LM K wrote:
A small number of drugs in the U.S. experience a shortage in any given year, but the number of reported prescription drug shortages in the United States nearly tripled between 2005 and 2010. While FDA successfully prevented 137 drug shortages between January 1, 2010 and September 26, 2011, prescription drug shortages continue to threaten the health and safety of the American people.
Every week, I receive an email from our pharmacy director telling us that there is yet another medication unavailable or in short supply, and listing the "approved" uses for what little we may have. I replied to the last one by asking that they simply tell us what they DO have in stock, as the list would be far shorter and easier to recall.
The latest email listed as unavailable valium, ativan, and versed ... and suggested we find another medication to use as a sedative. And what would that be, pray tell? Monitored units and palliative care are now using propofol (think Micheal Jackson) in place of the above, but other floors are just SOL. Not that it matters; word is that our stock of propofol is falling short, too.
For going on a year now, we've been out of (or have had severely limited quantities) of analgesics such as morphine, dilaudid and fentanyl, even toradol ... one email suggested we use pain relieving "alternatives" such as imagery and diversion, and then they did approve use of IV tylenol (limited to 24 hours). Whoopty-do. Lidocaine is out ... only certain procedures in ER are approved; suggestions for alternatives included using a "freeze" spray for minor suturing and the like. The email this week added atropine, valium, fentanyl, kytril, lidocaine, ativan, magnesium, mannitol, reglan, lopressor, versed, morphine, TPN --- including separate mineral and fat infusions, zofran and nystatin oral liquid, benadryl. Remaining in short (or no) supply are various antibiotics and a number of cancer chemotherapy drugs.
I know of a number of patients who have had their admissions for chemo cancelled because of this, and I'm seeing those who DO manage to get treated are having side effects that could be controlled if only we had these drugs available.
It's absolutely ridiculous. Sure, over the course of my career in the last 29 years I've seen shortages here and there, but nothing to this extent, and of those shortages that did occur, they were resolved rather quickly. I feel like I'm working in a third-world country. And I have to say (putting on my tinfoil hat), I do think the passage of the healthcare bill has a lot to do with this. It's just too much of a coincidence that we're seeing this happen at this level since the bill passed. I really wish the USAG would investigate the true source behind this issue. I wouldn't be at all surprised to find that these companies are working in concert to create these "shortages".
http://www.fda.gov/Drugs/DrugSafety/Dru ... 050792.htmhttp://www.huffingtonpost.com/glenn-d-b ... 57932.html