a continuing crisis, the result of a chain of industrial and commercial causes

“Supply Voltage”, ” out of stock “… Every day, or almost, a new medicine appears in the list updated by the National Medicines Safety Agency (ANSM) on the availability of health products. After a winter marked by shortages of amoxicillin and paracetamol which caused a stir, tensions are far from over. In recent weeks in pharmacies, the difficulties have never been greater to obtain Flecaine, an antiarrhythmic which concerns some 380,000 people suffering from heart rhythm disorders. Back to a crisis now established.

“Ten years” of tension

“We go from drug to drug, every week there is a new one”, describes Philippe Besset, president of the Federation of Pharmaceutical Unions of France. Anti-infectives, anti-epileptics, antibiotics, anti-diabetics… Supply disruptions have become a scourge that affects all ranges of medications. “The shortages are permanent, it’s a worrying subject”relates Agnès Giannotti, president of MG France, the main union of general practitioners.

“This summer, tensions continued to increase, particularly over cardiology medications”, confirms Doctor Isabelle Yoldjian, medical director at the National Medicines Safety Agency. The alert on Flecaine, a drug said “of major therapeutic interest” – either for which an interruption of treatment is likely to jeopardize the vital prognosis in the short or medium term or represents a significant loss of opportunity for the patient – ​​is only the latest. “When it comes to cardiovascular disease, it’s never comfortable, but we can’t oppose the pathologies or make a scale of severity in the drugs of major therapeutic interest that are missing, any rupture is problematic”, takes over the responsibility.

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Since the release of Covid-19, the list has continued to grow: the figures for the year 2023 have not yet been communicated by the ANSM, but in 2022, more than 3,000 drugs of major therapeutic interest were reported as out of stock or at risk of stock out by pharmaceutical manufacturers, compared to 1,504 in 2019.

According to the barometer of France Assos Santé, which represents patients and users, dating from March, the number of patients saying they are facing a shortage of a drug has jumped from 29% to 37% in one year. “Shortages have been felt for ten years, but the phenomenon is increasing and above all we see no end”worries Catherine Simonin, member of France Assos Santé, who also cites tensions over drugs in neurology or certain chemotherapies.

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