Pharmacists have warned that a shortage of common medicines is putting patients at risk, with shelves for medicines from HRT to diabetes left empty. But is your prescription at risk? See our definitive guide below…
How many products are experiencing a supply shortage?
An “out of stock” bulletin sent by wholesalers to pharmacies and shared exclusively with the Post shows that there are currently 70 products that are currently out of stock or in limited supply. These include hormone replacement therapies (HRT) and medications for ADHD, diabetes and epilepsy.
The list shows that while manufacturers hope to have some products back in stock by the end of the month, it is unlikely that some products will be back on shelves until December. Worryingly, others are stated as having ‘no availability date’.
How widespread is the problem and how dangerous is it?
A recent survey of 1,650 people by patient watchdog Healthwatch England found that 24 percent were unable to get prescribed medicines because their pharmacy was empty.
An ‘out of stock’ bulletin sent by wholesalers to pharmacies and shared exclusively with the Post reveals that there are currently 70 products that are currently out of stock or in limited stock
Dr. Leyla Hannbeck, chief executive of the Association of Independent Multiple Pharmacies, said: ‘As pharmacists we are concerned that shortages of some of these medicines are impacting on patient safety by affecting their treatment, and in some cases causing delays in their treatment , or, as some patients report, their symptoms return when they can’t get their medications.”
What can patients do if they cannot get their medicine?
Dr. Hannbeck told the Mail that pharmacists did their best to source medicines but regularly found that all wholesalers had sold out of some items.
Dr. Leyla Hannbeck, chief executive of the Association of Independent Multiple Pharmacies
She added: ‘Patients can visit different pharmacies to find their medicine, but if they don’t get it, they will have to return to their doctor to ask for a new prescription for an alternative medicine.
‘They should not be tempted to go to illegitimate sources online as these can be dangerous.
‘The government must solve these problems and change regulations so that pharmacists can replace some products themselves.
‘For example, it’s strange that we can’t give customers 10 mg tablets and tell them to take two when a doctor has prescribed one 20 mg tablet and we run out of tablets. A simple change in regulations would save pharmacists, patients and GPs time.’
What causes the shortages?
Dr. Hannbeck said they are fueled by a “broken” supply chain, unable to cope when demand for a drug rises or a factory experiences production problems.
Alwyn Fortune, policy and engagement lead for Wales at the Royal Pharmaceutical Society, said the reasons for shortages are ‘wide and varied’ and could be due to ‘production issues, missing key ingredients and global demand putting pressure on supplies’ .
When doctors switch patients from the product in short supply to alternatives, it has a domino effect, leading to shortages of other medicines of the same type.
Celebrity-backed campaigns around menopause have led to a rise in demand for HRT, and some products have seen production delays.
NHS England and the Department of Health and Social Care published a National Patient Safety Alert earlier this month regarding a shortage of ‘glucagon-like peptide-1 receptor agonists’.
The range of drugs help control blood sugar levels in people with type 2 diabetes, but there is a wave of doctors prescribing them to people who don’t have the disease but want to use the jabs to promote weight loss.
An increase in the number of ADHD diagnoses has also put pressure on the supply of medications that treat the condition.
Type of medicine | Description | Mate | Supplier | Deadline |
ADHD | ELVANS 20MG | 28 | TAKEDA (SOLUS) ALLFS | LIMITED OFFER ONGOING |
IGNITION POWER | BETNOVATE CRM | 1 | GLAXOSMITHKLINE UK LTD | LIMITED OFFER ONGOING |
IGNITION POWER | BETNOVATE OOINT | 1 | GLAXOSMITHKLINE UK LTD | LIMITED OFFER ONGOING |
IGNITION POWER | BETNOVATE OOINT | 1 | GLAXOSMITHKLINE UK LTD | EXPECTED W/E 17/02/2024 |
IGNITION POWER | HYDROCORTISONE CRM 1% | 1 | STRIDES PHARMA (UK) LTD | NO AVAILABILITY DATE |
IGNITION POWER | MOMETASONE N/SPRAY 50MCG ALM | 1 | ALMUS PHARMACEUTICALS LTD | EXPECTED JANUARY 2024 |
ANTI-DISEASE | METOCLOPRAMIDE TAB 10MG ALM | 28 | ALMUS PHARMACEUTICALS LTD | EXPECTED EARLY JANUARY 2024 |
ANTIBIOTICS | AMOXICILLIN PDR VIAL 1G WCK | 1 | WOCKHARDT AMB ETH (MOV) | EXPECTED MID-JANUARY 2024 |
ANTIBIOTICS | CLARITHROMYCIN SUSP 125MG ALM | 1 | ALMUS PHARMACEUTICALS LTD | LIMITED OFFER ONGOING |
ANTIDEPRESSANTS/ANXIETY | MIRTAZAPINE OD TAB 15MG ALM | 30 | ALMUS PHARMACEUTICALS LTD | EXPECTED JANUARY 2024 |
ASTHMA | MONTELUKAST FC TAB 10MG ALM | 28 | ALMUS PHARMACEUTICALS LTD | NO AVAILABILITY DATE |
ASTHMA | SALBUTAMOLNEBULES 2.5MG | 20 | ACCORD UK LTD(TENDER) | LIMITED OFFER ONGOING |
ASTHMA | SALBUTAMOLNEBULES 5MG | 20 | ACCORD UK LTD(TENDER) | LIMITED OFFER ONGOING |
ASTHMA | SOPROBEC (BECLO) PRESSURE CONTENT 100MCG | 1 | GLENMARK HOSPITAL | NO AVAILABILITY DATE |
CONSTIPATION | FYBOGEL CITROENSACH 3500MG | 60 | HEALTH PRODUCTS FORUM (DHLT) | IMMEDIATE AVAILABILITY |
CONSTIPATION | FYBOGEL ORANGE BAG 3500MG | 60 | HEALTH PRODUCTS FORUM (DHLT) | IMMEDIATE AVAILABILITY |
CONSTIPATION | FYBOGEL CLEAR SACH 3500MG | 60 | HEALTH PRODUCTS FORUM (DHLT) | IMMEDIATE AVAILABILITY |
CONSTIPATION | SENOKOT SYRUP | 1 | HEALTH PRODUCTS FORUM (DHLT) | IMMEDIATE AVAILABILITY |
CONSTIPATION | SENOKOT SYRUP (P) | 1 | RECKITT BENCKISER HâCARE LTD | EXPECTED FEBRUARY 24 |
CONTRACEPTION | LEVEL 150/30 | 63 | MORNINGSIDE PHARMA (ALLCO) | NO AVAILABILITY DATE |
CONTRACEPTION | NORIDAY TAB | 84 | PFIZER LTD | NEXT DELIVERY FEBRUARY 24 |
ROSE | NIZORAL SPOO 20MG/ML | 1 | THORNTON & ROSS LTD (ALLT) | LIMITED OFFER ONGOING |
DECONGESTANT | AVAMYS NOSE SPRAY | 120 | GLAXOSMITHKLINE UK LTD | LIMITED OFFER ONGOING |
DIABETES | OZEMPIC 1.0MG PRE-FILLED PEN – GB | 1 | NOVO NORDISK (ALLFS) | LIMITED OFFER ONGOING |
DIABETES | TRESIBA FLEXTOUCH 100U/ML – (NL) | 5 | NOVO NORDISK (ALLFS) | NO DATA AVAILABLE |
DIABETES | VICTOZA 6MG/ML SOL FOR INJ 2X3ML – GB | 2 | NOVO NORDISK (ALLFS) | EXPECTED MID TO LATE 202? |
EPILEPSY | TEGRETOL PR-TAB 200MG | 56 | NOVARTIS ESTABLISHED BRANDS | LIMITED OFFER ONGOING |
EPILEPSY | TEGRETOL PR-TAB 400MG | 56 | NOVARTIS ESTABLISHED BRANDS | LIMITED OFFER ONGOING |
EPILEPSY | TEGRETOL TAB 200MG | 84 | NOVARTIS ESTABLISHED BRANDS | LIMITED OFFER ONGOING |
EYE LUBRICANT | CARBOMERGEL 0.2% | 1 | SIGMA | NO AVAILABILITY DATE |
EYE LUBRICANT | CLINITAS CARBOMER 0.2% GEL | 1 | ALTACOR LTD (UDG) | EXPECTED W/E 06/12/2024 |
EYE LUBRICANT | GELTEARS GEL | 1 | BAUSCH & LOMB PHARMS | EXPECTED MID-JANUARY 2024 |
EYE LUBRICANT | HYLO-NACHT EYE OINTMENT PF | 1 | SCOPE OPHTHALMICS LTD | LIMITED OFFER ONGOING |
EYE LUBRICANT | LUMECARE EYE GEL 0.2% | 1 | MEDICOM HCARE (ETHICAL)(MPWT) | NO AVAILABILITY DATE |
EYE LUBRICANT | OCUFRESH CARBOMER 0.2% EYE GEL | 1 | MOBIUS HEALTHCARE LTD (ETHICALS) | LIMITED OFFER ONGOING |
EYE LUBRICANT | PI GELTEARS GEL | 1 | OTC DIRECT (PI’S) | LIMITED OFFER ONGOING |
EYE LUBRICANT | THEALOZ DUO | 1 | THEA PHARMACEUTICAL PRODUCTS (MPWFS) | LIMITED OFFER ONGOING |
EYE LUBRICANT | VISCOTAREN E/GEL 0.2% SDU | 30 | BAUSCH & LOMB PHARMS | INTERMITTENT DELIVERY |
EYE LUBRICANT | VISCOTEARS LIQ GEL | 1 | BAUSCH & LOMB PHARMS | LIMITED OFFER ONGOING |
HEART DISEASE | KANDESARTAN TAB 2MG | 28 | CRESCENT PHARMA LTD | NO AVAILABILITY DATE |
GASTRIC ACID | ACIDEX ADV ORAL SUSP ANISE SEED | 1 | WOCKHARDT AMB RWA ALLOGA | EXPECTED END OF JANUARY 2024 |
HEMORRHOIDS | CORTOPIN HYDROCORTISONE CRM 1% | 1 | PINEWOOD HEALTHCARE (MOV) | NO AVAILABILITY DATE |
HIGH BLOODPRESSURE | NEBIVOLOL TAB 5MG ALM | 28 | ALMUS PHARMACEUTICALS LTD | EXPECTED EARLY JANUARY 2024 |
HIGH CHOLESTEROL | EZETIMIBE TAB 1OMG | 28 | ZENTIVA PHARMA UK TENDER | LIMITED OFFER ONGOING |
HIGH BLOOD PRESSURE IN THE EYES | DORZOLAMIDE EY/DRP SOLN 2% | 1 | KNOWS PHARMACEUTICAL PRODUCTS | EXPECTED FEB 2024 |
HST | ESTRADOT TTS PATCH 1OOMCG | 8 | SANDOZ LTD (ETH) (ALLT) | LIMITED OFFER ONGOING |
HST | ESTRADOT TTS PATCH 50MCG | 8 | SANDOZ LTD (ETH) (ALLT) | LIMITED OFFER ONGOING |
HST | EVOREL 50 PATCH | 8 | THERAMEX UK (MOVFS) | EXPECTED END OF JUNE 2024 |
HST | EVOREL CONTI PATCH | 8 | THERAMEX UK (MOVFS) | EXPECTED JUNE 2024 |
Atomizer | STEM-NEB SALINE 2.5ML TEVA | 20 | TEVA UK LTD (MERICATED GENERICA) | NO AVAILABILITY DATE |
OSTEOPOROSIS | ADCAL D3 CAPLETS | 112 | KYOWA KIRIN INT NEWCO UK LTD(ALLFS) | LIMITED OFFER ONGOING |
OSTEOPOROSIS | ADCAL 03 CHEWABLE TAB | 56 | KYOWA KIRIN INT NEWCO UK LTD(ALLFS) | LIMITED OFFER ONGOING |
OVERACTIVE BLADDER | OXYBUTYNIN XL PR-TAB 5MG | 28 | ACCORD UK LTD(TENDER) | LIMITED OFFER ONGOING |
OVERACTIVE BLADDER | SOLIFENACIN TAB 5MG | 30 | CRESCENT PHARMA LTD | EXPECTED W/E 12/01/2024 |
PAINKILLER | CO-CODAMOL TAB 15/500MG | 100 | ZENTIVA PHARMA UK TENDER | NO AVAILABILITY DATE |
PAINKILLER | PI VOLTAROL EMUGEL | 1 | OTC DIRECT (PIâS) | LIMITED OFFER ONGOING |
PAINKILLER | SOLPADEINE PLUS SOL TAB | 32 | OMEGA PHARMA LIMITED | NO AVAILABILITY DATE |
PAINKILLER | VOLTAROL EMULGEL | 1 | HALEON UK TRADING LIMITED | LIMITED OFFER ONGOING |
PAINKILLER | ZAPAIN CAPSULES 30MG/500MG | 50 | AMDIPHARM LIMITED | NO AVAILABILITY DATE |
PAINKILLER | ZAPAIN TABLETS 30/500MG | 50 | AMDIPHARM LIMITED | NO AVAILABILITY DATE |
PANCREATIC PROBLEMS | CREON 10000 CAP | 100 | VIATRIS UK HEALTHCARE (ALLT) | LIMITED OFFER ONGOING |
Pancreatic problems | CREON CAP 25000 TUB | 100 | VIATRIS UK HEALTHCARE (ALLT) | LIMITED OFFER ONGOING |
POTASSIUM deficiency | SANDO K EFF TAB | 100 | ALTURIX | NO AVAILABILITY DATE |
SCABIES | LYCLEAR DERMALE CRM | 1 | OMEGA FARMA | EXPECTED MID MARCH |
SCABIES | PERMETHRIN CRM 5% | 1 | SANDOZ LTD (CPG) | LIMITED OFFER ONGOING |
SODIUM DEFICIENCY | SLOW SODIUM TAB 600MG | 100 | ALTURIX | NO AVAILABILITY DATE |
TOOTHPASTE | DURAPHAT 5000 T’PST ONLY | 1 | COLGATE PALMOLIVE (RMT) LTD. (DHL) | IMMEDIATE AVAILABILITY |
MOTION SICKNESS | KWELLS | 12 | DEXCEL H&B | LIMITED OFFER ONGOING |
VAGINAL APPLICATOR | REPLENSMD REUSABLE APPLICATOR | 1 | CHURCH & DWIGHT UK LTD. | EXPECTED END JANUARY 24TH |
VITAMIN D DEFICIENCY | VALUPAK VITAMIN D3 1000IU | 60 | BR PHARMACEUTICAL PRODUCTS | NO AVAILABILITY DATE |