The drug shortages crisis in the United States has impacted the practice of medicine in Northwest Missouri. At St. Francis Hospital & Health Services, the Pharmacy department has experienced shortages and helps alleviate concerns and other problems by identifying suitable alternative options for heart drugs, pain medications, intravenous (IV) electrolytes, and many others.
According to the FDA, there were 178 drug shortages reported in 2010, a record high. In 2011, the number of shortages has continued to increase. Drugs that have been around for decades are suddenly not available, which can significantly affect patient care.
“The major reasons for recent drug shortages are unanticipated manufacturing problems and supply/demand issues,” said Nancy Lawyer, RPh, Pharmacy Director. “There have also been problems with shortages in raw materials, voluntary recalls, natural disaster and business or economic issues.”
While the FDA works with drug companies to resolve drug shortages, health care professionals are identifying other treatments for patients. The St. Francis Pharmacy department plays an important role by informing practitioners of shortages and ensuring the safe and effective use of therapeutic alternatives.
Other strategies to help manage drug shortages include assessing inventory of drugs in short supply, establishing contacts with other sites or health systems, and following good inventory-management practices such as resisting the temptation to stockpile drugs in anticipation of a shortage.
“Although it is impossible to predict or prepare for every drug shortage,” said Lawyer, “careful planning can prevent the consequent problems from turning into a crisis.”
Lawyer credits effective management strategies and timely communication in maintaining safe medication practices. “We haven't had any shortages to date which caused a delay in treatment or where we've had to notify patients of possible delays,” she said.
The importance for awareness and education for both the medical providers and patients was stressed by Lawyer, “Health care professionals are helping patients to understand that a delay in treatment is better than suboptimal or potentially harmful treatment.”