this post was submitted on 04 Jan 2025
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Medication shortages are the biggest ongoing problem that no-one is talking about.
I've been a doc for 10 years and before COVID I can think of one medication shortage that impacted patient care, now it's a constant issue. The TGA has 414 ongoing shortages that are listed including 41 that are critical (Medicine shortage reports database )
We've had to deal with shortages of everything from reflux medication to liquid morphine for palliative patients to a shortage last year of amoxy-fucking-cillin!
Many of these can be dealt with by substituting a similar medication but this has often lead to subsequent shortages of the alternatives. Needless to say it isn't ideal to be chopping and changing antipsychotic medications.
Almost all antipsychotics need to be tapered off. If someone suddenly stops, it can end badly for them. Add to that the facts that quetiapine is one of the most common and effective APs, the importance of treating psychosis and mood stability as effectively as possible, and most people having to do trial and error to find the right medication for them? This is a recipe for disaster.