Drug Shortage Notice IRON SUCROSE 20 mg/mL INJECTION (Venofer) Date: November 17, 2014 Best Practice Drug Discontinuation Label Change Medication Change Recall Vendor Change Drug Shortage Drug and Duration of Shortage: Iron sucrose injection is currently backordered until mid December 2014 NH Stock Status - Pharmacy currently has sufficient supply to maintain patients - However to preserve existing supply in the event of a backorder extension please consider reserving the use of iron sucrose to patients intolerant to another IV iron and/or unable to tolerate oral iron preparations. For the information of: physicians, nurses, pharmacists For further information please contact: Nancy Dyck MUM Pharmacist Northern Health Authority 250-261-7481 mumpharmacist@ northernhealth.ca PLEASE POST PLEASE POST POSSIBLE ALTERNATES*: Oral alternates*: Iron Preparation Ferrous FUMARate Ferrous GLUCONate Ferrous SULFate Parenteral Alternates*: Iron Preparation Iron dextran (DexIron) Recently off backorder ! Format 300 mg capsule 300 mg tablet 300mg tablet 75 mg/mL liquid 30 mg/mL syrup Concentration (elemental iron) 50 mg/mL Elemental Iron 99 mg/capsule 35 mg/tablet 60 mg/tablet 15 mg/mL 6 mg/mL Notes: Test dose required before 1st dose N.B. a) Sodium Ferric gluconate complex (Ferrlicit) Injection – Recently off backorder. Restricted use for patient registered with BC Provincial Renal Program. Not in stock at all NH sites so please contact site pharmacy if needed. b) Ferumoxytol (Feraheme) – Restricted use for patients registered with BC Provincial Renal Program. Please contact pharmacy at your site for more information. *Alternates are provided for clinical information and may not be relevant in all clinical situations