This is the HPRA’s latest weekly update on medicines shortages. We publish this information each week to keep patients and healthcare professionals informed of current and resolved shortages.
We recognise that medicine shortages can be challenging for those who rely on medicines for their health and well-being. It is the case that for many medicines supplied in Ireland, there is more than one strength, form, pack size or brand available from different suppliers.
Your doctor or pharmacist will often be able to supply an alternative strength, form or product to ensure continuity of treatment if the medicine you have been taking is unavailable.
Resolved shortages
The following shortages have been resolved and supply has resumed to the Irish market:
| Product | Active Ingredient(s) |
| Brolene 0.15% w/w Eye Ointment PA0126/357/002 Clonmel Healthcare Ltd | Dibromopropamidine |
| Cardura XL 8mg Prolonged Release Tablets PA23355/001/002 Viatris Healthcare Limited | Doxazosin |
| Caverject 10mcg Powder and Solvent for Solution for Injection PA0822/115/002 Pfizer Healthcare Ireland | Alprostadil |
| Clorom 500mg Tablets PA0711/061/002 Rowex Ltd | Clarithromycin |
| Dioralyte Citrus Powder for Oral Solution PA23180/006/002 Opella Healthcare France SAS T/A Sanofi | Sodium chloride, potassium chloride, glucose & disodium hydrogen citrate |
| Dioralyte Natural, Powder for Oral Solution PA23180/007/001 Opella Healthcare France SAS T/A Sanofi | Sodium chloride, potassium chloride, glucose & disodium hydrogen citrate |
| Distaclor 250mg/5ml Granules for Oral Suspension PA1226/001/003 Flynn Pharma Limited | Cefaclor |
| Medispray Oromucosal Spray PA0126/300/001 Clonmel Healthcare Ltd | Lidocaine & chlorhexidine |
| Spasmonal 60mg Capsules PA2010/043/001 Mylan IRE Healthcare Limited | Alverine |
| Spasmonal Forte 120mg Hard Capsules PA2010/043/002 Mylan IRE Healthcare Limited | Alverine |
| Tobi 300 mg/5 mL Nebuliser Solution PA2010/063/001 Mylan IRE Healthcare Limited | Tobramycin |
| Trandate 100mg Film-Coated Tablets PA1638/006/002 RPH Pharmaceuticals AB | Labetalol |
| Trandate 200mg Film-Coated Tablets PA1638/006/003 RPH Pharmaceuticals AB | Labetalol |
| Zomig Rapimelt 2.5mg Orodispersible Tablets PA2242/004/002 Grunenthal Pharma Ltd | Zolmitriptan |
Newly notified shortages
The HPRA has been notified of a shortage of the following products:
| Product | Active Ingredient(s) |
| Amoxicillin 250mg/5ml Powder for Oral Suspension PA0126/282/004 Clonmel Healthcare Ltd | Amoxicillin |
| Atazanavir Rowex 300mg Capsules PA0711/287/004 Rowex Ltd | Atazanavir |
| Ativan 1mg Tablets PA0822/090/001 Pfizer Healthcare Ireland | Lorazepam |
| Atorvastatin Rowa 40mg Film-Coated Tablets PA0074/079/003 Rowa Pharmaceuticals Limited | Atorvastatin |
| Calvepen 250 mg/5 ml Powder for Oral Suspension PA0126/137/003 Clonmel Healthcare Ltd | Phenoxymethylpenicillin |
| Co-amoxiclav 1000mg/200mg Powder for Solution for Injection/Infusion PA2059/026/001 Fresenius Kabi Deutschland GmbH | Amoxicillin & clavulanic acid |
| Donepezil 10mg Film-coated Tablets PA2315/033/002 Accord Healthcare Ireland Ltd. | Donepezil |
| Duloxetine Mylan 60mg Gastro-Resistant Capsules EU/1/15/1010/011 Mylan Pharmaceuticals Limited | Duloxetine |
| Entecavir Rowex 0.5mg Film Coated Tablets PA0711/274/001 Rowex Ltd | Entecavir |
| Fucibet Lipid 20mg/g + 1mg/g Cream PA0046/040/002 Leo Laboratories Limited | Fusidic acid & betamethasone |
| Gemcitabine Teva 40mg/ml Concentrate for Solution for Infusion (25ml presentation) PA1986/122/001 Teva B.V. | Gemcitabine |
| Hycamtin 0.25mg Capsule EU/1/96/027/006 Sandoz Pharmaceuticals d.d. | Topotecan |
| Hycamtin 1mg Powder for Concentrate for Solution for Infusion EU/1/96/027/005 Sandoz Pharmaceuticals d.d. | Topotecan |
| Ipramol Steri-Neb 0.5mg / 2.5mg per 2.5ml Nebuliser Solution PA1986/082/001 Teva B.V. | Ipratropium and salbutamol |
| Lenalidomide Rowex 10mg Capsules PA0711/302/004 Rowex Ltd | Lenalidomide |
| Metaraminol 10mg/ml Solution for Injection or Infusion PA22893/001/001 Global Harvest Pharmaceuticals (Ireland) Limited | Metaraminol |
| Mirap 15mg Film-Coated Tablets PA0711/062/001 Rowex Ltd | Mirtazapine |
| NeoMercazole 20mg Tablets PA1142/002/002 Amdipharm Limited | Carbimazole |
| Olmesartan Rowex 10mg Film-Coated Tablets PA0711/255/001 Rowex Ltd | Olmesartan |
| Rosuva 40mg Film Coated Tablets PA0711/176/004 Rowex Ltd | Rosuvastatin |
| Rosuvastatin Teva Pharma 10mg Film Coated Tablets PA1986/024/002 Teva B.V. | Rosuvastatin |
| Rosuvastatin Pinewood 10mg Film Coated Tablets PA0281/157/002 Pinewood Laboratories Ltd | Rosuvastatin |
| Sabril 500mg Film Coated Tablets PA0540/023/001 Sanofi-Aventis Ireland Limited T/A SANOFI | Vigabatrin |
| Tipol 500mg Suppositories PA0126/331/04 Clonmel Healthcare Ltd | Paracetamol |
| Ulipristal Acetate Rowex 30mg Film-coated Tablets PA0711/292/001 Rowex Ltd | Ulipristal |
| Vertigon 16mg Tablets PA1445/023/002 Aurobindo Pharma (Malta) Limited | Betahistine |
| Xtex 250mg /5ml Oral Solution PA0074/071/001 Rowa Pharmaceuticals Limited | Carbocysteine |
| Zoledronic acid Actavis 4mg/5ml Concentrate for Solution for Infusion EU/1/12/759/001 Actavis Group hf | Zoledronic acid |
Please see the shortages section of the HPRA website for further information
The HPRA sends weekly updates concerning medicinal product shortages. However, the above webpage will be updated as new information is provided to the HPRA.