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Pharmacies running low on Tamiflu

kiwibird

Editor, Senior Moderator
http://www.stuff.co.nz/the-press/news/national/2497159/Demand-exceeds-Tamiflu-supply
Demand exceeds Tamiflu supply
Last updated 05:00 13/06/2009


Heavy demand for anti-viral drug Tamiflu has left some Canterbury pharmacies running low, but new stock is due next week.

Emergency supplies had also been put aside for those needing urgent prescriptions filled, said the deputy chairman of the Canterbury Community Pharmacy Group, Peter Fear, said.

"New stocks will be arriving in Canterbury late on Tuesday, and wholesalers tell us that they are more than adequate to cope with anticipated demand," he said.

The Ministry of Health has 1.2 million doses of Tamiflu in reserve in the national stockpile to be released by district health boards when required.

Meanwhile, health experts urged people to get vaccinated against normal winter flus to reduce their risk of a "double whammy" if seasonal flu mixed with swine flu.

Communities also needed to look at limiting physical contact, such as hongi, to limit the spread of the virus, deputy director for Public Health Darren Hunt said.

"Historically, in previous pandemics, we have seen large numbers of cases amongst the Maori community, so that's something to keep in mind."

Maori Affairs Minister Pita Sharples said some iwi and hapu had discussed the risks of swine flu, and whether protocol relating to hongi on marae should be changed to reduce the risks.

New Zealand's Catholic bishops have issued new restrictions banning parishioners from receiving communion wafers on the tongue, communion wine from the chalice and from shaking hands as the sign of peace at masses.

The Government was also in "close contact" with WHO about accessing a swine flu vaccine when one was ready.

A Swiss pharmaceuticals company said it had successfully produced its first batch of swine flu vaccine. It was being considered for clinical trials.

General practitioners have requested improved access to masks, gloves and gowns to treat patients with swine flu.

Not all health boards had released funds to ensure general practices remained fully stocked with supplies, Medical Association chairman Peter Foley said.

Officials estimate seasonal flu hits 760,000 New Zealanders each year, causing 350 to 450 deaths.

-The Press
 
Re: Pharmacies running low on Tamiflu

Cautious New Zealanders are chewing up the country's commercial Tamiflu supply.

Several pharmacies in Wellington say they have waiting lists forming as they struggle to keep up with demand.

The commercial stock is separate to the four million doses the government has stockpiled for suspected H1N1 flu cases.

Kelburn Pharmacy says its Tamiflu waiting list is growing every day. Pharmacist Bevan Chan says people are being prudent as swine flu continues to spread. He says most of the people seeking the drug are about to travel to countries which have high infection rates.


Tamiflu is one of the two recognised treatments for H1N1 flu and the drug company which manufactures it says demand is through the roof.

Roche spokesman Stuart Knight says in a normal flu season they distribute around 1000 packs but because of the H1N1 outbreak they have seen a significant increase in demand. Last week alone they distributed some 10,000 packs.

He says it will get increasingly hard if the outbreak spreads as the company is trying to meet demands not just in New Zealand but across the world.

Another shipment is due early next week.

Meanwhile drug maker Novartis AG expects a swine flu vaccine to be available within a few months, after it produced the first batch for testing ahead of schedule.

US company Baxter International is in full-scale production of a vaccine that could be ready for commercial use as early as next month.

The Baxter and Novartis vaccines were both developed using cell-based technology that could allow for much more rapid production and distribution than traditional vaccines produced using chicken eggs.

http://tvnz.co.nz/health-news/tamiflu-supplies-in-demand-2782201
 
Re: Pharmacies running low on Tamiflu

Kelburn Pharmacy says its Tamiflu waiting list is growing every day. Pharmacist Bevan Chan says people are being prudent as swine flu continues to spread. He says most of the people seeking the drug are about to travel to countries which have high infection rates.

The Medicines Classification Committee (MCC) which in 2006 recommended that pharmacists be allowed to sell Tamiflu, required direct consultation in order to ensure the product was only being supplied to patients with influenza.

The controls on supply were placed in order to minimise the risk of inappropriate use to treat other viral infections, reduce the risk of development of resistance to Tamiflu and ensure the product was not being sold for use in children under 12 years of age.

In addition, the MCC were concerned that unless sale to a patient in the pharmacy was required, the risk of the NZ product being purchased from pharmacists by overseas consumers via the internet, thereby depriving NZ of supplies of Tamiflu, would be unacceptably high. This risk of diversion of supply is especially high during times when there’s heightened public concern about influenza.

The MCC further considered the requirement for face-to-face consultation to obtain Tamiflu at its meeting in June 2008 and confirmed its earlier position that until more data was available on use in pharmacy and the factors leading to resistance became clearer, the requirement will remain in place.
 
Re: Pharmacies running low on Tamiflu

#3 Quote: Kiwibird: text


Without could be visited in real time in an full blown pandemic infection (a third of the population will be supposedly infected) precisely the 1st day of the novel flu symptoms onset,
the antiviral will not be, or it will be but late, administered to many cases who not became moderate from the begining,

To taking away even the possibility of privately buying Tamiflu personal doses on the free market or narrowing the private imports,
seems not to be "a free move", as it deprivate parts of population of an life saver drug, if in the absence of other equivalent drugs on the market in reacheable quantities.
 
Re: Pharmacies running low on Tamiflu

"New stocks will be arriving in Canterbury late on Tuesday, and wholesalers tell us that they are more than adequate to cope with anticipated demand," he said.

"...more than adequate to cope with anticipated demand..." Apparently, somebody did not 'anticipate demand' very well if they're already behind the curve. Viruses don't read delivery schedules.

This is not intended as a criticism of New Zealand per se. It could happen anywhere, and probably will. But, New Zealand has always been a 'bell weather' for me because it always seems to be really hit hard by seasonal flu, and has adapted, and I am surprised.

'Days of Future Passed' regards - Snick
 
Re: Pharmacies running low on Tamiflu

In the article commercial stocks are being referred to, not the government stockpile.
There is a charge for the commercially available Tamiflu. Government supply is free.

New Zealand has 1.2 million doses of the anti-viral drug which are being held in the Ministry of Health stockpile - that is enough for one third of the population. ....... - priority for Tamiflu would go to frontline health workers and other essential services like police and Civil Defence.

Outside of those stocks presently a prescription is needed if people want to get Tamiflu, but from Friday (edit 29th May) it will be available over the counter. That is when the winter flu season officially starts.
 
Re: Pharmacies running low on Tamiflu

The Ministry of Health has 1.2 million doses of Tamiflu in reserve in the national stockpile to be released by district health boards when required.

The commercial stock is separate to the four million doses the government has stockpiled for suspected H1N1 flu cases.

Can anyone explain this?
It's Tamiflu now self replicating within the box or something?
Up until yesterday NZ had 1.2 million courses - but then last night we suddenly had 4 million courses.

Anyway - I still want to know what happens when we run out or the bug nut's out how to side step Tamiflu...
:confused:
 
Re: Pharmacies running low on Tamiflu

...
Anyway - I still want to know what happens when we run out or the bug nut's out how to side step Tamiflu...
:confused:

Than we will be meat for the virus, nobody could tell exactly how anyone of us will react, but we know that healthy, or non, many could be the ones in the group of bad afected.


To could be asymptomatic, or with less dangerous symptoms the first several days of infection, make it hard, because if the antiviral is not taken (until it work), we tresspass the schedule.

The cell vacc seems to care some tumoral incognitas, as somebody posted at FT, and also requires few months of time more.

That's why the main key to escape such current events was the initial entering isolation/quarantine, which wasn't want to be implemented almost anywhere worldwide.
 
Re: Pharmacies running low on Tamiflu

IRun onTamiflu supplies

The makers of Tamiflu say they may not be able to keep up with New Zealand demand as shipments sell out within hours.

A shipment of the drug, used to treat swine flu, arrived in New Zealand last Wednesday and sold out the same day. Pharmaceutical company Roche said a shipment arrived in New Zealand yesterday, and another is expected tomorrow.

Roche sales and marketing director Stuart Knight said demand was being met, but there were no long-term supply guarantees.

"We cannot make any promises long-term, but so far we have been able to meet all demand, which is pretty amazing. The difficulty is knowing how much to order because we are in uncharted territory."

The Tamiflu is from Roche's headquarters in Switzerland and has an expiry date of October 2011.

Knight said orders usually took a month to reach New Zealand, but the delivery time had been cut to a couple of weeks during the swine flu pandemic.

Christchurch pharmacist Peter Cooke, owner of Dodds Pharmacy in Merivale, said there was a waiting list of about 20 people with Tamiflu prescriptions when the new stock arrived tomorrow.

"We had supply problems. There was no stock in pharmacies for about four or five days," he said. "There was demand from people going overseas who wanted to take it with them."

http://www.stuff.co.nz/the-press/news/2503057/Swine-flu-closes-Chch-school/
 
Not all NZ pharmacies have run out of Tamiflu

Not all NZ pharmacies have run out of Tamiflu

I know for a fact that there are pharmacies with stocks of Tamiflu. There are pharmacies in lower socio-economic areas (think of places like Otahuhu ... hint hint ... which is nothing like Kelburn) that haven't dispensed ANY of the Tamiflu they ordered back when the bird flu panic was on. It's been on their shelves since early 2006. I have spoken to two such pharmacists. One pharmacy was happy to sell some to the pharmacy where I work.

In late 2005 many people put their names on a waiting list at several pharmacies, and so demand was overestimated. Roche based their orders on the pharmacy orders. I wasn't working in pharmacy at the time and I still managed to get some (by ringing around) even though people answering the phones at pharmacies were being quite offhand and rude ("no, there's none anywhere" with a sigh that wasn't exactly sounding customer focused). I was courteous enough to call back and say that I had found some thank you and please remove me from the list (they sounded VERY surprised).

By the time Roche received another shipment (there was a delay of 3 or 4 mths) bird flu wasn't featuring in the news as much so some people decided not to get any Tamiflu. But those that were on 2 or 3 waiting lists obviously only went and had ONE script filled at ONE pharmacy. The stocks that pharmacies (and wholesalers) have had since then all arrived in New Zealand in early 2006.

It will be interesting to see whether the new stock arriving this week is a later batch. So far we've not received anything with an expiry date past 2010.

They have done well to get it in so quickly. Usually there's a lead time of almost 3 mths.
 
Re: Pharmacies running low on Tamiflu

lee and hall pharmacy warkworth auckland have relenza with prescription
NZ health dept has 1.2m doses tamiflu and 125,000 doses relenza in stockpile. nz health advised gps last week that it would be unlikly nz would be able to aquire more antivirals due to international pressure
 
Re: Pharmacies running low on Tamiflu

Indeed Pink Frost. You know Merivale! It was also good to see that those old stocks should not be discarded.

Tamiflu can be used past 'sell by'

By Andrew Jack

Published: May 9 2009 03:00 | Last updated: May 9 2009 03:00

European regulators yesterday took the rare step of extending the shelf life of a medicine for two years when they ruled that Tamiflu, the leading antiviral drug to treat flu, could be used for up to two years beyond its current expiry date.

The European Medicines Agency said for the first time ever that a medicine could remain safe to use for seven years, in response to concerns of a global shortage of a drug that could help prevent and treat a pandemic flu virus. "The recommendation is don't throw it away," a spokeswoman said.

The move may reduce short-term pressure for additional stockpile orders by governments from Roche of Switzerland, which produces the drug. Andrew Jack, London

Copyright The Financial Times Limited 2009
http://www.ft.com/cms/s/0/e96d7460-3c30-11de-acbc-00144feabdc0.html?nclick_check=1
 
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