US Pharmacists cite highest number of drug shortages since 2001

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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?
 
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Some of the departments in my county have been experiencing delays with advanced cardiac meds, narcs, and benzos (usual shortages here), but also experiencing long delays or backorders for sodium bicarb, D10 dextrose, and IV Tylenol. The list of meds we're allowed to use past their expiration date keeps growing as no one gets new stock in less-commonly used meds
 
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Big pharma has not been on its A-game in a while.
how much of this bullshit also involves stuff like expressscripts and so many other "cheap meds" companies popping up and taking from the same supply but without proper accounting to factor that in? like if you had a house party and a dozen fuckers crashed it but you didn't account for that when ordering food.

Another part i'd like to know is how much of this can also be attributed to insurance companies and mediaid groups deciding to only allow certain medications and deny others.
like ozempic, nutropin, genotropin and some other growth hormone ones.
i've seen at least a dozen emails in the past year about getting Ozempic without a script for less than $400 through some expressscripts style shady company, same with a lot of other drugs in the same category.
If not WHY the fuck don’t we?
"because 6 million jews died in the holocaust bucko, now stop asking questions"
It's disturbing how many people are dependent on pharmaceutics just to stay alive.
you think thats horrifying you'd be surprised how much of the population is both reliant on our medical industry to stay alive and also exclusively using medicaid. easily 20% of this country would vanish in a year if it weren't for medicaid.
 
Some of the departments in my county have been experiencing delays with advanced cardiac meds, narcs, and benzos (usual shortages here), but also experiencing long delays or backorders for sodium bicarb, D10 dextrose, and IV Tylenol. The list of meds we're allowed to use past their expiration date keeps growing as no one gets new stock in less-commonly used meds
which country sorry for asking because I am trying to make list here which countries are getting fucked and if this global or regional ( i.e the west)
 
I have an addy script that is a ridiculous dose and I dont really take it very much anymore. I've had this shit since I was in college many, many years ago and I would sell almost all of it to pay my rent during exams. I think I'm in the unique position of being affected by the shortages but not really impacted much. I got gobs of this shit, and the way that the DEA is changing things and especially at the state level the hoops being made to jump through to get it, I would rather have a giant stockpile than find out one day its gone.

Anyway, I've had to change pharmacies a couple times since my insurance changed over the past 18 months, but other than that whenever they were out I'd just tell them to refill it when they got more, and I think the longest I had to wait was 2 weeks, with every other delay being less than 5 days. Does anybody work on the manufacturing side of these kinds of meds? i'm just assuming that because these are generic, the companies making the pills are not incentivized to cut into their production schedule where they are making more profitable patented meds, and thus, are creating a ton of work for their own operations teams (like daily meetings on how to allocate the limited supply between pharmacies) and they are just kind of waiting until demand drops because of attrition from people who have a script but, like me, dont really need it.

Thats the only thing I can think of that would cause this shortage for the adderall in particular to last over a year. In any consumer product where you're "blending" it at an industrial level, from alcohol to pills to even gasoline, manufacturing is always chasing sales. Every supply chain disruption causes a shitshow at the factories that they try to mitigate with overtime if they arent already running 24/7. and theres other levers to pull too before the absolute last resort: allocation. Allocation necessarily pisses off your customers, costs the company a ton of money to manually decide who gets what, and with enough time it gives your competitors an easy entry into your market, as long as you dont hold the IP. Very curious if anybody who actually works in the business can give more insight into the shortage of generic drugs in general.
>Claims to hardly take Adderall any longer
>Writes multiple paragraphs about it anyway

alright dude :story:
 
Live near the Mexican border and walk across to border towns that are nothing but drugstores and dentists, and you can get just about anything you need usually cheaper than the copay. Like real old school ozone destroying albuterol inhalers. Except controlled substances -- you can get them if they're legal in Mexico, but they'll warn you that you can't bring them back to the states. No need to provide a prescription either. US customs allow you to bring back a 3 month supply but they barely look in your bags as they wave you through. Packaged food is fine but they'll kick you back outside if you have fresh produce so you can give it away to the locals who are glad to have it.

They also have Cuban rum and cigars and other stuff that's legal everywhere but the USA. Bring a passport if you want back in without a lot of hassle.
 
I'm convinced telehealth has directly exacerbated the issue with ADHD medication shortages. Demand absolutely exploded during lockdown. I don't know about the rest of you broke-brains, but I had to go through rigorous, long-term psychiatric testing and evaluation before getting my diagnosis. It absolutely boggles my mind that someone could see a "psychologist" virtually, say they related to a meme about ADHD, found coof restrictions to be really hard, and got handed addys like they were a box of junior mints.

Pre-pandemic I witnessed tons of unattached adult patients being put on long-term ADHD meds after a 30 second assessment by a doc-in-a-box. All by clinics filled with signs posted claiming they "won't prescribe controlled substances without exception".

In my experience, ADHD meds aren't respected with the same caution & vigilance by prescribers than other drugs of abuse like benzos & opioids.

The Big Pharma marketing push to expand market share by introducing the concept of "adult ADHD" has been similarly disastrous & shady as Purdue's push with chronic pain & Oxycontin.

Concepts like ADHD are also essentially unfalsiable. It's diagnosed by self-reporting (and by third party reports from parents & teachers in children). If an unknown patient presents to you and claims to have previously diagnosed with it, it's both hard to prove or disprove.
 
Live near the Mexican border and walk across to border towns that are nothing but drugstores and dentists, and you can get just about anything you need usually cheaper than the copay. Like real old school ozone destroying albuterol inhalers. Except controlled substances -- you can get them if they're legal in Mexico, but they'll warn you that you can't bring them back to the states. No need to provide a prescription either. US customs allow you to bring back a 3 month supply but they barely look in your bags as they wave you through. Packaged food is fine but they'll kick you back outside if you have fresh produce so you can give it away to the locals who are glad to have it.

They also have Cuban rum and cigars and other stuff that's legal everywhere but the USA. Bring a passport if you want back in without a lot of hassle.
Those pharmacies are as rife with fentanyl dogshit as anything (or anyone) coming out of Mexico. Always test, kids.
 
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Concepts like ADHD are also essentially unfalsiable. It's diagnosed by self-reporting (and by third party reports from parents & teachers in children). If an unknown patient presents to you and claims to have previously diagnosed with it, it's both hard to prove or disprove.
Supposedly, you can find out if someone has ADHD by doing MRIs of the brain. Not sure if it's accurate.
 
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Supposedly, you can find out if someone has ADHD by doing MRIs of the brain. Not sure if it's accurate.

I would presume this is research level stuff using fMRI technology.

fMRI isn't available IRL in my neck of the woods.

Basic bitch MRI scans aren't available in any useful clinical timeline for MSK injuries or neurologic stuff.

Some theoretical test does me no good when some rando demands their amphetamine refill.
 
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