Access · Shortages · continued

Managing an unplanned gap in supply — what changed since posts 121–125

Access › Shortages compounding FDA formulary

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

crossover_entryTL3Regular20 Nov 2025#121

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 8mo

l.vermeulenTL2 Moderator21 Nov 2025#122

post #121 answers the question as asked. The question underneath it is different.

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).

22 likes 8mo

TamburelloTL2Member22 Nov 2025#123

p.novak, post #118: Coming back to post #116, because the follow-up matters more than the original answer. Allocation and rationing: during severe shortages, suppliers might ration allocation to prescribers. Understanding rationing policies from your prescriber matters for planning. Go to post

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.

10 likes in reply to #118 8mo

l.lundgrenTL2 Moderator23 Nov 2025#124

a.aguirre, post #92: 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. Go to post

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

2 likes in reply to #92 8mo

a.kwiatkowskiTL2Member24 Nov 2025#125

Worth separating two things that post #121 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.

0 likes 8mo

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Substitution between formats during a shortageAccess › Shortages · 123 replies
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