5 drugs in shortage

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Here are five new drug shortages and discontinuations, according to drug supply databases from the FDA and the American Society of Health-System Pharmacists: 

  1. Methotrexate injection: Assertio Specialty Pharmaceuticals has discontinued multiple presentations of methotrexate injections, a rheumatology drug used to treat autoimmune conditions such as rheumatoid arthritis. The discontinued products include Otrexup in the following strengths: 10, 12.6, 15, 17.5, 20, 22.5 and 25 milligram/0.4 milliliter. 
  1. Azelastine hydrochloride; fluticasone propionate nasal spray: Mylan Pharmaceuticals has discontinued Dymista nasal spray, a pulmonary and allergy medication used for seasonal allergic rhinitis. The affected presentation is 137 microgram/50 microgram.

  2. Mometasone furoate and formoterol fumarate inhalation aerosol: Multiple presentations of Dulera inhalation aerosol, a pulmonary drug used for asthma and COPD, are currently in shortage. Affected products include 100/5 microgram, 8.8 and 13 gram inhalers; and 200/5 microgram, 8.8 gram inhalers. The company did not provide a reason for the shortage. Estimated resupply dates range from early to late September.

  3. Metyrosine capsules: Bausch Health’s Demser capsules, used to treat pheochromocytoma, are in shortage. The affected product is the 250 milligram, 30-count bottle. The company did not provide a reason for the shortage or an estimated resupply date. In the meantime, Ameal Pharmaceuticals and Dr. Reddy’s also manufacture metyrosine capsules, the shortage notice said.

  4. Sodium ferric gluconate complex injection: Sodium ferric gluconate complex in sucrose injection, an iron replacement therapy used to treat anemia in patients with chronic kidney disease, is in shortage. Affected products include Ferrlecit by Sanofi-Aventis and a generic version from Hikma, both in the 62.5 milligram/5 milliliter vial presentation. Neither manufacturer provided a reason for the shortage.
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