Medicines export ban widened as drug shortages continue

The government has added four medicines to the list of products wholesalers are banned from exporting - taking the total to 27.

Drug shortages (Photo: Rowan Jordan/Getty Images)
Drug shortages (Photo: Rowan Jordan/Getty Images)

The four medicines added to the list are alprostadil, beclometasone dipropionate (QVAR), norethisterone and ranitidine.

GPonline reported earlier this month that the government had banned exports of HRT products and activated emergency prescription-switching powers for pharmacists, called a serious shortage protocol (SSP), in a bid to tackle drug shortages. The SSP applies to patients with a prescription of fluozetine 10mg, 30mg and 40mg capsules and allows pharmacists to supply an 'alternative strength or pharmaceutical form' of the drug without first consulting the original prescriber.

Other medicines also covered by the export ban include oseltamivir, ospemifene, adrenaline auto-injectors and hepatitis B vaccines.

Ranitidine recall

GPonline's sister site MIMS reported this week that Zantac (ranitidine) prescription medicines are being recalled as a precautionary measure following detection of possible contamination with the impurity N-nitrosodimethylamine (NDMA), which has genotoxic and carcinogenic potential. The products affected are the 150mg/10ml syrup, 150mg tablets, 300mg tablets, and 50mg/2ml injection.

Other ranitidine-containing products that may be affected are being quarantined while the MHRA and European Medicines Agency carry out further investigations.

The MHRA has said that patients do not need to stop taking ranitidine immediately 'as the health risk of discontinuing the medicines is higher than the potential risk presented by the contaminant'.

The DHSC has suggested that GPs should switch patients taking ranitidine to omeprazole where clinically appropriate, as there are currently sufficient supplies of the PPI to manage an increase in demand. There is more information on alternative treatments here.

Drug shortages

The government has also announced that three companies have been awarded contracts for express freight services to deliver medicines and medical products within 24 to 48 hours in the event of a no-deal Brexit.

The DHSC said that the service meant that 'vital medicines and medical products can be transported from the location they are produced to the point they are needed within 24 to 48 hours, to meet any urgent needs that might arise'.

This would include next-day delivery on temperature-controlled medicines and hazardous products, including radioisotopes for cancer treatment, and 48-hour delivery for 'larger loads'. Hand-delivered courier services could also be provided if necessary.

According to the MIMS drug shortages tracker more than 100 medicines prescribed in primary care are currently out of stock in the UK. GP leaders have warned that shortages are having a serious impact on both GPs and patients.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

Vaccination tracker

UK COVID-19 vaccination programme tracker

GPs across the UK have led the largest-ever NHS vaccination programme in response...

RCGP chair Professor Martin Marshall

Hand PCNs control of primary care infrastructure funding, says RCGP

CCG funding for primary care infrastructure should be handed to PCNs when the bodies...

Professor Martin Marshall and Talking General Practice logo

Podcast: RCGP chair Professor Martin Marshall

Talking General Practice speaks to RCGP chair Professor Martin Marshall.

Dr Chaand Nagpaul

In-house review not enough to stop 'unjust' GMC referrals, warns BMA

Doctors' leaders have repeated calls for a full independent review of the GMC referral...


How widespread is long COVID in the UK?

Millions of people in the UK are living with long COVID. GPonline looks at the data...

COVID-19 vaccination sign

GP contract for autumn COVID-19 booster campaign due shortly

GP practices in England will be invited shortly to sign up for the COVID-19 autumn...