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Topic summary

Second pass at: Hoarding and why it makes a shortage worse

This is a generated summary. It shows the 9 most-liked posts from a topic of 134, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
JN
j.nascimentoTL29 Oct 2024#20
b.nilsen, post #9: Coming back to post #5, because the follow-up matters more than the original answer. Where a shortage forces a gap, the pharmacokinetics mean a missed week is a perturbation rather than a reset, which is worth knowing. Go to post

Everything in post #16 holds. The case it does not cover is the one I have.

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

If it helps: the failure mode here is usually boring rather than dramatic.

32 likes in reply to #9 22mo
FN
formulary_notesTL3Regular9 Oct 2024#24

Pharmacy-level availability varies enormously during a shortage, so two honest accounts from the same city can be opposite.

32 likes 22mo
HS
hana.satoTL4 Moderator10 Oct 2024#41
c.amankwah, post #21: Managing an unplanned gap: if a shortage causes a gap in treatment, the questions are how long the gap will be and how that affects your condition. Discussing with your clinician is prudent if the gap is weeks or longer. The conclusion is tentative; the arithmetic underneath it is not. Go to post

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

I have no interest in any supplier named above.

28 likes in reply to #21 22mo
Z
ZieglerTL3Regular11 Oct 2024#52

Both are useful and different. The notice tells you the national position; the account tells you what is happening on the ground.

If anyone has run this properly I would rather read that than my own guess.

30 likes 22mo
CC
c.castellanosTL212 Oct 2024#76

On post #74 — agreed on the reasoning, with one qualification.

Both are useful and different. The notice tells you the national position; the account tells you what is happening on the ground.

Noting that the question and the thing people usually mean by it are different.

27 likes 22mo
NL
n.laurentTL213 Oct 2024#103
a.wikstrom, post #16: Where an alternative within the class is available, the comparison is a clinical one and the doses are not equivalent. The evidence for this is thinner than the way I have phrased it suggests. Go to post

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

Happy to be corrected if someone holds better data than mine.

32 likes in reply to #16 21mo
B
batchlogTL3Regular13 Oct 2024#110
c.niemel, post #4: Taking the opening post at face value and following it one step further. Regional differences during a shortage are large, and a supply position in one country says nothing about another. I would want a second opinion before relying on that. Go to post

Answering the question post #106 raises rather than the one it answers.

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.

31 likes in reply to #4 21mo
DO
d.oyelaranTL3Pharmacist13 Oct 2024#113

Everything in post #109 holds. The case it does not cover is the one I have.

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

30 likes 21mo
M
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

Read the full topic (134 posts)

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