Women on “skinny jabs” must use effective contraception, MHRA urges

Anyone who suspects that they’ve had an adverse reaction to their weight loss or diabetes medicine or suspects it is not a genuine product, should report it to the MHRA. 

Women taking popular medicines for weight loss and diabetes, sometimes referred to as “skinny jabs”, are being reminded to use effective contraception while taking these medicines and, in some cases, for up to two months between stopping the medicine and trying to get pregnant.  

These medicines must not be taken during pregnancy, while trying to get pregnant, or during breastfeeding. Anyone who gets pregnant while using them should speak to their healthcare professional and stop the medicine as soon as possible. This is because there is not enough safety data to know whether taking the medicine could cause harm to the baby. 

Effective contraception includes oral (the pill) and non-oral (the implant, coil or condoms) forms of contraception. However, Mounjaro may reduce the effectiveness of oral contraceptives in those who are overweight. Therefore, those taking Mounjaro who are overweight and are using an oral form of contraception are advised to also use a non-oral form of contraception. This only applies to those taking Mounjaro and is especially important for the four weeks after starting Mounjaro and after any dose increase. 
 
This advice, which is already in the patient leaflets that come with the medicine, is just one of the reminders in the latest guidance from the Medicines and Healthcare products Regulatory Agency (MHRA) on the safe use of “GLP-1 medicines” known by the brand names Ozempic, Mounjaro, Wegovy, Saxenda and Victoza.  

The full advice can be found on the regulator’s website. It comes after concerns from the UK regulator that some people are not using these medicines for weight loss and diabetes safely.  

Dr Alison Cave, MHRA Chief Safety Officer said:Skinny jabs are medicines licensed to treat specific medical conditions and should not be used as aesthetic or cosmetic treatments. They are not a quick fix to lose weight and have not been assessed to be safe when used in this way. 

“Our guidance offers patients a “one stop shop” for our up-to-date advice on how to use these powerful medicines safely.  

“This guidance should not be used as a substitute to reading the patient information leaflet or having a conversation with a healthcare professional as part of the prescribing process. ” 

Alongside advice on contraceptive use, the MHRA reminds patients that these medicines should not be bought from unregulated sellers such as beauty salons or via social media, or taken without a prior consultation with a healthcare professional.

Not only does this expose people wanting to lose weight to serious health risks, it is also against the law to sell these medicines in this way. 

The only way to guarantee receiving a genuine GLP-1 medicine is to obtain it from a legitimate pharmacy.  

The guidance also reminds patients of the symptoms to look out for in the event of acute pancreatitis which, although uncommon, can be serious.

The main symptom of this is severe pain in the stomach that radiates to the back and doesn’t go away. Anyone who experiences this should seek immediate medical help. 

Summary of advice to patients

  • You should only take GLP-1 medicines if they have been prescribed to you by a healthcare professional.   
  • Always have a conversation with your prescriber about the benefits and risks of GLP-1 medicines before you start taking them.   
  • Do not take GLP-1 medicines if you are pregnant, trying to get pregnant or breastfeeding. If you get pregnant while using them, you speak to a healthcare professional and stop them as soon as possible.
  • If you are prescribed Mounjaro (tirzepatide), use a barrier form of contraception and do not rely on oral contraception.   
  • Understand the potential side effects and have a conversation with a healthcare professional if you are concerned.   
  • Tell your doctor you take a GLP-1 medicine if you are about to have surgery.   
  • Report any adverse reactions to the Yellow Card scheme.   
  • After taking the recommended four doses in each syringe, any medicine left in the syringe should not be extracted and the syringe should be disposed of in the bin.  
  • Use of these medicines is not a quick fix to lose weight and the MHRA has not assessed the safety and effectiveness of these medicines when used by people who do not meet the medical requirements.   

Anyone who suspects that they’ve had an adverse reaction to a GLP-1 medicine,  or suspects it is not a genuine product, should report it to the MHRA Yellow Card scheme.   

Tomorrow: Housing Drop-In at Royston Wardieburn

WEDNESDAY 28 MAY from 10am – 12 noon at ROYSTON WARDIEBURN COMMUNITY CENTRE

Housing information drop in this Wednesday at Royston Wardieburn Community Centre from 10am-12noon ☺️

Staff/advisors are coming from:

City of Edinburgh Council Housing

LIFT

Granton Information Centre

Changeworks

RIGHT THERE

Grab a cuppa and get some advice!

All of Scotland now at some level of water scarcity

Most of mainland Scotland’s east coast has now moved to Moderate Scarcity, according to the latest Water Situation Report from the Scottish Environment Protection Agency (SEPA).

River catchments across the Deveron, Ythan, Don (Aberdeenshire), Dee (Aberdeen), Esk, Firth of Tay, Firth of Forth, Almond, Tyne (Lothian), Tweed and Esk (Dumfriesshire) are now at Moderate.

There has been no recovery elsewhere and most of the rest of Scotland is now at Alert, with only the Inner and Outer Hebrides remaining at Early Warning.

​This follows on from a drier than normal autumn and winter with some areas of the east now having 11 months of below average rainfall. With no significant rainfall currently forecast, it is likely that river and ground conditions will remain very dry over the next week.

All businesses with licences to take water from the environment have a responsibility to use water economically.

Record-breaking dryness

Groundwater levels in Fife and Angus were at their lowest April averages on record, with Newton of Falkland recording the lowest level for April in 28 years. Soil moisture deficits are continuing to increase, and soils are becoming drier than would be expected for the time of year.

In the River Dee in Aberdeenshire records going back 97 years show flows are at their second lowest this early in the year, only 1938 was drier. Typically, the lowest river flows in the Dee occur in July, August or September.

Some parts of Fife have now gone nearly four weeks without measurable rainfall. Across the east river flows are well below normal for this time of year and without significant rain conditions are unlikely to recover soon.

Water scarcity levels

  • Early Warning: Conditions are drying. No action required, but abstractors should start preparing.
  • Alert: Water levels are falling. SEPA advises voluntary reductions in non-essential water use for abstractors.
  • Moderate Scarcity: Environmental impact is clear. Action from abstractors is expected to protect rivers and the species that rely on them.
  • Significant Scarcity: Critical river levels. Restrictions on abstraction licences may be imposed.

Advice to abstractors

SEPA have been contacting abstractors directly to understand more about their water use and provide targeted advice. These conversations are showing that many have already put measures in place to use water more efficiently. As well as direct contact with individuals, all those with a licence in an area at Alert or Moderate Scarcity are receiving messages to remind them of their responsibilities.

Active consultation is ongoing with organisations across Scotland, including NFU Scotland, Fisheries Management Scotland, Golf Scotland, Scotch Whisky Association and Scottish Water to help share important information and ensure that advice and support is available.

If your business abstracts water from the environment, here’s what you need to do:

At Alert:

  • Check and maintain abstraction equipment
  • Review your water use plans
  • Reduce non-essential water use
  • Consider low-water irrigation techniques or alternative scheduling

At Moderate Scarcity:

  • Actively reduce water use, particularly during peak daylight hours
  • Coordinate with neighbours to optimise shared use
  • Consider alternative sources or reduced production if possible

Claire Tunaley, Senior Hydrologist – Water Resources Unit, SEPA said: “We’re seeing the kind of conditions we normally associate with late summer in some places – and it’s only May.

“Groundwater and river levels across the east are already hitting record lows. In Fife and Aberdeenshire, we’re seeing some of the driest conditions in living memory for this time of year. With parts of Scotland now at 11 months of below average rainfall it will take above-average rainfall over an extended period to recover to normal levels, especially for groundwater levels.

“Our message is clear: if you abstract water from our environment – whether you work in agriculture, energy, industry, distilling, food and drink or the leisure sector – you must take action now to help protect your operations and help safeguard Scotland’s rivers and wildlife in the weeks ahead.”

Everyone can use water more efficiently

Scottish Water is calling on people to use water as efficiently as possible in homes and gardens and help the utility protect resources and maintain normal supplies across the country.

The public water supply is resilient, and Scottish Water is continuously monitoring the levels of storage throughout the country to maintain supplies, but there has been an increase in water use by customers in the past weeks. The amount of water the company put into the network across Scotland has had to be increased from mid-April by 150 million litres per day.

Scottish Water is urging people to help save water by:

  • using water efficiently in the garden and outdoor spaces by using a watering can instead of a garden hose where possible and avoiding using sprinklers
  • taking shorter showers
  • turning the tap off when brushing teeth
  • using washing machines and dishwashers only when fully loaded
  • using a bucket and sponge rather than a hose to wash the car.

Utilita Energy Hub in Leith set to host Hope 4U takeover day this weekend!

High street hub welcomes financial support experts to its free Community Room

Natasha Baillie, Supervisor at Leith’s Utilita Energy Hub, and her dedicated team are looking forward to welcoming financial support experts from Hope 4U to the hub’s Community Room on Saturday, 17 May. 

The Utilita Energy Experts are joining forces with Hope 4U to help hub visitors check if they are on the best energy tariff, with hints and top tips on how to significantly lower energy bills. 

Advice will also be available for those who are eligible for the Attendance Allowance – a disability benefit for people aged 65 or over, who have a long-term illness or disability and need frequent help with personal care or need regular supervision.

Looking forward to the weekend’s takeover day, Natasha said: “We’re delighted to be hosting the Hope 4U team in support of the vital work they do to improve financial sustainability and to offer advice to those who may not be able to afford their bills, or who may be struggling to put food on the table or keep a roof over their head.

“Depending on your situation, you may also qualify to apply for Warm Home Discount or be eligible to apply for grants from other organisations.

“We’re all too aware that the rising costs of living and reduced public funding have made food and fuel poverty worse. That’s why we are proud to collaborate with Hope 4U to provide the local community with the tools they need to help alleviate the hardship caused by rising costs.

“No matter what you need, our friendly team in Leith are on hand to help with your energy queries, whether you want to learn about smart meters, get energy efficiency advice, or just want a chat in a welcoming environment.

“Plus, you can top-up your energy in store with PayPoint and Payzone. It doesn’t matter if you’re a Utilita customer or not – our top-ups include many other energy suppliers too.”

The hub’s Community Room provides local groups and charities with a free and safe space for them to hold meetings or community events, with complimentary WiFi and refreshments available. 

The Utilita Leith Energy Hub is open from Monday to Saturday at 41 Newkirkgate, Edinburgh, EH6 6AA and anyone interested in using the hub’s dedicated community space free-of-charge can book a session by emailing edinburgh@utilita.co.uk

See more on Utilita Energy Hubs at https://utilita.co.uk/energy-hub.

WaterSafe emphasises the importance of safe hosepipe use

WaterSafe, the national register of approved plumbers, is issuing guidance to householders on safe hosepipe use, as dry weather continues.

Hosepipes can harbour harmful bacteria, such as Legionella, which has the potential to flow back into buildings and contaminate the drinking water supply.

WaterSafe advises everyone to make sure their tap has a double-check valve installed to help keep drinking water safe.

Julie Spinks, Director at WaterSafe, said: “Hosepipes, if left submerged in dirty water or connected to an outside tap without adequate protection, can act as a channel for contamination.

“Homeowners should understand the risk of backflow and take the necessary steps to prevent it.”

The Water Supply (Water Fittings) Regulations are designed to protect drinking water quality and mandate that all outside taps are fitted with a working double-check valve. This essential component acts as a non-return mechanism, preventing any water from flowing back into the mains supply.

WaterSafe advises homeowners to undertake the following measures:

  • Fit a compliant double-check valve to outside taps, such as one approved by BSI, KIWA, NSF or WRAS to prevent contaminated water flowing back into the drinking water supply. The British Standard states these valves should be replaced every 10 years.
  • As a minimum, the double-check valve should be installed inside the building, close to the garden tap.
  • Gently run water out of your hosepipe before using it, without any form of spray attachment.
  • Always keep your hosepipe out of the sun and in a cool place and turn off outside taps.
  • Disconnect your hosepipe when you have finished using it.
  • Never leave your hosepipe submerged in water, such as in a paddling pool, hot tub or pond.
  • Seek expert advice: if you are unsure about the installation or condition of backflow prevention devices on outside taps, consult a WaterSafe-approved plumber.

With water resources under increasing strain, especially during hot weather, WaterSafe would always encourage householders to avoid using a hosepipe, if possible, as it can use up to 1,000 litres of water an hour – equivalent to more than 12 baths!

“The humble watering can is a much more water efficient way to look after your plants, fill your paddling pool or wash your car,” adds Julie Spinks.

For more information on protecting drinking water quality and to find a WaterSafe-approved plumber, please visit www.watersafe.org.uk.

Thousands of children are turning to Childline to seek help for anger issues  

  • New Childline data shows the service delivered 2,895 counselling sessions to young people struggling with anger issues, a 6 per cent increase from the previous year 
  • This Mental Health Awareness Week, the NSPCC is encouraging children to process their anger in a healthy way and contact Childline if they need to talk 

Thousands of children and young people have received support from Childline for anger issues over the past year. 

New data shows that the NSPCC-service delivered close to 3,000 counselling sessions to children and young people across the UK about the issue, online and over the phone, which is a 6 per cent increase on the previous 12 months. 

The rise in contacts on the topic has made anger issues a top ten mental health concern for all genders contacting the service. This data gives insight into a generation increasingly struggling to manage and regulate their emotions in the face of a range of pressures at home, school, online and in the community. 

This Mental Health Awareness Week (May 12 to 18), Childline is offering advice in dealing with these emotions in a healthy way.  

One 13-year-old girl from Scotland told Childline: “I get so mad and annoyed about little things. It takes all my energy to control and hide it. I try shutting myself in my room when I feel it happening, but then mum thinks it’s her fault. Is there anything else I can try?”  

Counselling sessions delivered by Childline reveal several recurring themes when children are discussing anger.  

Some are aggressively criticising themselves, while some often experience frustration with parents and peers following disagreements. Others are struggling to regulate their emotions during challenging situations.  

One boy from Scotland, aged 15, confided to Childline: “Games usually help me relax but lately I’m getting really frustrated with them. It makes me feel so stupid, being this angry about a game or wound up over laggy internet.”  

Adeniyi Alade, Childline service head, based in the Aberdeen Childline centre, said: “At Childline, we hear from children every day about the emotional challenges and difficult situations they are facing. Sometimes they tell us they feel stressed and angry, and they need our support to help process their feelings in a constructive way.   

“Young people face so many different pressures in today’s world – from family disagreements at home, to arguments with friends or classmates at school and online. As a result, they can struggle to manage and deal with difficult emotions. 

“This Mental Health Awareness Week, we are here to let children know there are so many healthy ways to express their feelings and our counsellors are here to provide a safe and confidential space to help them to learn vital skills for their mental wellbeing.” 

As well as encouraging children to contact Childline, the service has been working with children’s mental health charity, Place2Be, to release advice to both young people and parents on how to manage anger issues and look after their mental wellbeing.   

 Tips for Children on Looking After Their Mental Health:   

1.   Talk to someone you trust: Whether it’s a parent, teacher, friend or Childline (0800 1111), sharing how you feel can help.   

2.   Find healthy outlets for emotions: Try physical activities, creative expression, journaling, or relaxation techniques.   

3.   Take care of your body: Regular sleep, healthy food, and exercise all support good mental health.   

4.   Practice mindfulness: Take time each day to focus on your breathing and notice how you’re feeling.   

5.   Create a feel-good toolkit: Identify activities, people, and places that help you feel calm and happy when you’re struggling.   

Tips for Parents on Supporting Children’s Mental Health:  

1.   Create regular check-in times: Establish consistent opportunities for conversations about feelings, perhaps during dinner, car rides, or before bedtime.  

2.   Use open-ended questions: Ask “How are you feeling today?” rather than questions that can be answered with just “yes” or “no.”  

3.   Model healthy emotional expression: Show children how you manage your own emotions in a constructive way.  

4.   Look for changes in behaviour: Notice shifts in sleeping patterns, appetite, social withdrawal, or increased irritability which may signal emotional struggles.  

5.   Normalise seeking help: Talk positively about therapy, counselling, and support services.   

Dr Rebecca Kirkbride, Clinical Director at Place2Be, said: “At Place2Be, we know that learning to express and process emotions healthily during childhood builds resilience and establishes positive coping mechanisms that serve young people throughout their lives.

“The rise in children seeking support for issues related to anger, as highlighted by Childline’s data, demonstrates the importance of early intervention and teaching children healthy ways to process emotions.  

“By creating safe spaces where young people feel heard and validated, we can help them develop the emotional vocabulary and self-regulation skills needed to navigate complex feelings, without expressing feelings through angry or aggressive behaviour – which may have implications for themselves or others around them.” 

Children can contact Childline on 0800 1111 or childline.org.uk.

Any adults concerned about a child’s safety or wellbeing can contact the NSPCC helpline at help@nspcc.org.uk or by calling 0808 800 5000.