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Re: TMS, Ketamine, ECT ... last chance! SLS

Posted by ed_uk2010 on June 12, 2020, at 15:40:27

In reply to Re: TMS, Ketamine, ECT ... last chance!, posted by SLS on June 12, 2020, at 10:26:10

> Why the shortage? What's true today that wasn't true a year ago?

Yep, the shortage is huge. A lot of countries have been affected. I believe the issue wrt the UK is that Kyowa Kirin, the Japanese company who purchased the manufacturing authorisation (licence) for Nardil a couple of years ago don't actually make the product themselves. I could be wrong, but I believe they use Recipharm as the contract manufacturer for this line. It appears that the manufacturer have told Kyowa Kirin that they are not currently able to produce any, for some reason. As far as I know, Australia and NZ have already had to withdraw a lot of patients from the medication.

Most areas of the UK are also looking to switch patients off phenelzine... if they haven't been switched already. We are not doing any switches locally - we are using the unlicensed capsule version which is currently being manufactured by at least two companies in the UK, soon to become three.... although, there could already be other 'Specials' manufacturers selling it that I don't know about.

 

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poster:ed_uk2010 thread:1110621
URL: http://www.dr-bob.org/babble/20200511/msgs/1110677.html