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Access · Shortages · continued

Coming back to: Official shortage notices and what they authorise posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

AV
a.vestergaardTL2 Moderator18 Jul 2025#61

Resuming after a gap: after a gap of days or a few weeks, most people resume at the dose they were on when they stopped. Gaps of months might require retitration discussion with a clinician.

4 likes 12mo
G
GEldridgeTL3Regular19 Jul 2025#62

post #61 answers the question as asked. The question underneath it is different.

Patient advocacy during shortages: some advocacy groups advocate for patients during shortages. Knowing who they are and following their communication is useful.

0 likes 12mo
AK
an.kirchnerTL2 Moderator20 Jul 2025#63
j.sandvik, post #33: For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use. Go to post

Coming back to post #61, because the follow-up matters more than the original answer.

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

0 likes in reply to #33 12mo
GD
glossary_deskTL3Regular21 Jul 2025 · edited#64
m.vukovic, post #20: Patient advocacy during shortages: some advocacy groups advocate for patients during shortages. Knowing who they are and following their communication is useful. Go to post

International supply chains: a shortage in one country does not mean shortage in another. That is why ordering from multiple suppliers before a shortage gets bad is prudent if you can.

17 likes in reply to #20 12mo
AN
a.nascimentoTL2 Moderator22 Jul 2025#65

Worth separating two things that post #61 runs together.

Dose hold versus tapering: if a temporary shortage forces a gap, holding your dose and resuming when supply returns is different from gradually tapering. The two are different decisions.

7 likes 12mo
KB
k.brandl_deTL323 Jul 2025#66
AK
a.krastevTL2 Moderator24 Jul 2025#67

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

0 likes 12mo
DB
d.bramleyTL3Regular25 Jul 2025 · edited#68
PSkarbek, post #28: I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient. Go to post

Compounding during shortages: some jurisdictions allow pharmacy compounding when a marketed product is in shortage. That permission is jurisdiction-specific and time-limited (usually for the duration of the shortage).

24 likes in reply to #28 12mo
FE
f.espinozaTL2 Moderator26 Jul 2025#69

On post #65 — agreed on the reasoning, with one qualification.

Communication from suppliers: a supplier having supply problems usually communicates them. If a supplier goes silent, that is itself information.

11 likes 12mo
B
BuchholzTL2Member27 Jul 2025#70

Supply interruptions: official shortage notices are published by regulatory agencies. That is the correct primary source rather than pharmacy rumors or forum discussion.

3 likes 12mo
HA
h.agyemanTL2 Moderator28 Jul 2025#71

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

8 likes 12mo
DH
dietitian_hollisTL3Dietitian29 Jul 2025 · edited#72
e.bakken, post #31: This follows post #28 rather than contradicting it. Compounding during shortages: some jurisdictions allow pharmacy compounding when a marketed product is in shortage. That permission is jurisdiction-specific and time-limited (usually for the duration of the shortage). Go to post

Allocation and rationing: during severe shortages, suppliers might ration allocation to prescribers. Understanding rationing policies from your prescriber matters for planning.

19 likes in reply to #31 12mo
SM
s.mbekiTL2 Moderator30 Jul 2025#73

post #72 answers the question as asked. The question underneath it is different.

Resuming after a gap: after a gap of days or a few weeks, most people resume at the dose they were on when they stopped. Gaps of months might require retitration discussion with a clinician.

0 likes 12mo
NA
n.abernathyTL3Analytical chemist31 Jul 2025#74

On post #70 — agreed on the reasoning, with one qualification.

Shortage predictions: regulators and suppliers issue shortage alerts before they become acute. Checking the regulatory website for shortages gives you advance notice.

0 likes 12mo
NC
n.cabreraTL2 Moderator1 Aug 2025#75

Managing an unplanned gap: if a shortage causes a gap in treatment, the questions are how long the gap will be and how that affects your condition. Discussing with your clinician is prudent if the gap is weeks or longer.

12 likes 12mo
SS
steady_stateTL3Regular1 Aug 2025#76
k.haddad, post #25: On post #21 — agreed on the reasoning, with one qualification. Communication from suppliers: a supplier having supply problems usually communicates them. If a supplier goes silent, that is itself information. Go to post

Dose hold versus tapering: if a temporary shortage forces a gap, holding your dose and resuming when supply returns is different from gradually tapering. The two are different decisions.

26 likes in reply to #25 12mo
EH
e.halonenTL2 Moderator2 Aug 2025#77

Resuming after a gap: after a gap of days or a few weeks, most people resume at the dose they were on when they stopped. Gaps of months might require retitration discussion with a clinician.

0 likes 12mo
JW
journalclub_wrenTL3Regular3 Aug 2025#78

Worth separating two things that post #74 runs together.

Shortage predictions: regulators and suppliers issue shortage alerts before they become acute. Checking the regulatory website for shortages gives you advance notice.

2 likes 12mo
CC
c.castellanosTL2 Moderator4 Aug 2025#79
j.sandvik, post #33: For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use. Go to post

Picking up post #76: that is the part I would want checked first.

International supply chains: a shortage in one country does not mean shortage in another. That is why ordering from multiple suppliers before a shortage gets bad is prudent if you can.

18 likes in reply to #33 12mo
OF
outline_firstTL3Wiki editor5 Aug 2025#80

Communication from suppliers: a supplier having supply problems usually communicates them. If a supplier goes silent, that is itself information.

0 likes 12mo
GI
g.ibarraTL2 Moderator6 Aug 2025#81

I read post #79 twice before replying, because I had assumed the opposite.

Allocation and rationing: during severe shortages, suppliers might ration allocation to prescribers. Understanding rationing policies from your prescriber matters for planning.

10 likes 12mo
MY
m.yilmazTL2 Moderator7 Aug 2025#82

This follows post #79 rather than contradicting it.

Compounding during shortages: some jurisdictions allow pharmacy compounding when a marketed product is in shortage. That permission is jurisdiction-specific and time-limited (usually for the duration of the shortage).

3 likes 12mo
G
GDashwoodTL3Regular8 Aug 2025#83

Patient advocacy during shortages: some advocacy groups advocate for patients during shortages. Knowing who they are and following their communication is useful.

0 likes 12mo
CH
ca.haddadTL2 Moderator9 Aug 2025#84
c.serrano, post #29: Dose hold versus tapering: if a temporary shortage forces a gap, holding your dose and resuming when supply returns is different from gradually tapering. The two are different decisions. Go to post

Supply interruptions: official shortage notices are published by regulatory agencies. That is the correct primary source rather than pharmacy rumors or forum discussion.

22 likes in reply to #29 12mo
AK
a.kowalskiTL2 Moderator10 Aug 2025#85

Coming back to post #83, because the follow-up matters more than the original answer.

Shortage predictions: regulators and suppliers issue shortage alerts before they become acute. Checking the regulatory website for shortages gives you advance notice.

15 likes 12mo
JN
j.nwosuTL2 Moderator11 Aug 2025#86

Resuming after a gap: after a gap of days or a few weeks, most people resume at the dose they were on when they stopped. Gaps of months might require retitration discussion with a clinician.

5 likes 12mo
BP
b.petrovTL2 Moderator12 Aug 2025#87

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

0 likes 12mo
SC
s.cardosoTL2 Moderator13 Aug 2025#88
crossover_entry, post #40: Dose hold versus tapering: if a temporary shortage forces a gap, holding your dose and resuming when supply returns is different from gradually tapering. The two are different decisions. Go to post

post #87 answers the question as asked. The question underneath it is different.

International supply chains: a shortage in one country does not mean shortage in another. That is why ordering from multiple suppliers before a shortage gets bad is prudent if you can.

30 likes in reply to #40 11mo
O
OkaforTL3Regular14 Aug 2025#89

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

3 likes 11mo
FI
f.ibarraTL2 Moderator15 Aug 2025#90

Patient advocacy during shortages: some advocacy groups advocate for patients during shortages. Knowing who they are and following their communication is useful.

0 likes 11mo