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Medicines Shortages List


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Alternatively you can use the arrows to sort alphabetically by product name / active ingredient.

Product name Active ingredient      Therapeutic alternative Reason Date of shortage
Expected return date Additional information Last updated
Abiraterone Teva 500mg Film-Coated Tablets
PA1986/103/001
Teva B.V. 
Abiraterone  Similar alternative medicine authorised  API unavailability 

(multiple countries affected) 
2024/05/25  2024/12/01    2024/05/16
Abstral 400 microgram sublingual tablets
PA2288/004/005
Kyowa Kirin Holdings B.V.
Fentanyl  Appropriate alternative medicine authorised  Unexpected increase in demand   2024/07/01  2024/07/22   2024/06/18 
Aciclovir 25mg/ml Concentrate for Solution for Infusion 
PA0822/215/001
Pfizer Healthcare Ireland
 Aciclovir  Appropriate alternative medicine authorised  Unexpected increase in demand   2023/12/08 2024/10/01 HCP letter 2024/03/04
Actilyse Cathflo 2mg Powder for Solution for Injection and Infusion
PA0775/011/004
Boehringer Ingelheim International GmbH
Alteplase Similar alternative medicine authorised
Unexpected increase in demand 

(multiple countries affected) 
2023/09/13 2024/07/22
2024/03/08
Adcortyl Intra-articular/Intradermal Injection 10 mg/ml, Suspension for Injection, 5ml
PA0002/018/003
Bristol-Myers Squibb Pharmaceuticals uc

Triamcinolone
Appropriate alternative medicine authorised  Manufacturing delay  2024/05/09 2024/06/24  HCP letter
 2024/05/29 
Adenosine 3 mg/ml solution for injection in pre-filled syringe
6mg/2ml presentation 
PA2059/004/001

Fresenius Kabi Deutschland GmbH
Adenosine  Appropriate alternative medicine authorised  Quality issue 

(impacting multiple markets)  
2024/03/22 2024/06/23    2024/06/04 
Alendronic acid/Cholecalciferol Accord 70mg/2800IU Tablets
PA2315/020/001
Accord Healthcare Ireland Ltd.
Vitamin D3 & alendronic acid
Similar alternative medicine authorised
Quality issue

(multiple countries affected)
2023/06/07 Awaiting update from the company 
  2024/02/19
Alendronic acid/Cholecalciferol 
Accord 70mg/5600IU Tablets

PA2315/020/002
Accord Healthcare Ireland Ltd.
Vitamin D3 & alendronic acid
Similar alternative medicine authorised 
Quality issue

(multiple countries affected)
2023/06/07 Awaiting update from the company 
  2024/02/19
Alprazolam 0.25 mg Tablets
PA0711/140/001
Rowex Ltd
Alprazolam
Appropriate alternative medicine authorised
Unexpected increase in demand 2023/02/28 Awaiting update from the company 

2024/06/13 
Amoclav 250mg/125mg Film-coated Tablets
PA0711/162/002
Rowex Ltd
 Amoxicillin & clavulanic acid 
Similar alternative medicine authorised
Unexpected increase in demand 

(multiple countries affected)
2023/08/14 2024/09/01     2024/06/13 
Anapen 300 micrograms in 0.3ml solution for injection in a pre-filled syringe
PA22580/001/002
Bioprojet Pharma
Epinephrine 
Appropriate alternative medicine authorised  Manufacturing delay  2024/06/01  2025/04/01    2024/05/24 
Anidulafungin Teva 100 mg Powder for Concentrate for Solution for Infusion
PA1986/045/001
Teva B.V.
Anidulafungin
Similar alternative medicine authorised  Manufacturing delay

(multiple countries impacted)  
 2024/07/30 2025/10/01     2024/06/04 
Antabuse 400mg Effervescent Tablets
PA1986/110/001
Teva B.V.
Disulfiram
Comparable alternative medicine authorised
 API unavailability 

(multiple countries affected)
2022/07/25 2024/07/01  2024/06/13 
Aprepitant Accord 80 mg hard capsules
PA2315/148/001
Accord Healthcare Ireland Ltd.
 Aprepitant
Appropriate alternative medicine authorised
Unexpected increased demand
 2024/03/11 Awaiting update from the company   2024/03/11 
Aripiprazole Accord 30mg tablets
EU/1/15/1045/020
Accord Healthcare S.L.U
Aripiprazole   Similar alternative medicine authorised  API unavailability  2024/04/30  2024/10/01    2024/05/09 
Aripiprazole Teva 5mg tablets
PA1986/019/001
Teva B.V. 
Aripiprazole  Similar alternative medicine authorised  Manufacturing delay 

(multiple countries impacted)  
 2024/04/27  2024/10/01    2024/06/04 
Aripiprazole Teva 15mg tablets
PA1986/019/002
Teva B.V. 
Aripiprazole  Similar alternative medicine authorised  Manufacturing delay
 
(multiple countries impacted) 
2024/06/13 2024/07/15    2024/06/05 
Aripiprazole Teva 30mg tablets
PA1986/019/004
Teva B.V. 
Aripiprazole  Similar alternative medicine authorised  Manufacturing delay 

(multiple countries impacted) 
2024/05/15 2024/09/01    2024/06/04 
Artelac 3.2 mg/ml Eye Drops, Solution
PA23259/004/001
Bausch + Lomb Ireland Limited 
Hypromellose
Appropriate alternative medicine authorised Awaiting information from the company   2024/04/30  Awaiting update from the company    2024/05/24 
Asacolon 1600 mg modified-release tablets
PA2018/004/001 
Tillotts Pharma GmbH 
Mesalazine
Appropriate alternative medicine authorised  Manufacturing delay 
(multiple countries impacted) 
2024/05/27  2024/07/01    2024/05/21 
Aspirin 75mg Gastro Resistant Tablets
PA0126/246/001
Clonmel Healthcare Ltd
Aspirin
Appropriate alternative medicine authorised
Unexpected increase in demand  2023/06/12 2024/09/30
2024/04/04
Atomoxetine Accord 10mg Hard Capsules
PA2315/019/001
Accord Healthcare Ireland Ltd
Atomoxetine  Appropriate alternative medicine authorised 
Unexpected increase in demand 

(multiple countries impacted) 
2024/06/09  Awaiting update from the company
HCP letter 2024/06/05 
Atomoxetine Accord 18mg Hard Capsules
PA2315/019/002
Accord Healthcare Ireland Ltd
Atomoxetine 
Appropriate alternative medicine authorised 
Unexpected increase in demand 

(multiple countries impacted) 
2024/06/09 
Awaiting update from the company
HCP letter
2024/06/05  
Atomoxetine Accord 25mg Hard Capsules
PA2315/019/003
Accord Healthcare Ireland Ltd
Atomoxetine 
Appropriate alternative medicine authorised 
Unexpected increase in demand 

(multiple countries impacted) 
2024/06/09 
Awaiting update from the company
HCP letter
2024/06/05  
Atomoxetine Accord 40mg Hard Capsules
PA2315/019/004
Accord Healthcare Ireland Ltd
Atomoxetine
Appropriate alternative medicine authorised  Unexpected increase in demand 

(multiple countries impacted)
2023/11/06  Awaiting update from the company  HCP letter
2024/06/05 
Atomoxetine Accord 60mg Hard Capsules
PA2315/019/005
Accord Healthcare Ireland Ltd
 Atomoxetine
Appropriate alternative medicine authorised
Unexpected increase in demand 

(multiple countries impacted)
2023/11/30 Awaiting update from the company 
HCP letter

2024/06/05 
Atomoxetine Accord 80mg Hard Capsules
PA2315/019/006
Accord Healthcare Ireland Ltd
Atomoxetine  Appropriate alternative medicine authorised  Unexpected increase in demand 

(multiple countries impacted) 
2023/10/19  Awaiting update from the company 
HCP letter

2024/06/05 
Atomoxetine 100mg Hard Capsules 
PA2315/019/007
Accord Healthcare Ireland Ltd.
Atomoxetine  Appropriate alternative medicine authorised  Unexpected increase in demand 

(multiple countries impacted) 
2024/01/18 Awaiting update from the company  HCP letter

2024/06/05 
Axsain 0.075% w/w Cream
PA1986/088/001
Teva B.V.
Capsaicin
Appropriate alternative medicine authorised Manufacturing delay 2023/10/19 2025/06/30    2023/10/12
Azyter 15 mg/g eye drops, solution, in single-dose container
PA1107/004/001
Laboratoires Thea
Azithromycin  Comparable alternative medicine authorised  Manufacturing delay  2024/06/06 2024/07/08    2024/06/18
Baclopar 10mg Tablets
PA0577/195/001
McDermott Laboratories Ltd., T/A Gerard Laboratories
Baclofen
Exact alternative medicine authorised
Manufacturing delay  2023/06/26 Awaiting update from the company    2024/06/13 
Bendamustine 25mg Powder for Concentrate for Solution for Infusion 
PA1986/121/001
Teva B.V.
Bendamustine  Similar alternative medicine authorised  Unexpected increase in demand 

(multiple countries impacted) 
2023/10/25  2025/01/31   2023/10/27
Betnovate Cream 0.1% w/w
(30g presentation)
PA1077/001/001
GlaxoSmithKline (Ireland) Limited
Betamethasone
Appropriate alternative medicine authorised  Manufacturing delay
 
(multiple markets impacted) 
2024/06/14  2024/08/26    2024/06/13 
Bisodol Antacid Chewable Tablets 
PA1986/071/001
Teva B.V.
Calcium carbonate, Sodium hydrogen carbonate, Light magnesium carbonate
Similar alternative medicine authorised
Manufacturing delay  

(multiple countries affected) 
2023/06/20 Awaiting update from the company
2024/06/14
Brinzolamide 10mg/ml Eye Drops, Suspension 
PA2315/149/001
Accord Healthcare Ireland Ltd.
Brinzolamide Similar alternative medicine authorised  Manufacturing delay  2024/02/23 Awaiting update from the company    2024/05/14 
Bupivacaine Hydrochloride 0.25% w/v Solution for Injection
PA0073/091/001
Mercury Pharmaceuticals (Ireland) Ltd
Bupivacaine
Appropriate alternative medicine authorised  Unexpected increase in demand  2024/05/27  2024/06/15    2024/05/27 
Cefotaxime 1g Powder for Solution for Injection or Infusion 
PA0281/223/002
Pinewood laboratories Ltd 
Cefotaxime
Appropriate alternative medicine authorised  Manufacturing delay  2024/05/15  Awaiting update from the company    2024/05/15 
Centrax 10mg Tablets
PA0822/010/001
Pfizer Healthcare Ireland
Prazepam
Appropriate alternative medicine authorised
Quality issue

(multiple countries affected)
2022/06/30 Unknown at present   2023/10/24
Champix 0.5 mg + 1 mg Film Coated Tablet
EU/1/06/360/003
Pfizer Europe MA EEIG
Varenicline 
Appropriate alternative medicine authorised
Quality issue

(multiple countries affected)
2021/06/21 2024/06/15   HCP letter
2023/05/26 
Champix 0.5mg Film Coated Tablet
EU/1/06/360/001
Pfizer Europe MA EEIG
Varenicline 
Appropriate alternative medicine authorised
Quality issue

(multiple countries affected)
2021/06/21 2024/06/15   HCP letter
2023/05/26
Champix 1mg Film Coated Tablet
EU/1/06/360/005
Pfizer Europe MA EEIG
Varenicline 
Appropriate alternative medicine authorised
Quality issue

(multiple countries affected)
2021/06/21 2024/06/15   HCP letter
2023/05/26 
Ciprofloxacin Teva 250mg Film Coated Tablets
20 pack presentation 
PA0749/031/002
Teva B.V. 
Ciprofloxacin  Similar alternative medicine authorised   Manufacturing delay 
(multiple countries affected) 
2024/06/02   2024/06/17     2024/05/22 
Clarithromycin 250mg Film-Coated Tablets
PA2315/136/003
Accord Healthcare Ireland Ltd.
Clarithromycin
Similar alternative medicine authorised
Unexpected increase in demand
2023/04/12 Awaiting update from the company
  2024/03/31
Clarithromycin 500mg Film-coated tablets
PA2315/197/002
Accord Healthcare Ireland Ltd.
Clarithromycin
Similar alternative medicine authorised
Unexpected increase in demand
2023/07/24 Awaiting update from the company
  2024/03/21
Cilique 250/35 micrograms tablets
PA1330/029/001
Gedeon Richter Plc
Norgestimate
& ethinylestradiol 
Appropriate alternative medicine authorised
Unexpected increase in demand 

(multiple countries affected)
2024/01/01 Awaiting update from the company
  2024/02/27
Cisplatin 1 mg/ml Concentrate for Solution for Infusion
50mg/ml presentation 
PA0822/199/001
Pfizer Healthcare Ireland
Cisplatin  Similar alternative medicine authorised  Manufacturing delay 

(multiple countries affected) 
2024/06/10 2024/09/31  HCP letter 2024/05/29 
Clarithromycin Teva 250 mg film-coated tablets
PA0749/148/001
Teva B.V. 
 Clarithromycin  Similar alternative medicine authorised  Unexpected increase in demand

(multiple countries impacted) 
2024/05/10  2024/07/15    2024/05/07 
Clarithromycin Teva 500 mg film-coated tablets
PA0749/148/002
Teva B.V. 
Clarithromycin
Similar alternative medicine authorised 
Unexpected increase in demand

(multiple countries impacted) 
 2024/06/10  2024/07/27    2024/05/31
Clarithromycin 250mg Film Coated Tablets 
PA2050/002/001
Sun Pharmaceutical Industries Europe B.V
Clarithromycin   Similar alternative medicine authorised  Unexpected increase in demand  2024/03/25  Awaiting update    2024/06/07 
Clarithromycin 500mg Film Coated Tablets 
PA2050/002/002
Sun Pharmaceutical Industries Europe B.V
Clarithromycin  Similar alternative medicine authorised  Unexpected increase in demand  2024/02/20 Awaiting update    2024/06/07 
Clonocid 250mg Film Coated Tablets
PA0126/136/001
Clonmel Healthcare Ltd
Clarithromycin
Similar alternative medicine authorised  Unexpected increase in demand  2024/02/22 2024/06/30     2024/03/14
Clorom 250mg Tablets
PA0711/061/001
Rowex Ltd 
Clarithromycin
Similar alternative medicine authorised
Unexpected increase in demand 2023/05/09 2024/06/30
2024/01/16
Clorom 500mg Tablets 
PA0711/061/002
Rowex Ltd 
Clarithromycin  Similar alternative medicine authorised  Manufacturing delay  2023/09/23  2024/06/30   2024/01/16
Co-Amoxiclav TEVA 500 mg/100 mg Powder for Solution for Injection/Infusion
PA0749/011/001
Teva Pharma B.V.

Amoxicillin & clavulanic acid
Similar alternative medicine authorised 
Unexpected increase in demand 2024/03/15 2024/06/21    2024/04/24 
Cocois Ointment, coal tar 12.0% sulphur for external use 4.0%, salicylic acid 2.0
40g and 100g presentations 
PA1638/005/001
RPH Pharmaceuticals AB
Various  Similar alternative medicine authorised  Regulatory issue 
(multiple countries impacted) 
2024/06/30  2025/03/01    2024/06/18 
Cosartal Plus 50mg/12.5mg Film Coated Tablets
PA2315/190/001
Accord Healthcare Ireland Ltd.
Losartan & hydrochlorothiazide
Similar alternative medicine authorised
Quality issue 

(multiple countries affected)
2022/02/01
Awaiting update from the company  

2024/03/31
Co-Vatan 160 mg/25 mg Film-coated Tablets
PA0711/182/003
Rowex Ltd 
Valsartan & hydrochlorothiazide
Similar alternative medicine authorised 
Unexpected increase in demand 2023/12/18 Awaiting update    2024/06/13  
Creon 10000 Gastro Resistant Capsules 
PA23355/006/001
Viatris Healthcare Limited

Pancreas powder, lipase, amylase & protease
Appropriate alternative medicine authorised  Unexpected increase in demand 

(multiple countries affected) 
2024/05/06  2024/06/30  HCP letter
2024/05/21
Cymevene 500 mg powder for concentrate for solution for infusion
PA2239/003/001
CHEPLAPHARM Arzneimittel GmbH
 Ganciclovir  Comparable alternative medicine authorised   Unexpected increase in demand 

(multiple countries impacted) 
 2024/04/29   2024/08/14     2024/06/21 
Daktarin 20mg/g Oral Gel 
PA0330/048/003
Johnson & Johnson (Ireland) Limited
Miconazole
Appropriate 
alternative medicine authorised
 Quality issue 

(multiple countries affected) 
2023/08/3 2025/01/01   2024/03/12
Deslor 0.5 mg/ml Oral Solution
PA0711/202/002
Rowex Ltd
Desloratidine
Similar alternative medicine authorised 
Manufacturing delay 

(multiple countries affected)
2024/01/22 2024/08/31   2024/06/14
Desmospray Desmopressin Nasal Spray
PA1009/005/001 
Ferring Ireland Ltd
Desmopressin

Appropriate alternative medicine authorised
Quality issue

(multiple countries affected) 
2020/07/22 Awaiting update from the company

2024/01/17 
Dexmedetomidine Accord 100mcg Concentrate for solution for infusion
EU/1/19/1418/010
Accord Healthcare S.L.U.
Dexmedetomidine
Similar alternative medicine authorised 
Manufacturing delay 2024/02/29 Awaiting update from the company   2024/02/29 
Diazemuls 5mg/ml Emulsion for Injection
PA2315/098/001 
Accord Healthcare Ireland Ltd.
Diazepam
Appropriate alternative medicine authorised
Manufacturing delays  2020/02/15 Unknown at present
2023/07/2023
Diclac 75mg Prolonged Release Tablets 
PA0711/009/003
Rowex ltd 
Diclofenac  Similar alternative medicine authorised   Manufacturing delay  2024/04/01  2024/06/31    2024/04/03 
Dipentum 250mg Capsules
PA22657/001/001
Atnahs Pharma Netherlands B.V.
Olsalazine
Appropriate alternative medicine authorised
Manufacturing delays

(multiple countries affected) 
2022/09/01 Awaiting update from the company 
2024/04/05 
Dipentum 500mg Tablets
PA22657/001/002
Atnahs Pharma Netherlands B.V.
 Olsalazine

Appropriate alternative medicine authorised
Manufacturing delays 

(multiple countries affected)
2022/09/01 Awaiting update from the company 
2024/06/13 
Donepezil 5mg Film-coated Tablets
PA2315/033/001
Accord Healthcare Ireland Ltd.
Donepezil

Similar alternative medicine authorised
Manufacturing delay 2023/07/01 2024/05/31   2024/03/21
Donepezil Hydrochloride Bluefish 10mg Film-coated Tablet
PA1436/015/002
Bluefish Pharmaceuticals AB
Donepezil
Similar alternative medicine authorised 
Unexpected increase in demand 
2023/09/15 Awaiting update from the company    2024/04/22
Donepezil Krka 10 mg film-coated tablets
PA1347/014/004
KRKA, d.d., Novo mesto
Donepezil
Similar alternative medicine authorised 
Awaiting information  2024/02/02  2024/05/06     2024/02/06
Donepezil Hydrochloride Bluefish 5mg Film-coated Tablet
PA1436/015/001
Bluefish Pharmaceuticals AB

Donepezil

Similar alternative medicine authorised 
Unexpected increase in demand  2023/07/31 2024/04/30
2023/12/18
Doxane XL 4 mg prolonged-release tablets
PA0711/103/001
Rowex Ltd
Doxazosin
Appropriate alternative medicine authorised
Unexpected increase in demand 
2023/11/27 2024/12/30   2024/02/02 
Dukoral
EU/1/03/263/002
Crucell Sweden AB
Cholera vaccine
Comparable alternative medicine authorised
Unexpected increase in demand 

(multiple countries affected) 
2022/09/01 2024/10/31
2024/03/22

Duloxetine Accord 60mg hard gastro-resistant capsules

PA2315/268/002

Accord Healthcare Ireland Ltd.

Duloxetine 
Similar alternative medicine authorised  Quality issue  2024/03/31 Awaiting update from the company    2024/03/20
Duloxetine Clonmel 30mg Gastro Resistant Hard Capsules 
PA0126/269/002
Clonmel Healthcare Ltd
Duloxetine  Similar alternative medicine authorised  Unexpected increase in demand   2024/03/14 2024/06/23     2024/06/14 
Duloxetine Clonmel 60mg Gastro Resistant Hard Capsules 
PA0126/269/004
Clonmel Healthcare Ltd
Duloxetine   Similar alternative medicine authorised   Unexpected increase in demand  2024/06/17  2024/07/15    2024/06/14 
Dutasteride/Tamsulosin hydrochloride 0.5 mg /0.4 mg Capsules
PA0577/230/001
McDermott Laboratories Ltd., T/A Gerard Laboratories
Tamsulosin & dutasteride
Similar alternative medicine authorised
Unexpected increase in demand  2023/09/22 Awaiting update from the company 
 2024/04/22
Effentora 600 microgram Buccal Tablet 
EU/1/08/441/008
Teva B.V. 
Fentanyl  Similar alternative medicine authorised   Regulatory issue 
2024/01/05 2024/09/05    2024/06/01  
ENAP 5mg Tablets
PA0711/028/001
Rowex Ltd
Enalapril
Similar alternative medicine authorised  
 Awaiting information 
2024/06/10 2024/10/01    2024/06/14 
ENAP 10mg Tablets
PA0711/028/002
Rowex Ltd
Enalapril
Similar alternative medicine authorised 
Manufacturing delay
 2024/01/29 2024/06/30    2024/06/14 
Epirubicin Hydrochloride 2 mg/ml solution for injection or infusion
PA2315/034/001
Accord Healthcare Ireland Ltd 
Epirubicin  Appropriate  alternative medicine authorised  API unavailability
 2024/01/31 Awaiting update from the company    2024/03/08 
Eplerenone 25mg Film Coated Tablets 
PA2315/085/001
Accord Healthcare Ireland Ltd.
Eplerenone  Similar alternative medicine authorised  Manufacturing delay   2024/02/24 Awaiting information from the company    2024/02/09
Eplerenone Mylan 25 mg film-coated tablets
PA0577/168/001
McDermott Laboratories Ltd., T/A Gerard Laboratories
Eplerenone
Similar
alternative medicine authorised 
API unavailability

(multiple countries affected)
2023/10/09  2024/10/01    2024/06/13   
Erythrocin 500 mg Tablets
PA1142/008/003
Amdipharm Limited
Erythromycin
Similar alternative medicine authorised  Manufacturing delay  2024/05/06  2024/08/01    2024/06/18
Esomeprazole 40mg Gastro Resistant Tablets 
PA2315/127/004
Accord Healthcare Ireland Ltd.
Esomeprazole

Similar alternative medicine authorised
Manufacturing delay  2023/07/15  Awaiting update from the company 
2024/04/25
Estradot 37.5 micrograms/24 hours, transdermal patch
PA0896/010/001
Novartis Ireland Limited
Estradiol 
Similar alternative medicine authorised 
Manufacturing delay 

(multiple countries affected)
03/02/2024 Awaiting update   HCP letter
2024/06/13 
Estradot 100 micrograms/24 hours, transdermal patch
PA0896/010/004
Novartis Ireland Limited
Estradiol   Similar alternative medicine authorised  Manufacturing delay
 
(multiple countries affected) 
2024/05/15 2024/07/31    2024/05/17 
Ezetimibe 10mg Tablets 
PA0577/198/001
McDermott Laboratories Ltd., T/A Gerard Laboratories
Ezetimibe  Similar alternative medicine authorised  Unexpected increase in demand  2024/04/16  Awaiting update     2024/06/13  
Ezetimibe 10mg Tablets 
PA2315/088/001
Accord Healthcare Ireland Ltd. 
Ezetimibe  Similar alternative medicine authorised  Unexpected increase in demand  2024/05/31  Awaiting update from the company    2024/05/17 
Fasturtec 7.5 mg/5ml powder and solvent for concentrate for solution for injection  
EU/1/00/170/002
Sanofi Winthrop Industrie
Rasburicase
Similar alternative medicine authorised
Manufacturing delay 

(multiple countries affected) 
2023/06/18  2024/07/31 HCP letter
2023/06/07
Fintrid 5mg Film Coated Tablets 
PA1445/019/001
Aurobindo pharma (malta) limited
 Finasteride  Similar alternative medicine authorised  Manufacturing delay  2024/06/10  2024//07/31    2024/06/14 
Flector Tissugel 140mg Medicated Plaster
PA1104/004/001
IBSA Farmaceutici Italia S.r.l
 Diclofenac
Appropriate alternative medicine authorised 
Distribution issue  2023/10/31 Unknown at present 
2023/11/08
Flucloxacillin 1g Powder for Solution for Injection or Infusion
PA0281/122/003
Pinewood Laboratories Ltd
Flucloxacillin
Similar alternative medicine authorised
Manufacturing delays 2023/07/11 Awaiting update from the company    2023/11/21 
Fluconazole 50mg hard capsule
PA2315/090/001
Accord Healthcare Ireland Ltd
 Fluconazole  Similar alternative medicine authorised  Manufacturing delay  2023/12/25 2024/08/01    2024/05/16
Fluconazole 150 mg hard capsule
PA2315/090/002
Accord Healthcare Ireland Ltd.
Fluconazole
Similar alternative medicine authorised
API unavailability 2023/08/01 2024/08/01 
2024/05/16
Fluconazole 200 mg hard capsule
PA2315/090/003
Accord Healthcare Ireland Ltd.
Fluconazole
Similar alternative medicine authorised
API unavailability  2023/08/01 2024/08/01 
2024/05/16 
Flucol 150mg Hard Capsules 
PA0711/057/003
Rowex Ltd
 Fluconazole  Similar alternative medicine authorised 
Unexpected increase in demand  2024/06/24  2024/07/15    2024/06/14 
Flucol 200mg Hard Capsules 
PA0711/057/004
Rowex Ltd
Fluconazole  Similar alternative medicine authorised  Manufacturing delay 
(multiple countries impacted) 
2024/04/29  2024/07/31    2024/05/27 
Fludarabine Phosphate 25mg/ml Concentrate for Solution for Injection or Infusion
PA2315/035/001
Accord Healthcare Ireland Ltd.
Fludarabine
Comparable alternative medicine authorised  API unavailability   2024/02/15 2024/08/31   2024/02/19 
Fluorouracil 25mg/ml Solution for Injection or Infusion
100ml presentation
PA0822/223/001
Pfizer Healthcare Ireland
Fluorouracil
Appropriate alternative medicine authorised
Quality issue

(multiple countries affected)
2022/02/25 Awaiting update from the company  HCP letter
2024/01/03 
Folinic acid (as calcium folinate) 10mg/ml solution for injection or infusion
350mg/35ml presentation 
PA2059/001/001
Fresenius Kabi Deutschland GmbH
Folinic acid
Similar alternative medicine authorised   API unavailability  2024/05/02   2024/06/17   2024/06/04
Folinic acid (as calcium folinate) 10mg/ml solution for injection or infusion
500mg/50ml presentation 
PA2059/001/001
Fresenius Kabi Deutschland GmbH
Folinic acid
Similar alternative medicine authorised   API unavailability  2024/05/03  2024/07/22   2024/05/07 
Folinic acid (as calcium folinate) 10mg/ml solution for injection or infusion
100mg/10ml presentation 
PA2059/001/001
Fresenius Kabi Deutschland GmbH
Folinic acid
 Similar alternative medicine authorised   API unavailability  2024/05/30 2024/10/01     2024/06/04 
Fostepor Once Weekly 70mg tablets
PA0577/086/002
McDermott Laboratories Ltd., T/A Gerard Laboratories
Alendronic acid
Similar alternative medicine authorised
Regulatory issue 

(multiple countries affected)
 2024/02/26 2024/06/30    2024/02/12
Fucithalmic 10mg/g Viscous Eye Drops, suspension
PA1142/016/001
Amdipharm Limited
Fusidic acid  Appropriate alternative medicine authorised
Manufacturing delay 

(multiple countries affected)  
2023/11/06  2024/11/30    2023/12/12
Fulvestrant Teva 250 mg Solution for Injection in Pre-filled Syringe
PA1986/011/001
Teva B.V.
Fulvestrant
Similar alternative medicine authorised  Manufacturing delay  2024/04/10 2024/06/24   2024/05/01 
Furosemide 20mg in 2ml Solution for Injection
PA0073/059/004
Mercury Pharmaceuticals (Ireland) Ltd
Furosemide  Appropriate alternative medicine authorised  Unexpected increase in demand   2024/05/30  2024/07/15    2024/06/18 
Fybogel Citrus 3.5g Granules
PA0979/009/001
Reckitt Benckiser Ireland Ltd
Ispaghula husks
Appropriate alternative medicine authorised
Manufacturing delays  2023/05/15 Awaiting update from the company

2024/02/02
Fybogel Mebeverine Granules for Oral Suspension
PA0979/010/001
Reckitt Benckiser Ireland Ltd
Ispaghula husks
Appropriate alternative medicine authorised  Awaiting information from the company  2023/12/04 Awaiting update from the company
  2024/03/11
Gamanil 70mg Film Coated Tablets 
PA1701/004/001
Zentiva k.s.
Lofepramine
Comparable alternative medicine authorised  Manufacturing delay 

(multiple countries impacted) 
2023/12/31 2024/09/01 Gamanil shortage letter 2023/12/15
Geltears 0.2 % w/w carbomer eye gel
PA23259/006/001
Bausch + Lomb Ireland Limited
Carbomer  Similar alternative medicine authorised  Manufacturing delay  2024/04/26  Awaiting update from the company    2024/05/27  
Gemcitabine Teva 40mg/ml Concentrate for Solution for Infusion
(5ml presentation) 
PA1986/122/001
Teva B.V.
Gemcitabine
Similar alternative medicine authorised
Manufacturing delay 

(multiple countries affected)  
2023/09/01  2024/07/01 
2024/04/12 
Gemcitabine Teva 40mg/ml Concentrate for Solution for Infusion
(25ml presentation) 
PA1986/122/001
Teva B.V.
 Gemcitabine  Similar alternative medicine authorised  Manufacturing delay 

(multiple countries impacted) 
 2023/08/15 2024/07/01   2024/02/06
Gemcitabine Teva 40mg/ml Concentrate for Solution for Infusion
(50ml presentation) 
PA1986/122/001
Teva B.V.
Gemcitabine
Similar alternative medicine authorised
Manufacturing delay 

(multiple countries affected)
2023/06/05 2024/07/01
2024/02/06
Gentamicin 10mg/ml Solution for Injection or Infusion
PA0281/242/001
Pinewood Laboratories Ltd 
Gentamicin
Appropriate alternative medicine authorised 
Manufacturing delay 
 2023/08/01 Unknown at present    2023/11/23
Gentamicin 40mg/ml Solution for Injection or Infusion
PA0281/242/002
Pinewood Laboratories Ltd 
Gentamicin  Appropriate alternative medicine authorised  Manufacturing delay   2023/08/01 Unknown at present    2023/11/23
Germentin 250mg/125mg Film Coated Tablets
PA0577/034/003
McDermott Laboratories Ltd., T/A Gerard Laboratories
Amoxicillin & clavulanic acid
Similar alternative medicine authorised  Unexpected increase in demand 

(multiple countries affected) 
2023/11/06 2024/07/28   2024/02/15
Golden Eye 0.1% w/v Eye Drops
PA22695/001/001
Cambridge Healthcare Ireland Limited
Propamidine
Appropriate alternative medicine authorised
Regulatory issue

(multiple countries affected)
2022/11/16 2024/09/01
2024/02/14
Golden Eye 0.15% w/w Eye Ointment
PA22695/001/002
Cambridge Healthcare Ireland Limited
Dibromopropamidine
Appropriate alternative medicine authorised
Manufacturing delays

(multiple countries affected) 
2022/11/16 Unknown at present

2023/05/20
Granpidam 20mg Film Coated Tablets
EU/1/16/1137/004
Accord Healthcare Ireland Ltd. 
Sildenafil 
Similar alternative medicine authorised  Manufacturing delay  2024/04/30  2024/07/21 
  2024/05/09 
Gyno-Pevaryl Once 150mg Vaginal Pessary
PA22650/006/001
KARO PHARMA AB
Econazole nitrate
Appropriate alternative medicine authorised
Manufacturing delays  2022/03/01 Unknown at present
2022/03/09
Heparin Sodium 10 I.U./ml flushing solution for maintenance of patency of intravenous devices
PA0281/230/001
Pinewood Laboratories Ltd
Heparin sodium
Comparable alternative medicine authorised
Manufacturing delays   2023/10/19 Unknown at present    2024/01/09
Heparin sodium 1,000 I.U./ml Solution for injection or concentrate for solution for infusion, 5ml ampoules
PA0281/229/001
Pinewood Laboratories Ltd
 Heparin sodium
Comparable alternative medicine authorised
Manufacturing delays 
2023/11/08  Unknown at present     2024/01/09
Heparin sodium 1,000 I.U./ml Solution for injection or concentrate for solution for infusion, 5ml vials
PA0281/229/004
Pinewood Laboratories Ltd
Heparin sodium
Comparable alternative medicine authorised
Manufacturing delay   2023/10/19 Unknown at present    2024/01/09
Hycamtin 1mg Powder for Concentrate for Solution for Infusion
EU/1/96/027/005

Sandoz Pharmaceuticals d.d.

Topotecan
Appropriate alternative medicine authorised
Manufacturing delay 

(multiple countries affected) 
2023/04/15  2025/06/31 HCP letter
2023/06/20
Hycamtin 4 mg Powder for concentrate for solution for infusion
EU/1/96/027/003
Sandoz Pharmaceuticals d.d.
Topotecan
Appropriate alternative medicine authorised
Manufacturing delay 

(multiple countries affected) 
 2023/08/31   2025/06/31
HCP letter
2023/06/20
Hydrocortone 10mg Tablets
PA1986/054/001
Teva B.V. 
Hydrocortisone  Appropriate alternative medicine authorised  Manufacturing delay 

(multiple countries impacted)  
2024/04/01 2024/07/15    2024/06/07 
Hypnovel 10mg/2ml Solution for Injection 
PA2239/007/001
CHEPLAPHARM Arzneimittel GmbH
 Midazolam   Appropriate alternative medicine authorised  Unexpected increase in demand  2024/05/01  Awaiting update    2024/06/13 

Hytrin 2mg Tablets
PA1142/005/002
Amdipharm Limited

Terazosin
Comparable  alternative medicine authorised
Manufacturing delay 

(multiple countries affected)
2023/07/05 Awaiting update 
2024/06/13 
Hytrin 10mg Tablets 
PA1142/005/004
Amdipharm Limited
Terazosin
Comparable  alternative medicine authorised  Manufacturing delay 
2024/04/30   2024/09/30    2024/06/18
Ibandronic Acid Teva 150mg Film Coated Tablets 
EU/1/10/642/003-004
Teva B.V.
Ibandronic acid  Similar alternative medicine authorised  Regulatory issue 2023/12/06 2024/11/15    2024/02/09
Icatibant Accord 30mg Solution for infusion in pre-filled syringe
EU/1/21/1567/001
Accord Healthcare S.L.U.
 Icatibant 
Similar alternative medicine authorised 
Manufacturing delay 

(multiple countries affected) 
2024/03/12 Awaiting update from the company    2024/03/11
Imdur 60 mg Prolonged-release Film-coated Tablets
PA2129/001/001
Topridge Pharma (Ireland) Limited
Isosorbide mononitrate
Similar alternative authorised Unexpected increase in demand 

(multiple countries affected)
 2023/09/29 2024/07/31    2024/02/09
Imodium 2 mg Capsules
PA23490/025/002
JNTL Consumer Health I (Ireland) Limited
Loperamide  Similar alternative medicine authorised  Shipping delay  2024/05/10 2024/06/10   2024/05/23 
Ipramol Steri-Neb 0.5mg / 2.5mg per 2.5ml Nebuliser Solution
PA1986/082/001
Teva B.V.
Ipratropium & salbutamol
Appropriate alternative medicine authorised 
Manufacturing delay
(multiple countries affected)  
2024/03/10 2024/07/15   2024/05/03
Isotretinoin 10mg Soft Capsules
PA0711/312/002
Rowex Ltd
Isotretinoin
Similar alternative medicine authorised
Unexpected increase in demand

(multiple countries affected) 
2023/05/09 Awaiting update 
2024/06/13 
Isotretinoin 20 mg soft capsules
PA0711/312/003
Rowex Ltd
Isotretinoin
Similar alternative medicine authorised
Unexpected increase in demand 2024/02/19 2024/06/30     2024/06/13   
Ixiaro
EU/1/08/501/1-2
Intercell Austria AG
Inactivated je virus
No appropriate medicine authorised
Awaiting information 2022/10/01 Awaiting update from the company

2024/02/14  
Kay-Cee-L Syrup 7.5% w/v
PA22637/004/001
Elara Pharmaservices Europe Limited
Potassium chloride
Comparable alternative medicine authorised
Manufacturing delay 

(multiple countries affected)
2024/03/25 Awaiting update from the company    2024/06/13 
Klacid 500mg Film Coated Tablets 
PA23355/013/002
Viatris Healthcare Limited
Clarithromycin  Similar alternative medicine authorised   Unexpected increase in demand  2024/01/07 Awaiting update    2024/06/13 
Klaram LA 500 mg Prolonged Release Tablets
PA2315/133/001
Mylan IRE Healthcare Limited
Clarithromycin
Similar alternative medicine authorised
Unexpected increase in demand 2022/11/28 Awaiting update 
2024/06/13 
Kytril 1 mg/1 ml solution for injection
PA22657/003/001
Atnahs Pharma Netherlands B.V.
Granisetron
Appropriate alternative medicine authorised  Manufacturing delay  2024/05/14 2024/08/31    2024/05/17  
Laxido Paediatric Plain, 6.9 g sachet, powder for oral solution
PA22680/001/003
Galen Pharma Ireland Limited
Various  Similar alternative medicine authorised   Unexpected increase in demand  2024/06/21  2024/07/05   2024/06/13 
Lexotan 1.5mg Tablets 
PA2239/008/001
CHEPLAPHARM Arzneimittel GmbH
Bromazepam
Similar alternative medicine authorised  Unexpected increase in demand 2024/04/06  Awaiting update    2024/06/13 
Linezolid 600mg Film Coated Tablets 
PA2315/104/001
Accord Healthcare Ireland Ltd. 
Linezolid   Similar alternative medicine authorised  Manufacturing delay  2024/04/30  Awaiting update    2024/06/13 
Lioresal 5mg/5ml Oral Solution 
PA0896/017/002
Novartis Ireland Limited
Baclofen  Similar alternative medicine authorised  Manufacturing delay  2024/04/01 Awaiting update    2024/05/17 
Lopid 300mg Capsules
PA0822/014/001
Pfizer Healthcare Ireland
Gemfibrozil
Appropriate alternative medicine authorised
Manufacturing delay 

(multiple countries affected)
2023/02/12 Awaiting update from the company 
2023/12/05

Losartan Potassium 25 mg Film-coated Tablets

PA2315/059/001

Accord Healthcare Ireland Ltd.
Losartan
Similar alternative medicine authorised
Manufacturing delay  2024/01/18 Awaiting update from the company    2024/03/21
Lutinus 100mg Vaginal Tablets
PA1009/022/001
Ferring Ireland Ltd
Progesterone  Appropriate alternative medicine authorised   Quality issue 

(multiple markets impacted) 
2024/03/13 2024/07/31   2024/03/20 
Luveris 75IU Powder and solvent for solution for injection
EU/1/00/155/004
Merck Europe B.V.
Lutropin alfa
Appropriate alternative medicine authorised  Manufacturing delay  2024/06/17  2025/03/31   HCP letter 2024/06/05 
MacroBID 100mg Prolonged Release Capsules 
PA1142/033/001
Amdipharm Limited
Nitrofurantoin   Similar alternative medicine authorised  Quality issue 

(multiple countries impacted 
 2024/03/27 Awaiting information from the company    2024/03/27 
Marcain 0.25% w/v with Adrenaline (Epinephrine, 5 micrograms per ml) (1:200,000) Solution for Injection
PA1691/025/001
Aspen Pharma Trading Limited
Bupivacaine & adrenaline
Appropriate alternative medicine authorised
Manufacturing delay  2023/01/31 Unknown at present 
2024/02/26
Marcain 0.5% w/v with Adrenaline (Epinephrine, 5 micrograms per ml) (1:200,000) Solution for Injection
PA1691/025/002
Aspen Pharma Trading Limited
Bupivacaine & adrenaline
Appropriate alternative medicine authorised
Manufacturing delay

(multiple countries affected) 
2021/07/01 Unknown at present 
2024/02/26
Marixino 10 milligram(s) Film-coated tablet
EU/1/13/820/002
KRKA, d.d., Novo mesto
Memantine Similar alternative medicine authorised 
Unexpected increase in demand 
2024/02/19 Awaiting update     2024/06/13
Marixino 10 milligram(s) Film-coated tablet
EU/1/13/820/006
KRKA, d.d., Novo mesto
Memantine Similar alternative medicine authorised 
Unexpected increase in demand 
2024/02/19  Awaiting update    2024/06/13 
Maxilief Effervescent Tablets
PA0126/113/001
Clonmel Healthcare Ltd
Paracetamol, Codeine & Caffeine
Exact alternative medicine authorised
Unexpected increase in demand  2024/01/01 2024/08/01
2024/06/13 
MEFAC 500mg Film Coated Tablets 
PA0074/015/002
Rowa Pharmaceuticals Limited
Mefenamic acid
Appropriate alternative medicine authorised  Manufacturing delay  2024/02/18 Awaiting update     2024/06/13  
Memantine Accord 10mg Film Coated Tablets 
28 pack and 56 pack size 
EU/1/13/880/017-018
Accord Healthcare S.L.U.
 Memantine  Appropriate alternative medicine authorised  Unexpected increase in demand  2024/05/15  2024/10/01    2024/05/09 
Memantine Accord 20mg Film Coated Tablets 
EU/1/13/880/021
Accord Healthcare S.L.U.
Memantine  Appropriate alternative medicine authorised   API unavailability  2023/12/08 Awaiting update from the company    2024/05/09 
Menopur 75IU Powder and Solvent for Solution or Injection
PA1009/015/001
Ferring Ireland Ltd
Menotrophin
Comparable alternative medicine authorised
Quality issue

(multiple countries affected) 
2022/10/31 Unknown at present

2022/11/04 
Menopur 600IU Powder and Solvent for Solution or Injection
PA1009/015/002
Ferring Ireland Ltd
Menotrophin
Comparable alternative medicine authorised
Quality issue

(multiple countries affected)
2022/10/31 Unknown at present

2022/11/04
Menopur 1200IU Powder and Solvent for Solution or Injection
PA1009/015/003
Ferring Ireland Ltd
Menotrophin
Comparable alternative medicine authorised
Quality issue

(multiple countries affected)
2022/10/31
Unknown at present
  2022/11/04
Metformin Pinewood 100mg Film Coated Tablets 
PA0281/213/003
Pinewood Laboratories Ltd
 Metformin  Similar alternative medicine authorised  Unexpected increase in demand   2024/06/04  2024/07/31    2024/06/13  
Methotrexate 2.5mg Tablets 
PA1142/030/001
Amdipharm Limited
Methotrexate Similar  alternative medicine authorised  Awaiting information from the company   2023/12/31 2024/06/24    2024/06/07 
Methotrexate 2.5mg Tablets 
PA2315/062/001
Accord Healthcare Ireland Ltd. 
Methotrexate  Similar alternative medicine authorised  Unexpected increase in demand  2024/03/26 Awaiting information from the company    2024/06/07  
Methylthioninium Chloride Proveblue 5mg/ml solution for Injection
EU/1/11/682/001
Provepharm SAS
Methylthionium
No alternative medicine authorised
Manufacturing delay 
2022/10/03  Awaiting update from the company 
2024/01/03
Midazolam 1mg/ml Solution for Injection or Infusion

PA2315/063/001

Accord Healthcare Ireland Ltd

Midazolam  Similar alternative medicine authorised  Manufacturing delay  2024/04/10  2024/12/31    2024/04/10 
Milrinone 1mg/ml Solution for Injection/Infusion
PA0281/244/001

Pinewood Laboratories Ltd
Milrinone
Comparable alternative medicine authorised
Manufacturing delay
2022/11/16  Unknown at  present 
2023/11/21 
Minims Cyclopentolate Hydrochloride 1% w/v Eye Drops, solution
PA23259/011/001
Bausch + Lomb Ireland Limited
Cyclopentolate hydrochloride
Appropriate alternative medicine authorised
 API shortage/unavailability  2024/05/01  2024/06/30    2024/04/17
Minims Phenylephrine Hydrochloride 2.5% w/v eye drops, solution
PA23259/016/001
Bausch + Lomb Ireland Limited
Phenylephrine
Appropriate alternative medicine authorised  Manufacturing delays  2024/05/15  2024/06/19    2024/05/24 
Mirap 30mg Film Coated Tablets
PA0711/062/002
Rowex Ltd 
Mirtazapine  Similar alternative medicine authorised  Unexpected increase in demand   2024/04/22 Awaiting update    2024/04/29
Mometasone 50 microgram/dose, Nasal spray, Suspension
PA0711/196/001
Rowex Ltd
Mometasone
Similar alternative medicine authorised
Unexpected increase in demand  2024/04/29   2024/09/01    2024/05/27 
Montelukast Paediatric 5mg Chewable Tablets 
PA2315/110/002
Accord Healthcare Ireland Ltd. 
 Montelukast  Similar alternative medicine authorised  Awaiting information  2024/04/30  2024/07/01    2024/05/09 
Montelukast Bluefish 4mg Chewable Tablets 
PA1436/033/001
Bluefish Pharmaceuticals AB
Montelukast  Similar alternative medicine authorised   Unexpected increase in demand   2023/12/13  2024/07/30    2023/12/07
Montelukast Bluefish 5mg Chewable Tablets 
PA1436/033/002
Bluefish Pharmaceuticals AB
Montelukast  Similar alternative medicine authorised  Unexpected increase in demand   2023/12/20  2024/07/30    2023/12/07
Morphine Sulphate 30 mg/ml Solution for Injection
PA0073/020/004
Mercury Pharmaceuticals (Ireland) Ltd
Morphine  Similar alternative medicine authorised  Quality issue  2024/06/30 2024/08/15   2024/06/18 
Mycophenolate Mofetil Accord 250 mg capsules
PA2315/064/001
Accord Healthcare Ireland Ltd. 
Mycophenolate
Similar alternative medicine authorised  Awaiting information from the company  2024/05/15   Awaiting update     2024/06/13 
Naloxone Hydrochloride 400 micrograms/ml Solution for Injection or Infusion
PA0073/111/002
Mercury Pharmaceuticals Ireland 
Naloxone  Possible alternative medicine authorised  Unexpected increase in demand  2024/05/02 2024/07/01     2024/05/01 
Naltrexone Hydrochloride 50mg film-coated tablets
PA2315/111/001
Accord Healthcare Ireland Ltd. 
Naltrexone  Comparable alternative medicine authorised  Manufacturing delay  2023/11/06  Awaiting update from the company    2024/03/21
Neo-Cytamen 1000 micrograms/ml Solution for Injection
PA1638/004/001
RPH Pharmaceuticals AB
Hydroxocobalamin
Appropriate alternative medicine authorised
Manufacturing delay 

(multiple countries affected)
2023/09/25 2024/07/31 
2023/09/21 
NeoMercazole 20mg Tablets
PA1142/002/002
Amdipharm Limited
Carbimazole
Comparable alternative medicine authorised
Manufacturing delay   2023/05/22  Awaiting update from the company 

2024/04/22 
Neurostil 300 mg capsules
PA0749/164/002
Teva Pharma B.V.

Gabapentin
Similar alternative medicine authorised 
Unexpected increase in demand 

(multiple countries affected) 

2024/06/10 2024/07/03    2024/05/31
Olmesartan Medoxomil 10mg Film-Coated Tablets
PA2315/113/001

Accord Healthcare Ireland Ltd.
Olmesartan
Similar alternative medicine authorised
Unexpected increase in demand   2023/03/12  Awaiting update from the company 
2024/04/25
Omesar 40 mg film-coated tablets
PA0865/011/003
Menarini International Operations Luxembourg S.A.
 Olmesartan 
Similar alternative medicine authorised
 Shipping delay  2024/06/16  2024/06/30    2024/06/14 
Ondansetron 2mg/ml Solution for Injection or Infusion
PA2315/168/001
Accord Healthcare Ireland Ltd.
Ondansetron Similar alternative medicine authorised  Quality issue  2023/10/17 Awaiting update from the company    2023/05/09
Opticrom allergy 2% w/v Eye Drops
PA23180/010/002
Opella Healthcare France SAS T/A Sanofi
Sodium cromoglicate
Appropriate alternative medicine authorised 
Manufacturing delay 

(multiple countries affected) 
2022/01/27  Awaiting update from the company 
2024/04/22 
Oxycodone hydrochloride 50mg/ml Solution for Injection or Infusion
PA0281/235/002
Pinewood Laboratories Ltd
Oxycodone
Similar alternative medicine authorised
Manufacturing delay 2021/11/01 Awaiting update 
2024/06/13  
Ozempic 0.25mg solution for Injection in pre-filled pen 
EU/1/17/1251/002 
Novo Nordisk A/S 
Semaglutide 
Appropriate alternative medicine authorised  Manufacturing delay  2024/07/01  2024/07/15  HCP letter 2024/06/05 
Ozempic 0.5mg solution for Injection in pre-filled pen 
EU/1/17/1251/003 
Novo Nordisk A/S 
Semaglutide  Appropriate alternative medicine authorised  Manufacturing delay  2024/06/01  Awaiting update from the company    HCP letter
2024/06/17
Pabrinex Intravenous High Potency Concentrate for Solution for Infusion
PA2288/001/001
Kyowa Kirin Holdings B.V.

Ascorbic acid, riboflavin, pyridoxine, nicotinamide, thiamine & glucose

Comparable alternative medicine authorised  Manufacturing delay 
2024/09/01  2025/07/01  HCP letter

HSE clinical advice
2024/05/27  
Paclitaxel 6mg/ml Concentrate for Solution for Infusion 
50ml presentation 
PA2315/180/001
Accord Healthcare Ireland Ltd.
Paclitaxel  Similar alternative medicine authorised  Manufacturing delay    2024/02/28  2024/06/30   2024/04/25  
Pantup Relief 20mg Gastro-Resistant Tablets
PA0711/142/003
Rowex Ltd
Pantoprazole
Similar alternative medicine authorised
Unexpected increase in demand 2023/03/27  2024/06/30
2023/10/05 
Paricalcitol 5 micrograms/ml solution for injection
PA0281/163/001
Pinewood Laboratories Ltd
Paricalcitol Similar alternative medicine authorised
Manufacturing delay  28/02/2024  Unknown at present    2024/03/08 
Perdamel 0.5mg Film Coated Tablets 
PA0126/169/002
Clonmel Healthcare Ltd
Risperidone  Similar alternative medicine authorised  Manufacturing delay  2024/05/31  2024/11/15     2024/05/22 
Perdamel 1mg Film Coated Tablets 
PA0126/169/003
Clonmel Healthcare Ltd
Risperidone 
Similar alternative medicine authorised 
Manufacturing delay   2024/07/01  2024/11/15   2024/06/18
Pioglitazone Accord 45mg Tablets 
EU/1/11/722/022
Accord Healthcare Ireland Ltd. 
Pioglitazone
Similar alternative medicine authorised  Awaiting information  2024/05/15  Awaiting information    2024/05/09 
Ponstan Forte 500mg Film Coated Tablets 
PA22643/001/002
Chemidex Pharma Limited
Mefenamic acid
Similar alternative medicine authorised
Manufacturing delay  2023/10/30  Awaiting update 

2024/06/13  
Ponstan 250mg Capsules 
PA22643/001/001 
Chemidex Pharma Limited
Mefenamic acid
Similar alternative medicine authorised  Manufacturing delay  2023/10/30 Awaiting update  2024/06/13  
Prednisolone 5mg Soluble Tablets
PA1142/034/001
Amdipharm Limited
Prednisolone
Similar alternative medicine authorised  API unavailability   2023/03/27  2024/09/31   2024/01/16
Prucalopride 1mg Film Coated Tablets 
PA0281/260/001
Pinewood Laboratories Ltd 
Prucalopride Appropriate alternative medicine authorised  Regulatory issue  2023/12/31 2024/07/31   2024/03/21
Prucalopride 2mg Film Coated Tablets 
PA0281/260/002
Pinewood Laboratories Ltd 
Prucalopride Appropriate alternative medicine authorised  Regulatory issue  2023/12/31 2024/07/31   2024/03/21
Questran 4g/sachet powder for oral suspension 
PA2239/005/001
CHEPLAPHARM Arzneimittel GmbH
Colestyramine resin
Appropriate alternative medicine authorised  Unexpected increase in demand  2024/02/28 Awaiting update    2024/06/13 
Quetiapine 25mg film-coated tablets
PA2315/117/001
Accord Healthcare Ireland Ltd 
Quetiapine
Similar alternative medicine authorised  Manufacturing delay  2024/04/30  2024/07/01    2024/05/09 
Raporsin 4 mg prolonged-release tablets
PA2315/005/002
Accord Healthcare Ireland Ltd.
Doxazosin 
Appropriate alternative medicine authorised
Unexpected increase in demand

(multiple countries affected)
2023/09/08   2024/07/31     2023/08/24 
Rasagiline Accord 1mg Tablets 
PA2315/174/001
Accord Healthcare Ireland Ltd 
Rasagiline  Similar alternative medicine authorised Unexpected increase in demand  2024/04/30  2024/07/21    2024/05/09 
Rasagiline Bluefish 1mg tablets
PA1436/028/001
Bluefish Pharmaceuticals AB
Rasagiline
Similar alternative medicine authorised
Regulatory issue
2022/07/01  2024/12/31 
2023/08/23 
Rasagiline Rowex 1mg tablets 
PA0711/264/001
Rowex Ltd.
Rasagiline
Similar alternative medicine authorised
Unexpected increase in demand

(multiple counties affected)
2023/08/12  2024/06/30     2024/06/14
Rasilez 150mg Film Coated Tablets 
EU/1/07/405/022
Noden Pharma DAC 
Aliskiren  Appropriate alternative medicine authorised  API unavailability 

(multiple countries affected)  
2024/04/01   2025/02/28    2024/05/16 

Rasilez 300mg Film Coated Tablets 
EU/1/07/405/032
Noden Pharma DAC 

Aliskiren
Appropriate alternative medicine authorised
 API unavailability

(multiple countries affected)
2024/01/19 2025/01/31    2024/05/16  
Rekovelle 36 micrograms/1.08 mL solution for injection in a pre-filled pen 
EU/1/16/1150/005
Ferring Pharmaceuticals A/S
Follitropin delta Similar alternative medicine authorised  Unexpected increase in demand  2024/06/14  2024/07/22  HCP letter 2024/06/13 
Relistor 12 mg/0.6ml Solution for Injection
EU/1/08/463/001
Bausch Health Ireland Limited 
Methylnaltrexone
Comparable alternative medicine authorised
Manufacturing delay  2023/07/14  Awaiting update from the company 
 2024/04/24 
Remifentanil Noridem 2 mg powder for concentrate for solution for injection or infusion
PA1122/014/002
Noridem Enterprises Limited 
Remifentanil
Appropriate alternative medicine authorised  Manufacturing delay 

(multiple countries affected) 
2024/04/25  Awaiting update    2024/06/13 
Remifentanil Noridem 5mg powder for concentrate for solution for injection or infusion
PA1122/014/003
Noridem Enterprises Limited 
Remifentanil
 Appropriate alternative medicine authorised 
Manufacturing delay 

(multiple countries affected) 
2024/04/18 Awaiting update from the company    2024/04/24 
Renvela 0.8g powder for oral suspension 
EU/1/09/521/008
Genzyme Europe B.V. 
Sevelamer
Appropriate alternative medicine authorised  Manufacturing delay and shipping  delay  2024/05/30  2024/07/14   2024/06/12 
Risonate Once Weekly 35mg Film Coated Tablets
PA0749/064/001
Teva Pharma B.V.
Risedronate
Similar alternative medicine authorised
 API unavailability 

(multiple countries affected)
2022/06/27  Awaiting update from the company

2024/02/14
Rosuvastatin 40mg Film Coated Tablets
PA2315/068/004
Accord Healthcare Ireland Ltd.
Rosuvastatin
Similar alternative medicine authorised
Unexpected increase in demand  2023/10/16  2024/07/31

2024/03/21
Rosuvastatin 5mg Film Coated Tablets
PA2315/068/001
Accord Healthcare Ireland Ltd.
 Rosuvastatin
Similar alternative medicine authorised
Unexpected increase in demand 
2023/10/16  2024/07/31   2024/03/21
Salamol Steri-Neb 2.5mg/2.5 ml Nebuliser Solution
PA1986/086/001
Teva B.V.
Salbutamol  Appropriate alternative medicine authorised  Manufacturing delay 

(multiple markets affected) 
2024/04/26 2024/11/01     2024/05/03
Salamol Steri-Neb 5mg/2.5 ml Nebuliser Solution
PA1986/086/002
Teva B.V.
Salbutamol
Appropriate alternative medicine authorised
Manufacturing delay 

(multiple countries affected)
2023/09/21 2024/11/01 
2024/05/03 
Saline Steri-Neb 0.9% w/v Nebuliser Solution
PA1986/087/001
Teva B.V.
Sodium chloride  Appropriate alternative medicine authorised  Manufacturing delay 

(multiple countries impacted) 
2024/02/25 2024/08/15    2024/06/07 
Sandimmun 100mg Soft Capsules 
PA0896/027/004
Novartis Ireland Limited 
Ciclosporin
Similar alternative medicine authorised  Manufacturing delay  2024/05/16  2024/06/06    2024/05/22 
Serlan 50mg Film Coated Tablets 
PA0711/065/001
Rowex Ltd 
Sertraline  Similar alternative medicine authorised  Manufacturing delay  2024/06/27  2024/09/30    2024/06/14 
Six Plus Parapaed Paracetamol Oral Suspension 250mg/5ml
PA0281/002/003
Pinewood Laboratories Ltd
Paracetamol
Appropriate alternative medicine authorised
Quality issue 2022/01/01 Awaiting update from the company 
2023/04/03 
Solifenacin succinate 10mg film-coated tablets
PA2315/118/002
Accord Healthcare Ireland Ltd.
Solifenacin
Similar alternative medicine authorised 
API unavailability
2023/09/30  Awaiting update from the company
  2024/03/21
Solpadeine Soluble Tablets 
12 pack 
PA1186/011/001
Chefaro Ireland DAC
Paracetamol, codeine & caffeine
Similar alternative medicine authorised  Manufacturing delay 

(multiple countries affected)
2023/12/29 Awaiting update from the company    2024/02/29
Solpadeine Soluble Tablets 
60 pack 
PA1186/011/001
Chefaro Ireland DAC
Paracetamol, codeine & caffeine  Similar alternative medicine authorised  Manufacturing delay 

(multiple countries affected)
2024/04/10 Awaiting update from the company 
2024/04/11
Spironolactone 100 mg film-coated tablets
PA2315/119/003
Accord Healthcare Ireland Ltd.
Spironolactone 
Similar alternative medicine authorised  Manufacturing delay 2024/05/15  2024/07/01    2024/05/09 
Sublimaze 50 micrograms/ml solution for injection
PA22583/002/001

Piramal Critical Care B.V.
Fentanyl
Appropriate alternative medicine authorised 
Manufacturing delay 
2023/05/01 Awaiting update from the company   2023/11/16
Sumatriptan 50mg Film Coated Tablets 
PA2315/070/001
Accord Healthcare Ireland Ltd 
Sumatriptan  Similar alternative medicine authorised  Unexpected increase in demand  2024/04/30  2024/07/01    2024/05/09 

Suboxone 2mg/0.5mg Sublingual Tablets 
EU/1/06/359/001

Indivior Europe Limited

Buprenorphine & naloxone
Comparable alternative medicine authorised  Manufacturing delay  2024/03/05 Awaiting update    2024/06/13  
Teicoplanin 200 mg Powder and Solvent for Solution for injection/infusion or oral solution
PA1122/009/001
Noridem Enterprises Limited
Teicoplanin  Similar alternative medicine authorised  Unexpected increase in demand  2024/04/29  Awaiting update    2024/06/13
Telmisartan 20mg Tablets
PA2315/014/001
Accord Healthcare Ireland Ltd.
 Telmisartan
Similar alternative medicine authorised 
Manufacturing delay 

(Multiple countries affected)
2023/09/08 2025/01/01   2024/02/19
Telmisartan Rowa 20 mg tablets
PA0074/078/001
Rowa Pharmaceuticals Limited
 Telmisartan Similar alternative medicine authorised 
Unexpected increase in demand 
2024/01/22 2024/06/19   2024/06/14  
Telmisartan 40mg Tablets
PA2315/014/002
Accord Healthcare Ireland Ltd.
 Telmisartan Similar alternative medicine authorised  Manufacturing delay 

(multiple countries affected) 
2024/01/02 2025/01/01   2024/02/19  
Telmisartan 80mg Tablets 
PA2315/014/003
Accord Healthcare Ireland Ltd.
Telmisartan  Similar alternative medicine authorised  Manufacturing delay 

(multiple countries affected) 
2024/01/02 2025/01/01    2024/02/19
Telmisartan Rowa 80 mg tablets
PA0074/078/003
Rowa Pharmaceuticals Limited

Telmisartan
Similar alternative medicine authorised
Unexpected increase in demand 
2024/01/29  2024/07/31  
  2024/05/27 
Telmisartan/Hydrochlorothiazide 80 mg/25 mg tablets
PA2315/107/003
Accord Healthcare Ireland Ltd.
Telmisartan & hydrochlorothiazide Similar alternative medicine authorised 
Unexpected increase in demand  2023/10/09 2024/07/31   2024/03/21
Temgesic 200 microgram Sublingual Tablets
PA23460/001/001
Eumedica Pharmaceuticals GmbH
Buprenorphine 
Appropriate alternative medicine authorised
Manufacturing delay 
2024/02/06 Awaiting update from the company    2024/03/04  
Temozolomide Accord 20mg Capsules

EU/1/10/615/005

Accord Healthcare S.L.U.
Temozolomide
Similar alternative medicine authorised 
Unexpected increase in demand 
2024/02/19  Awaiting update from the company    2024/05/14 
Tenofovir disoproxil Mylan 245mg Film Coated Tablets
EU/1/16/1129/005
Mylan Pharmaceuticals Limited 
Tenofovir disoproxil  Similar alternative medicine authorised  Unexpected increase in demand   2024/03/04 Awaiting update from the company     2024/06/18
TEVETEN 400 mg, film-coated tablets
PA2010/017/001
Mylan IRE Healthcare Limited
 Eprosartan
Appropriate alternative medicine authorised
Manufacturing delay 2024/02/26 Awaiting update    2024/06/13  
Tobramycin 40mg/ml Solution for Injection
80mg/2ml presentation
PA0822/207/001
Pfizer Healthcare Ireland 
Tobramycin  Appropriate alternative medicine authorised  Manufacturing delay 

(multiple countries impacted)  
2024/04/05 2024/08/31  HCP letter 2024/04/11
Tolura 40 mg tablets
EU/1/10/632/009
KRKA, d.d., Novo mesto
Telmisartan
Similar alternative medicine authorised 
Awaiting information from the company 2024/02/16  Awaiting update    2024/06/13 
Toviaz 4mg Prolonged Release Tablets 
EU/1/07/386/003
Pfizer Europe MA EEIG
Fesoterodine
Similar alternative medicine authorised
Quality issue  2023/07/03 Awaiting update from the company
2024/03/11
Toviaz 8 mg Prolonged-release tablet 
EU/1/07/386/008 
Pfizer Europe MA EEIG
Fesoterodine
Similar alternative medicine authorised
Quality issue 

(multiple countries affected)
2023/10/16 Awaiting update from the company   2024/03/11
Tymbrineb 300 mg/5 ml Nebuliser Solution
PA0749/117/001
Teva Pharma B.V. 
Tobramycin  Similar alternative medicine authorised  Shipping delay 

(multiple countries affected) 
2024/05/28  2024/08/15    2024/05/14 
Tyvense 60mg Capsules 
PA23211/005/005
Takeda Pharmaceuticals International AG Ireland Branch

Lisdexamfetamine
Similar alternative medicine authorised  Manufacturing delays 

(multiple countries impacted) 
2024/04/29 2024/06/16   2024/04/29
Ultiva 1mg Powder for Concentrate for Solution for Infusion
PA1691/032/001
Aspen Pharma Trading Limited
Remifentanil
Appropriate alternative medicine authorised  Shipping delay  2024/05/17  Awaiting update from the company    2024/06/13 
Ultiva 2mg Powder for Concentrate for Solution for Infusion 
PA1691/032/002
Aspen Pharma Trading Limited
Remifentanil  Appropriate alternative medicine authorised 
Shipping delay  2024/04/26 
Awaiting update from the company 
 
  2024/06/13 
Valsartan/Hydrochlorothiazide 160mg/12.5mg Film Coated Tablets
PA2315/181/002
Accord Healthcare Ireland Ltd


Valsartan & hydrochlorothiazide
Similar alternative medicine authorised  Manufacturing delay   2023/09/01 Awaiting update from the company    2024/03/21
Valsartan/Hydrochlorothiazide 160 mg/ 25 mg Film-coated Tablets
PA2315/181/003
Accord Healthcare Ireland Ltd
Valsartan & hydrochlorothiazide
Similar alternative medicine authorised 
Manufacturing delay  
2023/12/31 Awaiting update    2024/06/13 
Vancomycin 500mg Powder for Concentrate for Solution for Infusion and Oral Solution 
PA1122/008/001
Noridem Enterprises Limited
 Vancomycin  Similar alternative medicine authorised  Unexpected increase in demand  2024/03/03 Awaiting update from the company    2024/06/13 
Venlafex 75mg Prolonged Release Capsules 
PA1347/036/002
KRKA, d.d., Novo mesto
Venlafaxine
Similar alternative medicine authorised  Manufacturing delays  2024/05/01  Awaiting update    2024/06/13 
Visudyne Powder for Solution for Infusion
EU/1/00/140/001
CHEPLAPHARM Arzneimittel GmbH
Verteporfin
Comparable alternative medicine authorised
Manufacturing delay 

(multiple countries affected)
 2023/10/11 2024/07/29   2024/06/21
Warfarin Teva 1mg Tablets 
PA2050/001/002
Sun Pharmaceutical Industries Europe B.V.
Warfarin  Appropriate alternative medicine authorised  Quality issue

(multiple countries affected) 
2024/05/06  2024/07/15  HCP letter
2024/05/07 
Warfarin Teva 3mg Tablets 
PA2050/001/005
Sun Pharmaceutical Industries Europe B.V.
 Warfarin   Appropriate alternative medicine authorised 
Quality issue

(multiple countries affected) 
 2024/07/05   2024/07/15  HCP letter
2024/06/07 
Warfarin Teva 5mg Tablets 
PA2050/001/006
Sun Pharmaceutical Industries Europe B.V.
Warfarin  Appropriate alternative medicine authorised  Quality issue 

(multiple countries affected) 
2024/05/15   2024/07/15  HCP letter
2024/05/15 
Xolair 150 mg solution for injection in pre-filled syringe
EU/1/05/319/008
Novartis Europharm Limited
Omalizumab Similar alternative medicine authorised
 Shipping delay  2024/06/19 2024/06/28    2024/06/21
Xylocaine 2% with Adrenaline (Epinephrine) (1:200,000) Solution for Injection
PA1691/027/001
Aspen Pharma Trading Limited
 Adrenaline & lidocaine  Appropriate alternative medicine authorised   Quality issue  2024/04/01 2024/07/31   2024/03/21
Zacin 0.025% w/w Cream
PA1986/090/001
Teva B.V.
Capsaicin
Appropriate alternative medicine authorised
Manufacturing delay 

(multiple countries affected)
2023/08/20 2025/01/01    2024/06/07 
Zaditen 1mg/5ml oral solution
PA2206/004/001
Alfasigma S.p.A
Ketotifen  Appropriate alternative medicine authorised
Manufacturing delay 2024/01/01 2024/03/15    2023/12/22 
Zestan 2.5mg Tablets 
PA0126/112/001
Clonmel Healthcare Ltd
Lisinopril
Appropriate alternative medicine authorised  Quality issue  2024/04/08 Awaiting update from the company    2024/04/22 
Zestan 5mg Tablets 
PA0126/112/002
Clonmel Healthcare Ltd
Lisinopril
Appropriate alternative medicine authorised 
Quality issue   2024/01/13 Awaiting update from the company 
  2024/04/22
Zestan 10mg Tablets 
PA0126/112/003
Clonmel Healthcare Ltd
Lisinopril
Appropriate alternative medicine authorised 
Quality issue  2024/04/04  Awaiting update from the company 
  2024/04/22
Zestan 20mg Tablets 
PA0126/112/004
Clonmel Healthcare Ltd
Lisinopril
Appropriate alternative medicine authorised 
Quality issue   2024/04/08  Awaiting update from the company 
  2024/04/22
Zindaclin 1% Gel
PA23139/001/001
Canute Pharma (Ireland) Limited
Clindamycin
Similar alternative medicine authorised
Distribution issue 2022/12/01 2024/12/31
2024/02/14
Zinnat 250mg/5ml Granules for Oral Suspension
PA23311/003/001
Sandoz Pharmaceuticals d.d.

Cefuroxime
Appropriate alternative medicine authorised
Unexpected increase in demand  2023/04/01 Awaiting update from the company 
2024/06/14
Zinnat 125 mg/5 ml granules for Oral Suspension
PA23311/003/005
Sandoz Pharmaceuticals d.d.
Cefuroxime
Appropriate alternative medicine authorised
 
Unexpected increase in demand
2023/04/01 Awaiting update from the company  #2025/06/14
Zinnat 500mg Film Coated Tablets 
PA23311/003/004
Sandoz Pharmaceuticals d.d.
 Cefuroxime
Appropriate alternative medicine authorised
Manufacturing delay 
(multiple markets impacted) 
 2024/06/10 Awaiting update from the company    2024/06/14 
Zonisamide Neuraxpharm 25 mg tablets
PA23229/006/001
Neuraxpharm Ireland Limited
Zonisamide
Similar alternative medicine authorised  Manufacturing delay  2024/06/07  2024/09/01    2024/05/29 
Zofran 4mg/5ml Syrup
PA0711/327/002
Rowex Ltd
Ondansetron
Appropriate alternative medicine authorised
Manufacturing delay
 2022/12/15 2024/06/30   2024/04/25
Zypadhera Powder and solvent for prolonged-release suspension for injection
300mg vial presentation 
EU/1/08/479/002
Eli Lilly Nederland B.V.
 Olanzapine  Appropriate alternative medicine authorised  Manufacturing delay 

(multiple countries impacted) 
2024/04/12  2024/06/30    2024/05/15 


Bausch + Lomb Ireland Limited

PA0281/166/002

Cisplatin 1 mg/ml Concentrate for Solution for Infusion
Pfizer Healthcare Ireland
Bendamustine
Bendamustine
Bendamustine
PA0540/084/005
Ramipril
Ramipril

PA0711/141/001
PA0711/141/001
PA0711/141/001
PA0711/141/001
PA0711/141/001

Dutasteride/Tamsulosin hydrochloride 0.5 mg /0.4 mg hard capsules
Somatropin
 
 
 
Somatropin
 
 
 

Valsartan
Valsartan
Valsartan
Valsartan

Pyridostigmine 
Pyridostigmine 
PA0711/061/002

Omeprazole
Omeprazole
Teva Pharma B.V.
Flucol 150 mg Hard capsules
Flucol 150 mg Hard capsules
Fluconazole
Travocort® 0.1 + 1% w/w Cream

Montelukast
Montelukast
Accord Healthcare Ireland Ltd.
Allopurinol Teva 100 mg tablets
PA0749/099/001
Axsain 0.075% w/w Cream
Etoricoxib Teva 120 mg film-coated tablets
Etoricoxib Teva 120 mg film-coated tablets

Novartis Ireland Limited
Azelastine

PA0711/182/002
PA0711/182/002
PA0711/182/002
PA0711/182/002
PA0711/129/001

Sanofi-Aventis Ireland Limited T/A SANOFI
Laboratoires Thea
Teva B.V.
Rosuvastatin
PA0749/052/004
Tobramycin
 
 
 

PA2315/219/002

 

Accord Healthcare Ireland Ltd.

Etoricoxib
Teva B.V.
PA0773/003/001
Tadalafil 10mg Film-coated Tablets
Tadalafil 10mg Film-coated Tablets
PA2315/071/002
PA2315/071/002
Pfizer Healthcare Ireland

PA0749/026/001

PA0577/168/001
Eplerenone
Eplerenone


PA1436/022/001
PA1436/022/001
 
 
 

Aripiprazole Teva 5 mg tablet
PA1986/019/001

PA0577/034/003
 
 
 

PA0749/004/001

PA0126/313/001

Janssen-Cilag International NV

PA1255/006/002

Accord Healthcare Ireland Ltd.
 
 
 

PA2239/008/001
PA2239/008/001

PA1226/002/004
PA0126/183/001

PA1986/111/001

Alimera Sciences Europe Limited,

PA0822/143/002
Teva B.V.

Teva Pharma B.V.

Ethypharm

Flynn Pharma Limited
 
 
 
Viatris Healthcare Limited

Pfizer Healthcare Ireland
 
 
 

Valsartan/Hydrochlorothiazide 160 mg/ 25 mg Film-coated Tablets

Aspen Pharma Trading Limited
Donepezil
Donepezil

Levothyroxine
Levothyroxine

PA1777/001/001

Permethrin
Permethrin

Clobazam

Zonisamide

Enalapril 
Nebivolol

Mycophenolate

Tamsulosin

Ipratropium Bromide
SALBUTAMOL SULFATE

Alendronic acid

Pantoprazole
Levocetirizine 

Cisplatin
 
 
 
Cisplatin
 
 
 

Mylan Pharmaceuticals Limited
PA1122/008/001

Amoxicillin & clavulanic acid
Icatibant
Potassium chloride

Morphine
Morphine

PA0749/164/002
PA0749/164/002

Fresenius Kabi Deutschland GmbH
Fresenius Kabi Deutschland GmbH

PA1142/033/001

PA1986/012/001

Mercury Pharmaceuticals (Ireland) Ltd

Noridem Enterprises Limited

CHEPLAPHARM Arzneimittel GmbH

Laboratoires Thea

PA0749/148/001
PA0749/148/001
Fresenius Kabi Deutschland GmbH
Fresenius Kabi Deutschland GmbH
Fresenius Kabi Deutschland GmbH

PA2315/104/001
EU/1/11/722/001-010

Teva Pharma B.V

Bumetanide

Pinewood Laboratories Ltd
Pinewood Laboratories Ltd
Pinewood Laboratories Ltd
Accord Healthcare Ireland Ltd

PA23081/008/001

Accord Healthcare Ireland Ltd.
 
 
 
Kytril 1 mg/1 ml solution for injection
PA22657/003/001

Tillotts Pharma GmbH

PA0126/169/002
PA0749/031/002
 
 
 
PA0896/027/004
 
 
 

Tillotts Pharma GmbH

JNTL Consumer Health I (Ireland) Limited

PA23259/006/001
Bausch + Lomb Ireland Limited
 
 
 
Epinephrine

Bupivacaine

PA23229/006/001

Genzyme Europe B.V.
 
 
 

PA2004/002/001
PA2004/002/001
PA22680/001/003
 
 
 

Aurobindo Pharma (Malta) Limited
 
 
 
Aurobindo Pharma (Malta) Limited
 
 
 
PA0865/011/003

PA1638/005/001

How to interpret alternatives data

The description for each alternative type is based on authorised products and for approved indications. It does not show availability or marketing status of the alternative.

The information in the table is not intended to direct clinical practice. Please always refer to your healthcare professional for clinical treatment and use of alternatives.
For more information on therapeutic alternatives see the medicines shortages framework.

Alternative type Description
Exact Same active ingredient, strength and pharmaceutical form
Similar Same active ingredient but different strength
Appropriate Different active ingredient but same pharmacological class. Same active but different formulation that may need consideration of care setting.
Comparable Different active ingredient but comparable pharmacological class or mode of action that manages symptoms
None Unique pharmacology, no alternative treatment option exists

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