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Shortages Information

For Shortages Guidance January 2023 click here

 

The DHSC and NHSE/I Medicines Supply Tool is the key resource for all information on medicines supply issues. The link to the website is Medicines Supply Tool – SPS – Specialist Pharmacy Service – The first stop for professional medicines advice

To access the Tool, you will be required to register with the SPS website using your “hscni.net” email. You can then choose either “Community Pharmacist” or “General Medical Practitioner” under Role, and then “Other” under Organisation Type.

In the “Tool”, you will note that each medicines’ supply issue is categorised by an “impact tier”. Full information on each of these impact tiers is available at NHS England » A Guide to Managing Medicines Supply and Shortages

For the majority of tier 2, medium impact, and tier 3, high impact, a Medicines Supply  Notification will be issued by DHSC and in turn, DHNI. These are listed below

For tier 1, low impact shortages, the SPS website should be accessed in order to understand how long the shortage is likely to last and to review information on alternative medications which might be available.

The Medicines Supply Tool has a search function allowing you to easily search for a particular medicine.


Parallel Exports:

A list of medicines that should not be parallel exported is available at Medicines that you cannot export from the UK or hoard – GOV.UK (www.gov.uk) and will be updated regularly. Medicines will be added to the list if they are needed to meet the needs of UK patients, and where parallel exporting leads, may lead, or contributes to a shortage.

Parallel export of a medicine on the list is considered a breach of regulation 43(2) of the Human Medicines Regulations 2012 and a contravention of the wholesale dealer licence, and may lead to regulatory action by the Medicines and Healthcare products Regulatory Agency (MHRA) which could include immediate suspension of the wholesale dealer licence.


Salbutamol 2.5mg/2.5ml and 5mg/2.5ml nebuliser liquid unit dose vials  14th February 2024

Lisdexamfetamine (Elvanse®) capsules  14th February 2024

Formoterol (Oxis® 6 Turbohaler) 6micrograms/dose dry powder inhaler 12th February 2024

Co-trimoxazole 40mg/200mg/5ml oral suspension sugar free and Co-trimoxazole 80mg/400mg/5ml oral suspension – Update  12th February 2024

Flixotide® (fluticasone) 50 micrograms/dose Evohaler  8th February 2024

Nadolol 80mg tablets  8th February 2024

Oxcarbazepine 150mg and 300mg tablets  8th February 2024

Methadone 5mg tablets  29th January 2024

Norethisterone (Noriday®) 350microgram tablets  25th January 2024

Tegretol® (carbamazepine) 200mg and 400mg prolonged release tablets 11th January 2024

Isosorbide mononitrate modified release  4th January 2024

NATIONAL PATIENT SAFETY ALERT – SHORTAGE OF GLP-1 RECEPTOR AGONISTS (UPDATE)  4th January 2024

Phosphate Sandoz® (sodium dihydrogen phosphate anhydrous 1.936g) effervescent tablets  22nd December 2023

Sando-K® (potassium chloride 600mg and potassium bicarbonate 400mg [total potassium 12mmol] effervescent tablets  22nd December 2023

Testosterone (Testim®) 50mg/5g transdermal gel unit dose tubes  21st December 2023

Estradiol (Estring®) 7.5micrograms/24hours vaginal delivery system  21st December 2023

Glucagon 1mg powder for injection kit (GlucaGen)  18th December 2023

Oxybutynin 5mg modified-release tablets  18th December 2023

Somatropin (Genotropin® MiniQuick) 0.6mg and 1.4mg powder and solvent for solution for injection pre-filled disposable devices and Somatropin (Genotropin® GoQuick) 5.3mg powder and solvent for solution for injection pre-filled, multi-dose pens UPDATED 18th December 2023

Propantheline bromide (Pro-Banthine®) 15mg tablets 5th December 2023

Diazepam 2mg/5ml oral solution sugar free 5th December 2023

Dicycloverine 10mg/5ml oral solution  29th November 2023

Fluticasone 400microgram/unit dose nasal drops  29th November 2023

Rasagiline 1mg tablets  17th November 2023

Lamotrigine 5mg dispersible tablets  23rd October 2023

Bisacodyl (Dulcolax®) 5mg suppositories  23rd October 2023

Bumetanide 1mg and 5mg tablet  13th October 2023

Azithromycin (Azyter®) 15mg/g eye drops (0.25g unit dose, preservative free)  13th October 2023

Pancrease® HL gastro-resistant capsules  13th October 2023

Progesterone (Lutigest®) 100mg vaginal tablets / Progesterone (Crinone®) 8% progesterone vagina gel 4th October 2023

NATIONAL PATIENT SAFETY ALERT – SHORTAGE OF METHYLPHENIDATE PROLONGED-RELEASE CAPSULES AND TABLETS, LISDEXAMFETAMINE CAPSULES, AND GUANFACINE PROLONGED-RELEASE TABLETS 28th September 2023

Disopyramide (Rythmodan®) 100mg capsules 28th September 2023

Azelaic acid (Skinoren) 20% cream 28th September 2023

lixisenatide (Lyxumia®) 20micrograms/0.2ml solution for injection 3ml pre-filled disposable devices 21st September 2023

Hyoscine hydrobromide (Scopoderm®) 1.5mg patches 21st September 2023

Estradiol valerate/medroxyprogesterone acetate (Indivina) 1mg/5mg tablets 15th Sept 2023

Estradiol (FemSeven) 75mcg and 100mcg transdermal patches 15th September 2023

Midazolam (Epistatus) 2.5mg/0.25ml and 10mg/1ml oral syringes 15th September 2023

Permethrin 5% w/w cream 11th September 2023

Estradiol (Estradot®) 25micrograms/24 hours, 37.5micrograms/24 hours and 100micrograms/24 hours transdermal patches 23rd August 2023

Jext® 300micrograms/0.3ml (1 in 1000) solution for injection auto-injector pen 22nd Aug 2023

Pilocarpine hydrochloride 2% eye drops 22nd August 2023

Phenytoin sodium 100mg capsules (Accord) 22nd August 2023

Minims® Povidone Iodine 5% w/v Eye Drops, Solution 22nd August 2023

Minims® Oxybuprocaine hydrochloride 0.4% eye drops 0.5ml unit dose and Minims® Proxymetacaine 0.5% eye drops 0.5ml unit dose 22nd August 2023

ADDENDUM TO HSS(MD)38/2023 – NATIONAL PATIENT SAFETY ALERT – SHORTAGE OF GLP-1 RECEPTOR AGONISTS UPDATE 22nd August 2023

Disulfiram 200mg tablets 16th August 2023