Department of Health and Social Care (DHSC) has issued a medicine supply notification for Sulfadiazine silver (Flamazine®) 1% cream.

MSN/2026/007

Tier 2 – medium impact

Date of issue: 10 February 2026

  • Sulfadiazine silver (Flamazine®) 1% cream (250g) was discontinued in late December 2025, stock has been exhausted.
  • Sulfadiazine silver (Flamazine®) 1% cream (50g) was discontinued in late January 2026, stocks are expected to be exhausted in February 2026.
  • Sulfadiazine silver (Flamazine®) 1% cream (20g and 500g) are being discontinued from late June 2026, although stocks are expected to exhaust before this date
  • Alternative products for the treatment of burns and wound care remain available and can support increased demand (see supporting information)
  • Unlicensed imported supplies of sulfadiazine silver 1% cream have been sourced (lead times vary) and will be available while stocks in alternative markets permit; availability cannot be guaranteed long-term due to the global discontinuation (see supporting information).

Unlicensed products

The following specialist importers have confirmed they can source unlicensed products (please note there may be other companies that can also source supplies of silver sulfadiazine 1% cream):

If there is currently no listing on dm+d for the imported product for prescribers to select using their prescribing systems, an EPS prescription for the unlicensed product cannot be issued. Where a prescriber wishes to prescribe a specially manufactured or imported product, an FP10 paper prescription should be issued as ‘silver sulfadiazine 1% cream (Special Order)’ and endorsed by the pharmacy as a non-Part VIII special with the following information:

  • Amount dispensed over pack size used;
  • Invoice price per pack size from which the order was supplied less any discount or rebate;
  • Manufacturers’/importers’ MHRA licence number;
  • Batch number of the product supplied;
  • SP

Further guidance on how prescriptions for unlicensed specials should be written can be found here.

A copy of this medicine supply notification, including supporting information, has been sent to all pharmacy NHS email addresses.

DHSC and NHS England have launched an online Medicines Supply Tool, which provides up-to-date information about medicine supply issues. The contents of these MSNs can now be viewed on the Tool.

The Tool also details any changes to resupply dates and updates to the entries.

To access the Tool you will need an NHS email address. Once set up and logged in, you will be able to access it online.

New shortages not listed on the SPS website, can be reported using our shortage reporting tool.

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