Canadian Pharmacists Association
Canadian Pharmacists Association

Managing current drug shortages

At any given time, there are between 1500 and 2000 active drug shortages in Canada. In many of these cases, pharmacists play an important and effective role in managing shortages at the pharmacy level. Below you will find information and resources related to several current shortages that may have a widespread impact on patients and pharmacies. 

Our role: CPhA works closely with Health Canada and others to represent the pharmacy profession. This includes advocating on pharmacists’ behalf, communicating shortage updates and recommendations, collecting frontline data to help inform allocation and procurement strategies, and developing tools and resources to support pharmacy and patients.

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Hormone Replacement Therapy

There are ongoing supply challenges impacting estrogen transdermal patches and vaginal rings (Estring) in Canada. Health Canada is in contact with manufacturers and is closely monitoring the supply situation. While there is not a clear resolution timeline in place for these shortages, there is currently an adequate supply of alternative products, including transdermal gels, vaginal creams and tablets to compensate for these shortages.

CPhA is currently exploring the need for a clinical resource to support pharmacists as they help their patients navigate this shortage and available alternatives.  

Cholestyramine/colestipol/colesevelam  

There is an ongoing national shortage of cholestyramine due to a number of factors, including demand increase and disruptions in the manufacturing of some cholestyramine products. The shortage is expected to continue well into 2024. Alternative products identified include colesevelam and colestipol, which are experiencing significant increases in demand. On January 26, 2024, a Tier 3 shortage was declared for cholestyramine and Tier 3 status was proactively assigned to colestipol. A Tier 3 status was also proactively assigned to colesevelam on February 15, 2024.

Information and resources 

Ozempic and other GLP-1 agonists

Due to high demand around the world, including Canada, supply issues have affected Ozempic (Semaglutide), Trulicity (dulaglutide), and Mounjaro (tirzepatide).

Novo Nordisk reports that the shortage for both Ozempic dose strengths are now resolved and the supply/demand situation for all dose strengths is stable.

Eli Lilly has advised Health Canada that, depending on the strength of the dosage, it expects shortages to end on March 31, 2024, for Trulicity (dulaglutide) and between April 15 and July 1, 2024, for Mounjaro (tirzepatide).

CPhA has been engaged with Health Canada and other partners to support pharmacists during this shortage.

Information and resources 

Tamsulosin 

There is currently a national shortage of tamsulosin hydrochloride. In Canada, tamsulosin hydrochloride oral tablets are marketed by 8 companies, 7 of which are reporting active/anticipated shortages or discontinuations for their products. Intermittent supply gaps can be expected from late March 2024 through April 2024. On January 26, 2024, a Tier 3 status was assigned to tamsulosin. 

Information and resources

Nitroglycerin spray

There is an ongoing shortage of nitroglycerin spray in Canada.  Health Canada, together with its partners, is continuing to look at ways to conserve existing supply, expedite resupplies to hospitals and pharmacies, and access foreign-authorized supply or alternatives, where possible. 

Information and resources