6 drugs in shortage

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

  1. Acetazolamide injection: Avet Pharmaceuticals, Hikma and X-Gen have reported shortages of acetazolamide sodium lyophilized powder for injection, a medication used to treat glaucoma, epilepsy and altitude sickness. Avet’s 500 milligram vials are on back order, with an expected resupply date in September 2025, X-Gen’s 500 milligram vials are on back order with no estimated resupply date. Hikma has the product on allocation, and Mylan Institutional continues to supply 500 milligram vials. 
  2. Irinotecan hydrochloride injection: Multiple manufacturers have discontinued various presentations of irinotecan hydrochloride injection, an oncology medication used in treatment of colorectal and other cancers. Fresenius Kabi is discontinuing its 40 milligram/2 milliliter and 100 milligram/5 milliliter injections. Jiangsu Hengrui Pharmaceuticals is discontinuing its 40 milligram/2 milliliter and 100 milligram/5 milliliter injections. Teva Pharmaceuticals indicated its 20 milligram/1 milliliter injections will not be available beyond mid- to late September or October. 
  3. Obeticholic acid tablet: Intercept Pharmaceuticals has announced the discontinuation of obeticholic acid tablets, a gastroenterology medication used in the treatment of primary biliary cholangitis. Both the 5 milligram and 10 milligram tablet formulations will no longer be available after Nov. 14 due to a business decision. 
  4. Pilocarpine hydrochloride tablet: Actavis Pharma has discontinued manufacturing pilocarpine hydrochloride tablets, a medication used to treat symptoms of dry mouth caused by radiation therapy or Sjögren’s syndrome. Both the 5 milligram and 7.5 milligram tablet strengths were discontinued as of Sept. 19. 
  5. Tafamidis meglumine capsule: Pfizer has discontinued manufacturing tafamidis meglumine 20 milligram soft gelatin capsules, a cardiovascular medication used to treat transthyretin amyloid cardiomyopathy. 
  6. Triazolam tablet: Pfizer has discontinued triazolam 0.25 milligram tablets, a psychiatric medication used for short-term treatment of insomnia. The discontinuation is due to a business decision.  
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