Access · Shortages · continued

Second pass at: Hoarding and why it makes a shortage worse posts 121–134

Access › Shortages FDA compounding shortage

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

baseline_peakTL2Member13 Oct 2024#121

Reports that a pharmacy has stock are the least durable information on the site and are still worth posting with a date.

0 likes 21mo

b.nwosuTL213 Oct 2024#122

Post #121 and I disagree about the size of the effect, not about the direction.

Where an alternative within the class is available, the comparison is a clinical one and the doses are not equivalent.

2 likes 21mo

ZieglerTL3Regular13 Oct 2024#123

n.silva, post #34: Where a shortage forces a gap, the pharmacokinetics mean a missed week is a perturbation rather than a reset, which is worth knowing. Adding it because I spent an afternoon working it out and nobody should have to twice. Go to post

The published shortage register maintained by the national regulator is the authoritative source here, and it is updated far more often than any thread.

Adding it in case it saves somebody the afternoon it cost me.

13 likes in reply to #34 21mo

b.jansenTL213 Oct 2024#124

Collapsed as off-topic by two members at trust level 3 or above

Shortage status determines what compounding is permitted in some jurisdictions, which links two questions that otherwise seem unrelated.

Worth checking against a second source before it gets quoted onward.

r.girardTL213 Oct 2024#125

Regional differences during a shortage are large, and a supply position in one country says nothing about another.

It reads as pedantry until the day it does not.

0 likes 21mo

c.silvaTL213 Oct 2024#126

Shortage-driven price movement is real and is a separate question from availability.

I have left out the parts I could not verify.

4 likes 21mo

m.stephanopoulosTL3Regular13 Oct 2024 · edited#127

TL4_Halvorsen, post #22: Building on post #21 rather than restating it. Shortage-driven price movement is real and is a separate question from availability. The step people skip is the one I have spelled out. Go to post

Fine by me. I had wanted a stronger conclusion and there is not one available.

19 likes in reply to #22 21mo

z.iyerTL214 Oct 2024#128

International supply chains: a shortage in one country does not mean shortage in another. That is why ordering from multiple suppliers before a shortage gets bad is prudent if you can.

I would hold that lightly until someone with a larger sample weighs in.

0 likes 21mo

microgramsTL2Regular14 Oct 2024#129

Post #126 is the version of this I will quote in future. One addition.

Switching presentation or strength during a shortage is a prescribing decision rather than a substitution anybody should improvise.

Reading it back, the second half matters more than the first.

28 likes 21mo

e.mbekiTL214 Oct 2024#130

Where a shortage forces a gap, the pharmacokinetics mean a missed week is a perturbation rather than a reset, which is worth knowing.

I would want to see it done twice before believing it once.

0 likes 21mo

h.iyerTL214 Oct 2024#131

Post #128 put the caveat in the right place and I want to underline it.

Anyone reporting availability should say the region and the date, because both determine whether the report is usable.

Anyone with a larger sample, please post it.

12 likes 21mo

p.iyer_pharmdTL3Pharmacist14 Oct 2024#132

Reports that a pharmacy has stock are the least durable information on the site and are still worth posting with a date.

4 likes 21mo

n.villalobosTL214 Oct 2024 · edited#133

owen.brady, post #33: I came in to disagree and I am leaving without a disagreement. Go to post

Shortage predictions: regulators and suppliers issue shortage alerts before they become acute. Checking the regulatory website for shortages gives you advance notice.

The strength of my opinion here exceeds the strength of my evidence.

0 likes in reply to #33 21mo

blank_injectionTL2Analytical chemist14 Oct 2024#134

Thank you for the correction. I would rather find out here than later.

25 likes 21mo

This topic was referenced in

Coming back to: Official shortage notices and what they authoriseAccess › Shortages · 92 replies

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