title: Disruptions in the supply of medications used in transplantation: implications and management strategies for the transplant clinician.
abstract: Drug shortages are a threat to patient care and public health, and the number of drugs on shortage is growing at an exponential rate. The major therapy areas affected by these shortages are oncology, anti-infective, cardiovascular and central nervous system. However, drugs utilized in the transplant patient population have not been exempt, and can have significant influence on posttransplant outcomes. The purpose of this review is to discuss the current and historical solid organ transplant-related disruptions in the supply of medications and implications on patient care and safety. Transplant centers should be armed with an implementation plan when imperative transplant-related drugs such as tacrolimus, mycophenolate, or antithymocyte globulin go on shortage. This plan should provide steps to manage the shortage, and provide effective therapeutic alternatives.
authors.affiliation: Department of Surgery, Division of Transplantation, University of Cincinnati, OH, USA. krisl.jill@gmail.com
authors.forename: J C
authors.initials: JC
authors.lastname: Krisl
authors.forename: C R
authors.initials: CR
authors.lastname: Fortier
authors.forename: D J
authors.initials: DJ
authors.lastname: Taber
mesh_terms: D000890:Anti-Infective Agents / Q000600:supply & distribution* / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000600:supply & distribution* / Q000627:therapeutic use; D014180:Transplantation
chemical_list: D000890:Anti-Infective Agents; D007166:Immunosuppressive Agents