re: re: re: What’s the story on Solu-Cortef?
Feb. 3rd, 2003   10:42pm

I think there has been a shortage of Solu-cortef since the fall, though I did get a prescription filled here in November (just to be prepared) and did not experience a problem.  This is what the govt website on drug shortages has to say about it.  (Solu-cortef is the brand name for the product put out by Pharmacia.  The chemical compound itself is called "hydrocortisone sodium succinate.") 

If you are having problems getting Solu-cortef in your area, there are injectable forms of prednisone and dexamthesone that can be used as substitutes, though they will not have the same salt-retaining properties as Solu-cortef (something to discuss with the doctor, if a substitute is prescribed). 

Good luck to all.

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http://ashp.org/shortage/methylprednisolone.cfm?cfid=16564903&CFToken=54747913

 

Glucocorticoids for Injection
30 January 2003

Products affected

Hydrocortisone sodium succinate

Reasons for the shortages

Hydrocortisone sodium succinate

Abbott’s hydrocortisone sodium succinate products are on nationwide back order due to manufacturing difficulties.1 Pharmacia’s 100 mg products are on nationwide back order due to the implementation of a new sterile product process as well as an increased demand for the product.2

Estimated resupply dates

Hydrocortisone sodium succinate

Implications for patient care

Hydrocortisone possesses both mineralocorticoid and glucocorticoid activity and is generally considered the first-line agent for treating adrenocrotical insufficiency. Because other corticosteroids primarily have glucocorticoid activity (Table 1), concomitant mineralocorticoid supplementation with fludrocortisone may be required in these patients.4,7,8

Carol M.
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