MANUFACTURING PROBLEMS AS OF 29th February 2016

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1 MANUFACTURING PROBLEMS AS OF 29th February 2016 Drug Manufacturer Brand Name Comments Amoxycillin powder for Injection 1gram x 10 Amoxycillin powder for Injection 500mg x 10 Amoxycillin & Clavulanic 600mg & 1.2g vials x 10 GSK Amoxil Out of stock - not due until end of May 2016 GSK Amoxil Out of stock - not due until end of February 2016 GSK Augmentin Out of stock - not due until end of March 2016 Bimatoprost 0.3% in 1ml eye drops Allergan Lumigan Discontinued in July Latanoprost & Travoprost if appropriate as per advice from opthalmology dept DGRI Latanoprost & Travoprost if appropriate as per advice from opthalmology dept DGRI Cardura XL 8mg Pfizer n/a Out of stock - not due until Mid April Creon capsules Abbott Healthcare Creon Raw material problem. No date. Change to standard release if approved by GP Abbott recommend use of 25,000 capsules conversion chart available.??

2 Cyclizine 50mg in 1ml Injection x 5 Amco Amdipharm Mercury n/a Available from wholesalers again Difflam Cream Meda n/a Back in stock Dipipanone 10mg & cyclizine 30mg Amco Amdipharm Mercury Diconal Out of stock - until at least middle of February Duac Once daily 25g & 50g GSK n/a Pack size changed to 30g & 60g Flecainide 50mg Meda Tambocor Out of stock - Until March 2016 Flecainide 100mg Meda Tambocor Out of stock - Until March 2016 Hepatitis A (Inactivated ) & hepatitis B (Rdna) vaccine GSK Twinrix Adult vaccine x 1 PFS & X 10 PFS Limited stock - until further notice Hormonin Tablets Amco n/a Discontinued See Nostrum advice Use Ambirix - Hep B not available on the NHS for travel purposes Consult GP for alternative HRT therapy Insulin Basal solostar 100units in 1ml pre-filled pen Insulin Basal 100units per 1ml cartridge Sanofi n/a Out of stock - Until July 2016

3 Insulin Comb units in 1ml cartridge Insulin Comb Solostar 100unit in 1ml pre-filled pen Ipratropium Bromide Nebules 2ml GSK Respontin Out of stock - Until further notice Lacri-lube eye ointment Allergan n/a Delay from America where manufactured - 3.5gback in stock - 5g due Mid March Macrobid Amco n/a Should be back in stock as from w/c 29/2/16 Meningitis B vaccine Novartis vaccine Bexsero Vaccines only for NHS patients If a child has started a course privately this can continue but no new private patients at the momentexpecting new stock in July 2016

4 Montelukast 10mg tablets n/a Dr Reddys & Actavis should have limited stock as from w\c 29/3/ Aurobindo should have some released within 7-10 days as from 24/2/16 Mupirocin Cream 15g GSK Bactroban Out of stock - not due until July 2016 Mupirocin Ointment 15g GSK Bactroban Out of stock - not due until May 2016 Napratec tablets Pfizer n/a Out of stock- No date as yet Pioglitazone All Strengths Ongoing shortage - Where available will now cost 33 to 40 per month Potassium Chloride 600mg SR Tablets Alliance Pharma Slow K Out of Stock - not due until Quarter Premique Low Dose Pfizer n/a Out of stock -No date as yet Pulvinal Beclomethasone Inhalers - All strengths Chiesi n/a Discontinued Pulvinal Salbutamol Chiesi n/a Discontinued Quinaderm 5% cream Alliance Pharma N/A Raw material problem - Likely to last until 2016 Ranitidine 150mg Tablets x 60 GSK Zantac Out of stock - Until Further Notice Ranitidine 300mg Tablets x 30 GSK Zantac Out of stock - Until Further Notice Ranitidine Syrup GSK Zantac Out of stock - until further notice Ranitidine Injection 25mg in 1ml x 5 x 2ml GSK Zantac Out of stock - Until further notice Retapamulin Ointment 1% 5g GSK Altargo Out of stock - not due until March 2016 Ropinirole prolonged release 8mg tablet x 28 GSK Requip Limited stock- likely to last until end of March 2016 switch to generic switch to generic Vita-Pos scope Opthalmics n/a Out of stock - Next delivery date is Mid March 2106

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