Department of Health and Social Care (DHSC) has issued a medicine supply notification for Triamcinolone acetonide suspension for injection vials (Kenalog® 40mg/1ml and
Adcortyl® 50mg/5ml)

MSN/2024/073

Tier 2 – medium impact

Date of issue: 18th June 2024

Triamcinolone acetonide suspension for injection vials (Kenalog® 40mg/1ml and Adcortyl® 50mg/5ml) are out of stock until w/c 24th June 2024.
The following parenteral steroid preparations remain available and can support increased demand: dexamethasone 3.3mg/1ml and 3.8mg/1ml; hydrocortisone sodium succinate 100mg; and certain methylprednisolone products (Depo Medrone 40mg/1ml and Solu Medrone 500mg and 1g).
Where these are not suitable, unlicensed imports may be sourced, lead times vary.
Note the following preparations remain available but cannot support an increase in demand: hydrocortisone sodium phosphate 100mg/1ml, Depo Medrone 120mg/3ml and 80mg/2ml, Solu Medrone 125mg, and methylprednisolone sodium succinate (Kent Pharma) 500mg and 1g.
Triamcinolone hexacetonide 20mg/ml suspension for injection is out of stock with no confirmed resupply date (further information can be found on the SPS supply tool).
Solu Medrone 40mg powder and solvent for solution for injection is out of stock until July 2024

Unlicensed products

The following specialist importers have confirmed they can source unlicensed triamcinolone 10mg/ml and 40mg/ml solution for injection (please note there may be other companies that can also source supplies):

Alium

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 ‘ triamcinolone 10mg/ml or 40mg/ml solution for injection (Special Order)’ and endorsed by the pharmacy as a non-Part VIIIB 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

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

DHSC and NHSE/I have now 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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