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Drug shortages cause higher rates of medication errors, delayed treatment of life-saving medications and inferior outcomes, and even death, said Yoram Unguru, MD, a pediatric hematologist/oncologist at the Herman and Walter Samuelson Children’s Hospital at Sinai in Baltimore.
In addition, substituting an alternative drug for standard of care can have consequences, said Unguru, a meeting panelist.
In 2009, during a shortage of mechlorethamine, which is used to treat patients with Hodgkins lymphoma, cyclophosphamide was used as a substitute in 40 teenagers. He said that their event-free survival rate was 12.5% lower than expected with the usual agent.
While there weren’t any deaths in the group given the alternative treatment, those adolescents did experience “more rounds of toxic therapy” such as stem cell transplants, for which long-term effects are still uncertain, Unguru said. (A 2012 article in The New England Journal of Medicine reviewed the mechlorethamine shortage.)
…continue reading ‘Industry Experts, Clinicians Seek Solutions to Drug Shortages’
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