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DSB: Drug Shortages - October 2015

Each month, RheumNow reviews compiled listings of drug shortages germane to the practive of rheumatology using several sources. If you have suggestions or information about specific drug shortages or drug safety issues please email us at info@rheumnow.com.

Our primary sources of information include: Drugs.com, the FDA and the University of Utah pharmacy (see table below).

Recently the FDA stated 37% of shortages were due to factory issues and the remaining causes are from manufacturing delays or capacity issues. Some shortages are resolved over the calendar year.

Reported Drug Shortages as of October 28, 2015

Drug Shortage

Reason for shortage

Estimated Availability

Acetaminophen #3 (300/30 mg codeine)

Market conditions or not known

Monthly allocations; cannot estimate

Azathioprine tablets (50 mg)

Fewer manufacturers; on back order.

Product on long term backorder

Chloroquine tablets (250, 500 mg)

Fewer manufacturers. Another has shortage due to 3rd party supply issues.

Unknown; product on long term backorder

Dexamethasone injection (4mg/ml)

Manufacturing delays, demand issues

Back order; estimated January 2016

Epinephrine injection

Product discontinuations, increased demand.

Intermittent backorder

Hydroxychloroquine tablets (200 mg)

Company buy-outs, regulatory issues, increased demand

HCQ back order; will release as HCQ becomes available

Ketorolac injection (15, 30, 60mg/ml)

Back ordered, increase demand

Estimated December 2015

Leflunomide (10 mg, 20 mg)

Apotex stopped manufacturing; trouble obtaining active ingredient; Sanofi-Aventis has not reported their reason

10 mg, 20 mg now in supply or on tight allocation - estimated return to full supply January 2016

Lidocaine injection, 1%, 2% (2 ml, 5 ml, 10 ml vials)

Manufacturing delays, increased demand

Sometime in 2016

Methylprednisolone acetate injection (40mg/ml, 80mg/ml) Unknown; market demand No Estimated release date

Tacrolimus tablets (0.5, 1.0, 5 mg)

Fewer makers, manufacturing delays

Unknown; intermittent back order

Source:http://www.ashp.org/DrugShortages/Current

http://www.accessdata.fda.gov/scripts/drugshortages/default.cfm

http://www.drugs.com/drug-shortages/ 

RESOLVED Shortages: Azathioprine; Hydroxychloroquine; Bactrim; B12 injectable

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Disclosures
The author has no conflicts of interest to disclose related to this subject