Nardil (phenelzine) global shortage - USA - what's up? - Social Anxiety Forum
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post #1 of 32 (permalink) Old 06-08-2020, 11:20 PM Thread Starter
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Nardil (phenelzine) global shortage - USA - what's up?


I don't have much time.

I secured a 20-day supply of brand from my HMO (Kaiser Permanente) and was shocked to discover EVERYONE seems to be out. Apparently, Kaiser has some on backorder which will be filled about a week or two after I run out, which means I need to find a community or online pharmacy with stock.

For Americans: Pfizer (Greenstone is the generic - Identical), and Lupin (formerly Gavis Pharma/Novel Labs) are the licensed suppliers of Nardil/phenelzine in the United States. As soon as I wake up tomorrow, I am calling both to find out exactly what's going on. I used to post a lot on psychobabble but I don't know where the Nardil community "hangs out " these days anymore.

Internet searches have not been very productive - if anyone knows more information about this shortage, please reply here. I need this medicine, it is the ONLY thing that has ever worked for my depression. And I've tried virtually everything else. I certainly hope they are not discontinuing production. Does anyone know why there's a shortage?

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post #2 of 32 (permalink) Old 06-16-2020, 06:29 PM
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Time to start calling every pharmacy I guess, this has happened quite a few times for me. In Canada 1 in 10 drugs is either in shortage or discontinued, and that is just business as usual here. The global drug supply chain is pathetically weak. Always hoard any drug you are on whenever possible(getting prescribed more than you actually use and filling every script as early as possible whether or not you need it). Sometimes compounding pharmacies can get a hold of supply that you wouldn't otherwise be able to access at community pharmacies, so that may be an option if you are desperate.

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post #3 of 32 (permalink) Old 06-16-2020, 11:54 PM
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Time to start calling every pharmacy I guess, this has happened quite a few times for me. In Canada 1 in 10 drugs is either in shortage or discontinued, and that is just business as usual here. The global drug supply chain is pathetically weak. Always hoard any drug you are on whenever possible(getting prescribed more than you actually use and filling every script as early as possible whether or not you need it). Sometimes compounding pharmacies can get a hold of supply that you wouldn't otherwise be able to access at community pharmacies, so that may be an option if you are desperate.

Get a prescription from docs so you are ready to go and then ring up the actual suppliers to find out who has some in stock, then find out if they have suppliers contract with a pharmacy near you, then ring the pharmacy, then pop down and explain situation to them.


If you have crap doctors and pharmacists down your way then you are likely to have to plead, beg, explain sitiuations over and over again and just deal with the blocks, laziness and unhelpfulness from people who are there to help...and you get to do that each time you try to get more.


but I have managed to get 4 months worth of nardil this way plus another prescription out there for 240 tablets (I would dish some out to you guys in normal circumstances but I cant with this shortage, sorry)



PS anyone in the UK , some suppliers have nardil capsules now and not tablets - no problem you think, but if you have tablets written on your prescription, then for pharmacists, its one of the biggest deals you can get and script will be rejected.

**** your feelings !!


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post #4 of 32 (permalink) Old 07-01-2020, 04:08 PM
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As far as I've heard quite a few nardil manufacturers have stopped their production due to "manufacturing issues" (not enough $$$ in it to be profitable, i guess).
Link Pharmaceuticals in Australia have completely discontinued.
Kyowa Kirin (UK supplier, might start again 2021, but that's a big question mark).
Canada, and a lot of countries get their Nardil from the U.S Parke-Davis a la Pfizer, they in return get their Nardil nowadays from a company in India called Lupin, and the FDA have fairly recently not approved of them for unknown reasons.

So basically, in order for people to get their Nardil again regularly, FDA just need to change their mind.

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post #5 of 32 (permalink) Old 07-02-2020, 10:43 AM
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As far as I've heard quite a few nardil manufacturers have stopped their production due to "manufacturing issues" (not enough $$$ in it to be profitable, i guess).
Link Pharmaceuticals in Australia have completely discontinued.
Kyowa Kirin (UK supplier, might start again 2021, but that's a big question mark).
Canada, and a lot of countries get their Nardil from the U.S Parke-Davis a la Pfizer, they in return get their Nardil nowadays from a company in India called Lupin, and the FDA have fairly recently not approved of them for unknown reasons.

So basically, in order for people to get their Nardil again regularly, FDA just need to change their mind.

Got email confirmation that Kyowa Kirin have stopped nardil for good, what a waste of space they were. However Target Healthcare in the UK has been passed the active ingredients so I phoned them up and they have said they are now taking over production, and currently producing as of now.



So fingers crosssed, and what the rep confirmed to me, we are good to go in the UK. They will be capsules though, not tablets.


We need to get our hands on that active ingredient and start cooking up !!!

**** your feelings !!


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post #6 of 32 (permalink) Old 07-02-2020, 12:54 PM
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Got email confirmation that Kyowa Kirin have stopped nardil for good, what a waste of space they were. However Target Healthcare in the UK has been passed the active ingredients so I phoned them up and they have said they are now taking over production, and currently producing as of now.



So fingers crosssed, and what the rep confirmed to me, we are good to go in the UK. They will be capsules though, not tablets.


We need to get our hands on that active ingredient and start cooking up !!!
That is bad news, and good news at the same time.

It's no surprise this was going to happen. MAOI's doesn't earn the companies enough money to care. It's still baffling that one of the most effective medications for social phobia and atypical depression might eventually disappear.

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post #7 of 32 (permalink) Old 07-02-2020, 01:26 PM
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That is bad news, and good news at the same time.

It's no surprise this was going to happen. MAOI's doesn't earn the companies enough money to care. It's still baffling that one of the most effective medications for social phobia and atypical depression might eventually disappear.

Bad news that it just relates to the UK ?


I know re companies earning enough etc but there a tons and tons of generic medications out there that are cheap as chips so baffling why MAOIs would go cos of this.


To be honest its already baffling and negelectful to say the least that so many professionals, paid good money to help people, still think they are dangerous. They are pro's in prescribing drugs for mental illness and so many cant be arsed to get themselves the latest up to date knowledge of the tools of their trade.


Its not a massive number of drugs we are talking about.


And as for doctors, ****! When I first asked for phenelzine I was done, going nowhere but down, and my doctor laughed at me and said no, im not giving you that !!


And if my current doctor who has been with me since I first seeked help, and knows how effective and safe it has been, tells me one more time at an appointment that despite 7 great perfect years on it, that all at the surgery want me really to come of it because its dangerous....I'll think I'll shove her head in front of the screen and google some very easily found evidence of its safety.


'No, its not dangerous in overdose, thats not even written anywhere. No its not dangerous for the heart, thats not even written anywhere. What next, it will make my dick fall off? its not even dangerous for the correct dangers'

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post #8 of 32 (permalink) Old 07-02-2020, 06:38 PM
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Bad news that it just relates to the UK ?
Bad news Kyowa Kirin shut down.

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To be honest its already baffling and negelectful to say the least that so many professionals, paid good money to help people, still think they are dangerous. They are pro's in prescribing drugs for mental illness and so many cant be arsed to get themselves the latest up to date knowledge of the tools of their trade.
Yeah, most of them know very little outside of the basics and follow what is the norm.

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And as for doctors, ****! When I first asked for phenelzine I was done, going nowhere but down, and my doctor laughed at me and said no, im not giving you that !!
I had the very same experience. I still remember it very clearly. When your problems are crippling you, but the person in front of you refuses to help you, it's sad.

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post #9 of 32 (permalink) Old 07-02-2020, 07:54 PM
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I had the very same experience. I still remember it very clearly. When your problems are crippling you, but the person in front of you refuses to help you, it's sad.

I must have gone to the docs for at least 4 or 5 times per year during the 5 yr spell of time I suffered with GAD and then depression, before I got referred to a pdoc.


If that had been a bad knee for example, I probably would have been referred to a specialist after just 2 or 3 trips to the docs.


Such is the complexity of mental illness, your average doctor at your local surgery is not equipped to treat it....other than putting you on the ssri roundabout that goes nowhere for so many.

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post #10 of 32 (permalink) Old 07-02-2020, 08:59 PM
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However Target Healthcare in the UK has been passed the active ingredients so I phoned them up and they have said they are now taking over production
That's good news mate.

But am I right in my understanding that Kyowa Kirin has simply provided Target with whatever existing phenelzine sulfate they had already manufactured, before production was halted?

If that's the case, it would mean Target has a finite supply of the active ingredient. With nothing more coming from Kyowa Kirin, once it's gone, it seems that will be it.

Forgive my skepticism here Iol ... I guess I've become used to disappointments lately : ((
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post #11 of 32 (permalink) Old 07-02-2020, 11:20 PM
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If that's the case, it would mean Target has a finite supply of the active ingredient. With nothing more coming from Kyowa Kirin, once it's gone, it seems that will be it.

Forgive my skepticism here Iol ... I guess I've become used to disappointments lately : ((

oh ffs mate, why did you have to point this out lol.


I definitely asked if this was a permanent thing and she said yeah but gonna have to ring them again and double check.


In future, keep your good points to yourself ha.

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post #12 of 32 (permalink) Old 07-03-2020, 12:48 AM
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oh ffs mate, why did you have to point this out lol.

I definitely asked if this was a permanent thing and she said yeah but gonna have to ring them again and double check.

In future, keep your good points to yourself ha.

Haha, sorry to burst your bubble mate. I do tend to expect the worst all the time, just the way I'm built I guess : /
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post #13 of 32 (permalink) Old 07-03-2020, 01:10 AM
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Haha, sorry to burst your bubble mate. I do tend to expect the worst all the time, just the way I'm built I guess : /

Ha, tbh mate I`m thinking the worst over both nardil and parnate at the mo. Gonna give Target a call soon.


Have been googling possible combos to replace MAOIs but not sure I''d get a **** load of speed and benzos.


Anyway, I havent suffered any depresion or anxiety for a long time now so perhaps I'll find I don't need anything.

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post #14 of 32 (permalink) Old 07-03-2020, 03:04 AM
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Haha, sorry to burst your bubble mate. I do tend to expect the worst all the time, just the way I'm built I guess : /

So just spoke with Target, and they confirmed that they are also manufacturing ongoing !!


Jtd, you dont need to add anything mate ok lol

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post #15 of 32 (permalink) Old 07-04-2020, 03:35 AM
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@D'avjo Glad to hear it mate, I'll say no more haha
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post #16 of 32 (permalink) Old 07-04-2020, 07:07 AM
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@D'avjo Glad to hear it mate, I'll say no more haha

say no more? why what do you know? ffs mate, stay off this thread from now on.



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post #17 of 32 (permalink) Old 07-04-2020, 08:20 AM
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say no more? why what do you know? ffs mate, stay off this thread from now on.


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post #18 of 32 (permalink) Old 07-04-2020, 08:37 AM
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If you post....yes dave, thats good!....and nothing else, you can stay ha

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post #19 of 32 (permalink) Old 07-04-2020, 09:26 AM
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If you post....yes dave, thats good!....and nothing else, you can stay ha

OK, I'll consider myself told haha
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post #20 of 32 (permalink) Old 07-04-2020, 09:29 AM
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OK, I'll consider myself told haha

lol

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