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Public healthCanada

Roche to discontinue Activase 100 mg alteplase powder by January 2027

Hoffmann-La Roche reports its Activase rt-PA (alteplase) 100 mg powder for solution is to be discontinued on Jan 31, 2027, for business reasons. Roche says the decision is voluntary and not due to quality, safety or efficacy issues, and remaining supply is listed to Nov 30, 2027.

Alteplase is the clot-busting drug used for stroke and heart attack care — hospitals should plan the switch to alternative treatments.

AlertPublic healthCanada

Critical shortage of Stannous MDP imaging kits impacts bone scans until December

Calgary Radiopharmaceutical Centre / Alberta Health Services reports its Stannous MDP Kit (technetium Tc-99m medronate injection) 15 mg is in a Tier 3 critical shortage after a shortage of tin chloride, a critical component of the cold kit. The actual shortage began Jul 23, 2026 and is estimated to end Dec 31, 2026.

The MDP kit is used for bone scans — a Tier 3 shortage can delay nuclear medicine imaging for patients.

AlertDue in 6 daysPublic healthCanada

Critical shortage of Stannous PYP imaging kits impacts Alberta nuclear medicine

Calgary Radiopharmaceutical Centre / Alberta Health Services reports its Stannous PYP Kit (technetium Tc-99m pyrophosphate injection) 20 mg is in a Tier 3 critical shortage after a shortage of tin chloride, a critical component of the cold kit. The actual shortage began Jul 23, 2026 and is estimated to end Nov 5, 2026.

The PYP kit is used in nuclear medicine imaging — a Tier 3 shortage can delay scans for patients.

Public healthCanada

Janssen reports upcoming supply shortage for 6 mg Invega tablets

Janssen reports its Invega (paliperidone) 6 mg extended-release tablet faces an anticipated shortage from Jul 25, 2027, after a disruption in manufacturing. The shortage is estimated to end Nov 1, 2027.

Paliperidone is an antipsychotic used for schizophrenia and schizoaffective disorder — prescribers should plan supply well ahead of the July 2027 start.

Public healthCanada

Janssen reports 9 mg Invega tablet shortage starting January 2027

Janssen reports its Invega (paliperidone) 9 mg extended-release tablet faces an anticipated shortage from Jan 4, 2027, after a disruption in manufacturing. The shortage is estimated to end Nov 1, 2027.

Paliperidone is an antipsychotic used for schizophrenia and schizoaffective disorder — prescribers should plan supply ahead of the January start.

RecallTech & trendsCanada

BioMérieux reports false negative risks for specific BIOFIRE BCID2 panel lot

BioMérieux identified a product issue with lot 0727226 of the BIOFIRE BCID2 Panel kit. Unintended movement of pouch chemistry in this specific lot may cause false negative results across all analytes on the panel. No other product lots are affected by this safety notice.

If your lab uses this specific lot, contact the manufacturer for guidance on managing potential false negative results.

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Cheplapharm reports critical Tier 3 shortage of 50 mg etoposide capsules

Cheplapharm Arzneimittel reports its Vepesid (etoposide) 50 mg oral capsule is in a Tier 3 critical shortage after a disruption in manufacturing. The shortage was anticipated from Sep 4, 2026 and its estimated end date is unknown; the Oct 27 update confirmed the shortage is now actual rather than anticipated.

Etoposide is a chemotherapy drug — a Tier 3 critical shortage means cancer care teams need alternatives or allocation plans now.

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Pfizer reports critical shortage of intravenous dextrose solution until February 15

Pfizer Canada reports its Dextrose Injection USP (dextrose 500 mg solution for intravenous use, 10 x 50 mL Ansyr) is in a Tier 3 critical shortage after a disruption in manufacturing. The actual shortage began Sep 9, 2026 and is estimated to end Feb 15, 2027.

IV dextrose is a hospital staple for fluids and low-blood-sugar care — a Tier 3 shortage affects wards across the system.

Public healthCanada

Formative Pharma reports upcoming supply shortage for 60 mg cabazitaxel injections

Formative Pharma reports its Cabazitaxel for Injection 60 mg solution for intravenous use faces an anticipated shortage from Apr 30, 2027, citing a Health Canada supplement delay. The company says the product is on 100% allocation at CPDN and no estimated end date is given.

Cabazitaxel is a chemotherapy drug — oncology teams should plan supply well ahead of the April 2027 start.

Due in 21 daysPublic healthCanada

Formative Pharma reports upcoming supply shortage for 45 mg cabazitaxel injections

Formative Pharma reports its Cabazitaxel for Injection 45 mg solution for intravenous use faces an anticipated shortage from Nov 20, 2026, citing a Health Canada supplement delay. The company says the product is on 100% allocation at CPDN and no estimated end date is given.

Cabazitaxel is a chemotherapy drug — oncology teams should plan supply ahead of the November start.

Public healthCanada

Baxter reports supply shortage of 4 mL Artiss fibrin sealant until March

Baxter reports its Artiss fibrin sealant (slow set) 4 mL is in an actual shortage that began Oct 27, 2026 and is estimated to end Mar 15, 2027, driven by an unanticipated increase in demand following the recent emergency in Alberta involving multiple burn patients. The 2 mL size remains available, but Baxter warns ordering it in place of the 4 mL will restrict both sizes.

Fibrin sealant is used in surgery and burn care — surgical teams should plan alternatives while the shortage runs.

Public healthCanada

Sanofi reports supply shortage for 2.5 mg metolazone tablets until December 18

Sanofi-Aventis Canada reports its Zaroxolyn (metolazone) 2.5 mg tablet is in an actual shortage that began Oct 26, 2026 and is estimated to end Dec 18, 2026, due to a supply delay. Sanofi notes the date is estimated availability at its main warehouse and may vary by distributor.

Metolazone is a diuretic used in heart failure and kidney care — pharmacies should check stock and alternatives while the shortage runs.

Public healthCanada

Hikma reports actual shortage of 1 g vancomycin injections until January 31

Hikma Canada reports its Vancomycin Hydrochloride for Injection USP 1 g powder for solution is in an actual shortage that began Oct 9, 2026, driven by increased demand. The Oct 27 update confirmed the shortage is now actual rather than anticipated; the page lists an actual end date of Jan 31, 2027.

Vancomycin is a front-line antibiotic for serious infections — hospitals should confirm stock and alternatives now.

Public healthCanada

Hikma reports 500 mg vancomycin injection shortage until January 31

Hikma Canada reports its Vancomycin Hydrochloride for Injection USP 500 mg powder for solution is in an actual shortage that began Oct 9, 2026 and is expected to run until Jan 31, 2027, driven by increased demand.

Vancomycin is a front-line antibiotic for serious infections — hospitals should confirm stock and alternatives now.

Due in 32 daysPublic healthCanada

Roche reports Tamiflu oral suspension shortage until December 1 due to demand

Hoffmann-La Roche reports its Tamiflu (oseltamivir) 6 mg powder for oral suspension is in an actual shortage that began Oct 23, 2026 and is expected to run until Dec 1, 2026, driven by a significant increase in demand from the spread of influenza in Canada. Roche says stock is on allocation and Tamiflu 75 mg capsules remain available for compounding a suspension.

Oseltamivir suspension is the flu treatment for children — pharmacies should check stock and the capsule-compounding option while the shortage runs.

Public healthCanada

Novo Nordisk transitions 3 mg Rybelsus tablets to 1.5 mg formulation

Novo Nordisk Canada reports its Rybelsus (semaglutide) 3 mg tablet is in an actual shortage anticipated from Aug 30, 2026, with no estimated end date. The company says the current 3 mg formulation will transition to the equivalent new optimized formulation of Rybelsus 1.5 mg — a formulation change, not a supply failure.

Semaglutide is widely prescribed for type 2 diabetes — patients on the 3 mg tablet should plan the switch to the 1.5 mg formulation with their prescriber.

Public healthCanada

Omega Laboratories reports ongoing shortage of 0.4 mg naloxone injection

Omega Laboratories reports its Naloxone Hydrochloride Injection 0.4 mg solution is in an actual shortage after a disruption in manufacturing. The shortage was anticipated from Aug 30, 2026, no estimated end date is given, and the Oct 27 update confirmed the shortage is now actual rather than anticipated.

Naloxone is the opioid-overdose antidote — harm-reduction and emergency teams should confirm supply now.

Due in 32 daysPublic healthCanada

Hikma reports shortage of intravenous levofloxacin solution until December 1

Hikma Canada reports its Levofloxacin in 5% Dextrose Injection 5 mg solution for intravenous use (150 mL) is in an actual shortage that began Oct 9, 2026, after a delay in shipping. The page lists an actual end date of Dec 1, 2026.

Levofloxacin IV is a widely used hospital antibiotic — care teams should confirm stock and alternatives while the shortage runs.

Public healthCanada

Sterimax hydromorphone injection supply shortage impacts Manitoba hospitals until December 31

Sterimax reports its Hydromorphone Hydrochloride Injection 2 mg solution is in an actual shortage that began Oct 9, 2026 and is estimated to end Dec 31, 2026, after a delay in shipping. The company notes contract coverage is in place.

Hydromorphone injection is a standard hospital pain drug — care teams should confirm supply while the shortage runs.

Public healthCanada

Sanofi reports actual shortage of Trurapi insulin aspart cartridges

Sanofi-Aventis Canada reports its Trurapi (insulin aspart) 100 units solution for subcutaneous injection (cartridge) is in an actual shortage after intermittent supply problems. The shortage was anticipated from Sep 8, 2026, no estimated end date is given, and the Oct 27 update confirmed the shortage is now actual rather than anticipated.

Insulin aspart is a daily essential for people with diabetes — patients and pharmacies should confirm supply and alternatives now.

Due in 7 daysPublic healthCanada

Sanis Health reports shortage of 300 mg pregabalin capsules until November 6

Sanis Health reports its Pregabalin 300 mg capsule is in an actual shortage that began Oct 9, 2026 and is expected to run until Nov 6, 2026, after a disruption in manufacturing.

Pregabalin is widely used for nerve pain and seizures — prescribers and pharmacies should plan alternatives while the shortage runs.

Public healthCanada

Mantra Pharma reports shortage of 120 mg diltiazem capsules until December 15

Mantra Pharma reports its M-Diltiazem CD (diltiazem hydrochloride) 120 mg controlled-delivery capsule (DIN 02546086) is in an actual shortage caused by a delay in shipping. The shortage was anticipated from Oct 19, 2026 and is expected to run until Dec 15, 2026.

Diltiazem is a widely used heart and blood-pressure drug — pharmacies should check stock and alternatives while the shortage runs.

Health policyCanada

Federal government introduces bill to restrict MAID for mental health conditions

The federal government is tabling legislation to permanently exclude individuals with mental illness as their sole underlying condition from accessing medical assistance in dying. The bill also introduces provisions for advance requests, allowing patients with degenerative conditions to consent to MAID before losing capacity. The legislation must pass by March 17, 2027.

If this bill passes, provinces will decide whether to implement advance request procedures within their own health systems.

Public healthCanada

Health risks identified for patients cycling or stopping GLP-1 weight loss drugs

GLP-1 drugs were designed and tested for long-term treatment of diabetes and obesity, but growing numbers of people are using them off-label for short-term weight loss — microdosing, cycling on and off, or brief stints before weddings. A Danish study found roughly half of adults stopped semaglutide for obesity within 12 months. Experts warn stopping can lead to weight regain and worsened heart health and blood pressure, and mouse research found cycling made them less effective. No guidance exists yet on stopping safely; a 16-week Toronto trial is comparing tapering off with stopping abruptly.

Patients are asking frontline workers about GLP-1s for quick weight loss — this explains the risks of stopping and cycling, and that there is no safe way to quit yet.

News source: CBC News (opens in a new tab)

AlertDue in 32 daysPublic healthCanada

Alcon reports critical shortage of Miostat eye solution until December 1

Alcon Canada reports its Miostat (carbachol) 0.01% intraocular solution (DIN 00042544) is in a Tier 3 critical shortage after a disruption in manufacturing. The shortage was anticipated from Sep 28, 2026 and is estimated to end Dec 1, 2026, though Alcon says current stock is under allocation and resupply is estimated for early January 2027.

Miostat is used in eye surgery — a Tier 3 critical shortage means surgical teams need alternatives or allocation plans now.

Public healthCanada

Takeda reports Tecta 40 mg supply shortage through December 18

Takeda Canada reports its Tecta (pantoprazole magnesium) 40 mg enteric-coated tablet (DIN 02267233) faces an anticipated shortage from Oct 26 to Dec 18, 2026, driven by increased demand. Takeda notes the product is on limited allocation.

Pantoprazole is a commonly prescribed stomach-acid drug — prescribers and pharmacies should plan alternatives while the shortage is expected.