in Ukraine.

There are rising fears that customers will face value hikes on staples reminiscent of bread along with rises in gas, with grain provides disrupted by the battle.

Ukraine, as soon as often called the breadbasket of Europe, mentioned on Wednesday it was banning exports of rye, barley, buckwheat, millet, sugar, salt and meat for the remainder of the 12 months.

Along with Russia it provides 30% of world wheat and barley, fuelling fears of shortages not seen for the reason that second world struggle when customers in Britain have been inspired to plant greens in gardens, yards and on rooftops.

Authorities knowledge exhibits Ukraine provides 20% of the UK’s cereals. Vikki Campbell, a market specialist on the Agriculture and Horticulture Growth Board (AHDB), mentioned the value of wheat futures – grain to be purchased on 22 Might – had gone up on six consecutive days.

On 18 February, days earlier than struggle, wheat was buying and selling in London at £220 a tonne, however had surged to £289.50 when the market closed on Tuesday.

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“We do know that provide chains are going to be dealing with additional prices. Gas goes up for everybody and processing prices. If we take a look at a load of bread, wheat makes up 10% of the price of a loaf you get within the grocery store with 90% coming from different components of the availability chain, and we all know different components of the availability chain, reminiscent of gas, haven’t been shielded,” she mentioned.

Ronald Kers, the chief govt of two Sisters Meals Group, the UK’s greatest hen producer, mentioned the price of elevating a hen had elevated by 50% since final January and he forecast meals inflation would exceed predictions.

Kers mentioned: “Earlier than this struggle started, 4-5% meals inflation was being forecast by mid-2022. However we now may see a hyper-inflationary setting at nearer to 10-15% – greater than it’s been for 50 years – if this battle isn’t resolved rapidly.”

Campbell mentioned the market was already squeezed by shortages attributable to drought within the US and Canada final 12 months. The AHDB mentioned the value of fertiliser had additionally shot up because it relied on pure fuel.

The Irish agriculture minister, Charlie McConalogue, requested farmers to develop extra crops to offset meals provide points attributable to the Russian invasion. Farmers are urging the federal government to challenge €2,000 (£1,670) vouchers to assist them fertilise the land for crops and winter fodder.

Irish farming is dominated by beef and dairy producers, with 60% of grain imported.

“Meals safety is actually essential over the subsequent variety of weeks and months and it’s one thing we’ve got to work collectively on,” he instructed RTÉ.

Pressed on weekend stories that farmers can be instructed to develop grain – the primary time this may have occurred for the reason that second world struggle – McConalogue mentioned: “I believe some of the economical issues that any farm can do is take into account planting some grain this 12 months and they need to take a look at that and take into account their choices.”