US Pharmacists cite highest number of drug shortages since 2001

  • 🐕 I am attempting to get the site runnning as fast as possible. If you are experiencing slow page load times, please report it.
In the first three months of 2024, there were 323 active drug shortages, the highest number since 2001, according to research by the University of Utah Drug Information Service.
The drug shortage data, collected quarterly, is generated from reports from health-care professionals, most of them pharmacists at hospitals and health systems, said Erin Fox, the lead researcher and the Drug Information Service’s director

Researchers follow up by contacting drug companies to verify that a shortage exists, and if so, why and how long it’s expected to last, Fox added. The American Society of Health-System Pharmacists, in turn, publishes the findings on its website, ashp.org.
The Drug Information Service’s definition of a drug shortage is broader than the one used by the Food and Drug Administration, so the Utah shortage numbers are generally larger than the FDA’s. For example, if a drugstore had the adult-strength over-the-counter medicine, but no children’s version of the same drug, the Utah researchers would call that a shortage but the FDA might not, Fox said.
The drugs in short supply include chemotherapy agents, antibiotics, medications for attention-deficit/hyperactivity disorder and pain medications. There are also shortages of medications used in hospital crash carts, the self-contained mobile units in hospitals used to perform lifesaving interventions during cardiac or respiratory arrest.

The data the Utah researchers collect, usually based on direct contact with drug companies, suggests that problems with manufacturing or supply-chain difficulties are the most commonly cited reason for shortages.
This article is part of The Post’s “Big Number” series, which takes a brief look at the statistical aspect of health issues. Additional information and relevant research are available through the hyperlinks



Apparently is in uk too

The number of warnings drug companies have issued about impending supply problems for certain products has more than doubled from 648 in 2020 to 1,634 last year


But I can't find the list and on various sites goes from 40 to 160 to whatever guardian here says anyone knows how to search uk healthcare system to figure it out?
 
Last edited:
Work in a pharmacy. We are in constant shortage of testosterone and any one of the semaglutides (right now it's mounjaro and trulicity) . We were on a shortage of klonopin 1 MG but thankfully we have that back in stock. Oh and also generic Vyvanse.

Its real fun trying to explain to people that "I understand you are diabetic but I still don't have that in stock" or "I understand your kid has a test this Monday and needs his adhd medication but I still don't have that in stock." Or when I get a 5 minute rant about how much said diabetic patient hates fat people. That's a day in my life lol
 
Prescribed Adderall. I've been unable to get twice bc shortage, I also have to manually ask on the fucking app for a refill everytime. I don't even take it every day. Just days when I work or if I have a brutally long backpacking trip.

How do you order from India? Can Americans do that?
I don't think this is legal given stimulants for ADHD are Schedule IIs.

Supply for methylphenidate and other ADHD medication has been short and spotty since at least 2021. We're approaching a 3 year mark with little to no improvement. From my understanding it's a three-fold problem: supply chain issues for precursor chemicals, the opioid bill slapping the shit out of all Schedule II medication and controlling how many a pharmacy is allowed to have on hand, and over prescription. Not to PL too much but I have not-bullshit ADHD (runs in the family/several generations affected/symptoms other than "little Timmy can't sit still") and it has been hell on earth getting my script filled for the past three years. Coping skills and therapy can only take you so far. Thank God I don't work from home at least?
 
What is the root cause of it if you hear that kind of thing.
Oh, I don't know the specific cause, could be supply chain issues, but more or less what I've been hearing is because the law considers all generic forms of a medication to be equivalent the only way to differentiate your product in the pharmaceutical market is to lower the price, until eventually it just isn't profitable to manufacture the medication anymore.

So they don't.

There's quotas in place, sure, but apparently they're either so low or just outright ignored that there just isn't enough in production to meet demand.
 
You do know that hypothyroidism exists, right? Not everyone with hypothyroidism can take things like Synthroid or its isomers/enantiomers.
I'm just not aware of a situation where the regular T3 or T4 can't do, and why. We don't see male patients, except Chinks, taking "dessicated testis tablets"
 
Last edited:
Just more intentional supply chain issues to force us to learn to live without and maybe decrease the surplus population.
A lot of people don't know this but the whole pharmacy industry is trying to congeal into one cancerous mass from top to bottom, the top pharmacy companies are really doing business in acquisitions. Now they own every pharmacy and some insurance companies and are trying to shut down physical locations bit by bit so they can move to mail orders. It's gotten so bad that last year a pharmacy guild formed to try to unionize pharmacies.
 
What is the root cause of it if you hear that kind of thing.

For the stuff like ozempic yeah for sure. We’ve had a shortage here in the uk of very very basic stuff like children’s dosages of paracetamol (tylenol for Americans.) that cannot be off label usage, you need a prescription for antibiotics here, and paracetamol is sold OTC in very small packs (and only one pack per customer.)
There’s a supply chain issue somewhere . Now I can kind of get that for stuff like monoclonal or ozempic, that’s not trivial manufacture. But paracetamol? I’ve made paracetamol in various uni/ school lab classes, it’s easy as. And antibiotics? Basic generic antibiotics? What’s going on?
It is a feedstock chemical issue, or a manufacturer issue or what?
I work with specialty meds so didnt even think of some of the more common meds and didnt know there was a shortage of something that seems so basic that shouldnt be possible to have a shortage. Knowing this now, yea, this is kinda a strange "shortage"
 
  • Like
Reactions: Otterly
the only way to differentiate your product in the pharmaceutical market is to lower the price,
That seems like a fast track to melamine filler hell…
the top pharmacy companies are really doing business in acquisitions
They sure are. On the R and D side it’s almost nothing in house any more just scooping up small outfits so line go up. It’s going to peak at some point. When it does it’ll be fun. Even more fun are players like Amazon getting into the big health data market. Think what that entails …
I work with specialty meds so didnt even think of some of the more common meds and didnt know there was a shortage of something that seems so basic that shouldnt be possible to have a shortage. Knowing this now, yea, this is kinda a strange "shortage"
It is isn’t it? What @Dr. Ricearoni says above is interesting. I can j dersgand a supply squeeze in something complex, or new, or if one supplier makes all of it but paracetamol? Like do t we make our own paracetamol? If not WHY the fuck don’t we? We should have the critical medicines list onshore.
Honestly if I was Dictatress of the Uk I’d be considering this kind of stuff treason. If we have the ability to be self sufficient in key, basic meds then we should and anyone reducing our capability to nil is harming us. This is the kind of stuff we should be using tax breaks for. It’s not like the NHS even pays a low amount for these basic drugs, they pay insane amounts
Ditto energy self sufficiency.
Just more intentional supply chain issues to force us to learn to live without and maybe decrease the surplus population.
Five years ago I’d have told you to give your head a wobble and now I’ll just say ‘yeah, sure is.’
 
You can't convince me that the shortages aren't a direct result of covid and the jab.

Billions of those vaccines were made, with no ingredient lists published. I wonder what raw materials were diverted into making coof-jabs, and away from everyday medicines? My tinfoil sense tingles and says the vast fucking majority of them.
 
Oh, I don't know the specific cause, could be supply chain issues, but more or less what I've been hearing is because the law considers all generic forms of a medication to be equivalent the only way to differentiate your product in the pharmaceutical market is to lower the price, until eventually it just isn't profitable to manufacture the medication anymore.

Years ago it was a common narrative that bulk buyer drug plans like government medicare were squeezing generic drug manufacturers by continually negotiating down prices to save a few government healthcare pennies.

Sort of the Walmart model where they continually squeeze their suppliers eating all the margins, as you mentioned.

Like do t we make our own paracetamol? If not WHY the fuck don’t we? We should have the critical medicines list onshore.

A few years back Danielle Smith became the Premier of Alberta (Canada's Texas) and was slight more right-leaning than her corrupt predecessor.

There was a pediatric paracetamol shortage at the time and her government went outside the usual supply chains to secure some shipments to score retail politics points.

Trudeau ended up blocking the imports out of political spite simply because the products had no French labeling.
 
  • Thunk-Provoking
Reactions: Otterly
Teva pharmaceuticals is a major generics player and HQed in israel.
They can't ship out stuff when there is a war. Also Israel has two major ports one which goes to the Mediterranean and one which goes to the red sea. The red sea one is closed because the houthis keep attacking any ship in the red sea regardless of flag (also it means they can't go to the suez) which means the Mediterranean one is over worked. Furthermore that port gets rocket attacked daily by Hezbollah. That's not to say that Israel is at war so many people are fighting in Gaza to find the hostages and destroy hamas.
 
Gonna PL hard but I've lost almost 100lbs on bootleg compounded ozempic and I doubled down and got some bootleg testosterone as well to help build muscle/help with loose skin.

I went from a big ole fatty to someone genuinely healthy and happy.

I would step over the corpses of a thousand diabetic children to get my weekly shot.

My shot costs me $250 a month for weekly injections compounded with B12. The same shot name brand would cost me $1200 a month.

These shortages are financial and bureaucratic not due to complications making the drug, if shit hit the fan these compounding pharmacy's would switch to antibiotics just like they switched to ozempic.

In short, look at compounding pharmacy's not many people known they exist but they are a life saver.
 
I'd be basically non functioning without my thyroxine medication so no i don't think it's a bullshit medication.

It also isn't essential. There are plenty of synthetic derivatives that work as well or better. No one needs "Desiccated Thyroid", some people find for them that it is easier to balance their thyroid function, but it can be done with synthetics without risk to efficacy. The majority of people who take it do so out of preference more than anything. There are no reasonable substitutions for some antibiotics, chemotherapeutic agents, etc... without true therapeutic compromise.

I'm just not aware why the regular T3 or T4 can't do, and why. We don't see male patients, except Chinks, taking "dessicated testis tablets"

Same.

How do you order from India? Can Americans do that?

For anything scheduled (controlled substance), no.

I have to import Br*tish Rx melatonin because the formulation isn't something you can get anywhere in North America and I have a sleep disorder where I have to take it on a fairly regular basis. It is literally the only formulation I have found that works correctly and consistently for me. Fortunately my primary care doctor here in the US doesn't have a problem coordinating my care with a GP I have seen and know in the UK to get all the right paperwork done which prevents my medication from getting seized by customs on either side of the pond. It's a fairly retarded amount of paperwork and bureaucracy just for a simple Rx for something that isn't even Rx in the USA. I'm essentially on a first name basis with the Home Office department that is responsible for handling inport and export authorization for this kind of thing.
 
Last edited:
It's disturbing how many people are dependent on pharmaceutics just to stay alive.
And mentally sane if i am out of my meds i can taper them off but after 3-4 months i will be buying weapons , digging bunkers and making lists of local government employees to hunt them down . I shudder to think how many are like me . Now imagine off their meds .
 
How do you order from India? Can Americans do that?
I've looked into it and it seems pretty safe from a legal standpoint but ultimately I decided against it because I'm a good boy who woandunuffin and also there's no guarantee or even likelihood that you'll actually get what you ordered

Basically you just find a website selling what you're after, order (ideally not with a credit/debit card, some/most take gift cards/crypto), and they'll ship it to you. It'll probably make it to you, might get caught by customs. If it gets caught by customs they send you a letter asking if these are your drugs you ordered. As long as you didn't order a massive bulk shipment and don't reply to the letter there's very little likelihood of them going after you because if you give the seller a fake name it's basically impossible to prove and not worth bothering with as long as you're not bragging about ordering your schedule IIs from India on Facebook or something. Most of the 'reputable' sellers will refund or reship if your drugs get caught by customs, you just send them a picture of the seizure letter
 
During covid many people abused the sudden proliferation of telehealth providers and insurance-covered telehealth apps to get scripts for stimulants they wouldn't have gotten otherwise. Now everyone and their mother has ADHD (read: selling the scripts to international students or abusing adderall to fix their chronic malaise), so people who have actual problems can't get the medication they need to be functional instead of spaztastic.

PL I'm not even sure how all these people get prescriptions for amphetamine derivatives because methylphenidate is the first line stimulant for ADHD treatment and it helped me enough. Primary care would rather not give you amphetamine, they will give you infinite ritalin first. I believe these "people" in large part just want the drugs and specifically the amphetamine based ones. What people who actually have had ADHD since childhood need are the disability accommodations for schools/standardized testing (ex. time and a half on the SAT) and that test is nearly always out of pocket to the tune of thousands of dollars.
 
I've looked into it and it seems pretty safe from a legal standpoint but ultimately I decided against it because I'm a good boy who woandunuffin and also there's no guarantee or even likelihood that you'll actually get what you ordered

Basically you just find a website selling what you're after, order (ideally not with a credit/debit card, some/most take gift cards/crypto), and they'll ship it to you. It'll probably make it to you, might get caught by customs. If it gets caught by customs they send you a letter asking if these are your drugs you ordered. As long as you didn't order a massive bulk shipment and don't reply to the letter there's very little likelihood of them going after you because if you give the seller a fake name it's basically impossible to prove and not worth bothering with as long as you're not bragging about ordering your schedule IIs from India on Facebook or something. Most of the 'reputable' sellers will refund or reship if your drugs get caught by customs, you just send them a picture of the seizure letter
Lmaooo thats so fuckin sketchy
 
Back