Keep calm over HRT clots alert
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STEPHEN BEECH WOMEN taking HRT tablets have been urged not to “panic” despite research linking the pills with an increased risk of developing potentially fatal blood clots.
The study, published in The BMJ, found that HRT pills are associated with a higher risk of rare but serious blood clots – known as venous thromboembolism, or VTE.
No increased risk was found for HRT skin patches, gels or creams.
The vast majority of women choosing HRT to ease the symptoms of the menopause continue to be prescribed pills.
Bur family doctors say the findings shouldn’t lead to panic.
Professor Helen StokesLampard, chair of the Royal College of GPs, said: “The menopause is a transition stage for every woman and can cause difficulties for many.
“For some specific symptoms – such as hot flushes and night sweats – HRT is the only medical treatment that has good evidence of benefit.
“While this study is interesting and important – as the authors themselves acknowledge, the findings do not prove that tablets cause more DVTs than patches, just that there is an association.
“It is essential more research is conducted and taken into account as new clinical guidelines are updated and developed. “Prescribing is a core skill for GPs and current best practice is to prescribe the lowest possible dose of HRT for the shortest possible time. “Specific products and formulations of HRT are only initiated after a comprehensive discussion between the GP and their patient, and are tailored to meet the best interests of that individual.
“It’s important that patients don’t panic or stop taking HRT as a result of reading about this study and discuss their concerns with their GP or seek advice from a reputable website such as NHS Choices.”