MANUFACTURING PROBLEMS AS OF 15th February 2016

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MANUFACTURING PROBLEMS AS OF 15th February 2016 Drug Manufacturer Brand Name Comments Suggested Aciclovir 3% Eye Ointment 4.5gram Zovirax Out of stock - not due until end of March 2016 Amoxycillin powder for Injection 1gram x 10 Amoxycillin powder for Injection 500mg x 10 Amoxycillin & Clavulanic 600mg vials x 10 Amoxil Out of stock - not due until end of May 2016 Amoxil Out of stock - not due until end of January 2016 Augmentin Out of stock - Until further notice Bimatoprost 0.3% in 1ml eye drops Allergan Lumigan Discontinued in July 2015 - Latanoprost & Travoprost if appropriate as per advice from opthalmology dept DGRI Latanoprost & Travoprost if appropriate as per advice from opthalmology dept DGRI Cardura XL 4mg Pfizer n/a Out of stock - No date as yet Creon 40 000 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.??

Cyclizine 50mg in 1ml Injection x 5 Amco Amdipharm Mercury n/a Available from wholesalers again Difflam Cream Meda n/a Out of stock - no date Dipipanone 10mg & cyclizine 30mg Amco Amdipharm Mercury Diconal Out of stock - until at least middle of February Duac Once daily 25g & 50g n/a Pack size changed to 30g & 60g Flecainide 50mg Meda Tambocor Out of stock - Until March 2016 Flecainide 100mg Meda Tambocor In stock again Havrix Hepatitis A (Inactivated) vaccine Out of Stock - end of January 2016 See Nostrum advice Use Avaxim formulary choice Havrix vaccine x 10 PFS Havrix Junior Out of stock - End of January 2016 Out of stock - End of January 2016 Use Avaxim formulary choice Use Vaqta paediatric Havrix Junior vaccine x 10 PFS Out of stcok - End of January 2016 Use Vaqta paediatric Hepatitis A (Inactivated ) & hepatitis B (Rdna) vaccine Twinrix Adult & X 10 PFS Limited stock - until further notice Hormonin Tablets Amco n/a Discontinued 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 Insulin Comb 25 100units in 1ml cartridge Insulin Comb Solostar 100unit in 1ml pre-filled pen Sanofi n/a Out of stock - Until July 2016 Ipratropium Bromide Nebules 2ml Respontin Out of stock - Until further notice Lacri-lube eye ointment Allergan n/a Ovestin cream Aspen Pharma n/a Delay from America where manufactured - 3.5g due Mi9d to Late February - 5g due Mid to Late February Due back in stock with manufacturers 16th January - May take a few days to filter into wholesalers

Pioglitazone All Strengths Ongoing shortage - Where available will now cost 33 to 40 per month Podophyllotoxin Cream 0.15% x 5g Warticon Out of stock - until end of January 2016 Potassium Chloride 600mg SR Tablets Alliance Pharma Slow K Out of Stock - not due until Quarter 1 2016 Use Liquid or Salicylate prep 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 Zantac Out of stock - Until Further Notice Ranitidine 300mg Tablets x 30 Zantac Out of stock - Until Further Notice Ranitidine Syrup Zantac Out of stock - until further notice Ranitidine Injection 25mg in 1ml x 5 x 2ml Zantac Out of stock - Until further notice Ropinirole prolonged release 2mg Requip Limited stock- likely to last until end of January 2016 Ropinirole prolonged release 4mg Requip Limited stock- likely to last until end of January 2016 Ropinirole prolonged release 8mg Requip Limited stock- likely to last until end of January 2016 Salbutamol Easyhaler Orion n/a Manufacturers advise back in stock with wholesalers w/c 18th January Vita-Pos scope Opthalmics n/a Out of stock - Next delivery date is March 2106 switch to generic switch to generic Xailin Night Nicox Pharma n/a available from AAH, Pheonix & Alliance wholesalers Xailin eye gel Nicox Pharma n/a Dispatched from France 14th January- should filter into wholesalers after a couple of weeks