Haloperidol Decanoate InjectionThe easiest way to lookup drug information, identify pills, check interactions haldol dec shortage set up your own personal medication records. Available haldol dec shortage Android and iOS devices. Subscribe to receive email notifications whenever new articles are published. This material is provided for educational purposes only and is boldenone i oxandrolone intended for medical advice, diagnosis or treatment. To view content sources and attributions, please refer to our editorial policy. We comply ddec the HONcode standard for trustworthy health information - verify here. Haloperidol Decanoate Injection Last Updated:
Drug Shortages - University of Saskatchewan
Drug shortages can occur for a variety of reasons. The factors currently affecting drug supply are shortages of raw materials, quality control issues which led to voluntary withdrawal and longer production times for some products and competition among drug manufacturers. The problem is expected to ease somewhat with renewed production in some cases and takeover of supply by another company in others. In the meantime, healthcare providers are responsible for ensuring patients continue to receive appropriate drug therapy.
A general protocol to follow in handling drug shortages is offered below:. Iinformation is being provided on a voluntary basis.
It does not necessarily include all pharmaceutical companies in Canada, and therefore there may be gaps in the data. The new database is called the Canadian Drug Shortages Database:. The information in the database been provided by drug manufacturers, and is presented here for reference purposes only.
There is no warranty, representation or guarantee with respect to the accuracy, timeliness or completeness of this information. Inquiries regarding specific drug shortages should be directed to the appropriate drug manufacturer as identified. Questions about alternatives for shorted drugs and drug plan coverage for alternatives may be directed to the appropriate provincial drug information service.
The following tables provide suggestions for handling shortages of specific drugs. This information is intended for use by healthcare providers for general informational purposes only. It remains the responsibility of the healthcare provider to use professional judgment in evaluating this information in light of any relevant clinical or situational data.
To check current availability status of parenteral drugs go to the Sandoz website and click on Product Supply Information for Healthcare Professionals. Indicated as last resort for life-threatening ventricular arrhythmia not responding to adequate doses of first-line antiarrhythmic agents.
Ventricular Fibrillation - continue with lidocaine, epinephrine, defibrillation, magnesium, procainamide. All nasal spray calcitonin products have been withdrawn and discontinued from the market due to a small increased rate of cancer up to2. DINs became inactive October 1 st , at which time prescribing and dispensing should have ceased. Calcitonin is no longer indicated for osteoporosis. Due to the increased cancer risk the duration of treatment should be limited to the shortest period of time possible and the minimum effective dose.
See PDF for therapeutic alternatives. See PDF document for shortage management suggestions. Note that gentamicin, an alternative for Listeria, is currently also in short supply - see below. Existing dacarbazine stock only used to continue treatments that have already been initiated. No new patients should be initiated on dacarbazine treatment, until further notice. See PDF for shortage management strategies.
Dopamine hydrochloride, norepinephrine bitartrate, milrinone. See PDF for details. Existing doxorubicin stock only used to continue treatments that have already been initiated. No new patients should be initiated on doxorubicin treatment, until further notice. Doxorubucin HCL, pegylated liposomal. Epipen alternative - epinephrine anaphylaxis kits prepared in pharmacy.
Procedural sedation -See PDF. It is reasonable to administer furosemide oral solution can dilute with equal volume water if needed through a feeding tube.
IV available through Special Access? Acute or chronic pain See Switching Opioids. Sanofi-Aventis is the sole Canadian supplier of parenteral methotrimeprazine. Oral tablets available in 2 mg, 5 mg, 25 mg, and 50 mg See PDF for therapeutic alternatives for parenteral methotrimeprazine.
Procedural sedation - See PDF for alternatives. Contact Poison Control for emergency information in the event naloxone is unavailable. Pharmacies may provide naloxone kits to patients or their caregivers.
At this time kits can only be purchased through a company call the Control Group. Information on PAS Members website: See Nondepolarizing Neuromuscular Blocking Agents for more information.
Doses greater than this may be subject to autosubstitution. See PDF for information on therapeutic alternatives. SDZ, Sterimax, Teligent will have supply issues for the next months as one API manufacturing plant is not in production explosion at the plant which means that all API has to come from the sole remaining API manufacturer which is challenged in covering the global market.
Pipotiazine palmitate Piportil L4. Change to oral route whenever possible: Reserve current stock for patients with cancer protocols which require periodic injections of vitamin B! Vitamin K 5 mg tablets- Special Access Drug. No restrictions per SAP. Glaucoma — methazolamide Altitude sickness - dexamethasone Migraine off-label - methazolamide. Alternatives Compound suspension from oral ampicillin capsules See detail document Substitue a different antibiotic which is active against the organism causing the infection.
See PDF for information on handling shortage. All nasal spray calcitonin products have been withdrawn from the market and discontinured due to a small increased rate of cancer up to2. Premeasured activated charcoal powder can be ordered from McKesson or Galenova. If also on atenolol and strengths match, can go to the combination product Tenoretic, generics Hydrochlorothiazide at equivalent dose for hypertension or edema. Clindamycin palmitate granules for solution. Therapeutic alternatives - See PDF.
The Canadian League Against Epilepsy has also issued a document. Cephalexin is an appropriate alternative for an infection in which cloxacillin is indicated: Use other methods of administration.
A different antibiotic with a similar spectrum of activity. Extemporaneous compouding via bulk powder through Medisca is an option. See PDF for details about alternatives. See medSask Hot Topic: Substitute same strength valproic acid formulation. May be increased GI adverse effects - take with food.
Compounding not recommended as cost-prohibitive, lack of formulas readily accessible and other options readily available. In case of shortage, refer to proprafenone document. In the likely event both fleicanide and propafenone are short, no blanket recommendation can be made. Please phone medSask for individual assessment and include as much patient history as possible including - but not limited to: Doses higher than mg daily should be divided BID.
Dose should be adjusted based on blood glucose monitoring after switch. Hyoscine butylbromide Buscopan R. Refer to compounding pharmacy Therapeutic alternatives: See PDF for suggestions on therapeutic alternatives.
Opium and Belladonna Rectal Suppositories. Dientamoeba fragilis No treatment required if asymptomatic. Entamoeba histolytica Amoebiasis Asymptomatic: Grp A Strep throat: Dental infection prophylaxis and treatment: Therapeutic alternatives see PDF for details:. Infatabs, oral suspension, injectable. Important - see PDF for instructions on switching. These products contain the same strength of KCl in a similar dosage form to Slow-K and are the closest alternatives.
However, the products are not interchangeable. If patient is near the high or low ends of the potassium reference range or if patient has a history of frequent fluctuations, closer monitoring after transition is prudent. Inventory of the above products seems to fluctuate frequently. Micro-K contains the same strength of KCl in a different, yet still modified release, dosage form.
KCl Oral Solution providing 1. Because the absorption pattern will be quite different between Slow-K and the liquid, closer monitoring of all patients after transition is prudent. For patients unable to take tablets, the tablet can be crushed and mixed with a soft food immediately before administering. If dose corresponds to tablet strength 75, , mg , tablet can be crushed and mixed with soft food such as applesauce immediately before administering.
Sodium Phosphate effervescent tablets. See PDF for management suggestions.