this post was submitted on 02 Aug 2023

29 points (96.8% liked)

ADHD

10960 readers

9 users here now

A casual community for people with ADHD

Values:

Acceptance, Openness, Understanding, Equality, Reciprocity.

Rules:

No abusive, derogatory, or offensive post/comments.
No porn, gore, spam, or advertisements allowed.
Do not request for donations.
Do not link to other social media or paywalled content.
Do not gatekeep or diagnose.
Mark NSFW content accordingly.
No racism, homophobia, sexism, ableism, or ageism.
Respectful venting, including dealing with oppressive neurotypical culture, is okay.
Discussing other neurological problems like autism, anxiety, ptsd, and brain injury are allowed.
Discussions regarding medication are allowed as long as you are describing your own situation and not telling others what to do (only qualified medical practitioners can prescribe medication).

Encouraged:

Funny memes.
Welcoming and accepting attitudes.
Questions on confusing situations.
Seeking and sharing support.
Engagement in our values.

Relevant Lemmy communities:

Neurodivergent Life Hacks

lemmy.world/c/adhd will happily promote other ND communities as long as said communities demonstrate that they share our values.

founded 2 years ago

MODERATORS

[email protected]

FDA, DEA Blame Manufacturers For Meds Shortage (www.dea.gov)

submitted 2 years ago* (last edited 2 years ago) by [email protected] to c/[email protected]

14 comments fedilink hide all child comments

The important part:

The current shortage of stimulant medications is the result of many factors. It began last fall due to a manufacturing delay experienced by one drug maker. While this delay has since resolved, we are continuing to experience its effects in combination with record-high prescription rates of stimulant medications. Data show that, from 2012 to 2021, overall dispensing of stimulants (including amphetamine products and other stimulants) increased by 45.5 percent in the United States. According to a U.S. Centers for Disease Control and Prevention report, particularly during 2020-2021, when virtual prescribing was permitted on a widespread basis during the COVID-19 Public Health Emergency, the percentages in certain age groups grew by more than 10 percent. We are calling on key stakeholders, including manufacturers, distributors, pharmacies, and payors, to do all they can to ensure access for patients when a medication is appropriately prescribed. We want to make sure those who need stimulant medications have access. However, it is also an appropriate time to take a closer look at how we can best ensure these drugs are being prescribed thoughtfully and responsibly.

Stimulants are controlled substances with a high potential for abuse, which can lead to addiction and overdose. Therefore, there are limits (also known as quotas) set by DEA for how much of these drugs can be produced. However, for amphetamine medications, in 2022, manufacturers did not produce the full amount that these limits permitted them to make. Based on DEA's internal analysis of inventory, manufacturing, and sales data submitted by manufacturers of amphetamine products, manufacturers only sold approximately 70 percent of their allotted quota for the year, and there were approximately 1 billion more doses that they could have produced but did not make or ship. Data for 2023 so far show a similar trend.

We (DEA and the FDA) have called on manufacturers to confirm they are working to increase production to meet their allotted quota amount. If any individual manufacturer does not wish to increase production, we have asked that manufacturer to relinquish their remaining 2023 quota allotment. This would allow DEA to redistribute that allotment to manufacturers that will increase production. DEA is also committed to reviewing and improving our quota process.

top 11 comments

sorted by: hot top controversial new old

[–] [email protected] 17 points 2 years ago* (last edited 2 years ago) (2 children)

Maybe, but my doctor and pharmacy both blame the DEA meddling for all the difficulties. No one wants to get their hand slapped and the regulations get stricter every year.

[–] [email protected] 3 points 2 years ago

If your mom only gives you one candy per day, who are you going to blame the day your we’re not able to buy your candy because the store was out. If your mom allowed you to buy extra and save it for later it wouldn’t happen.

[–] [email protected] 2 points 2 years ago* (last edited 2 years ago)

Maybe, but my doctor and pharmacy both blame the DEA meddling for all the difficulties.

Sure, because that's what they can see and what is relevant to them. They have no insight into the manufacturers allotment of production, what that production schedule is, or how much of their production allotment they've already used. What you're seeing in this article is "behind the scenes" look at just how deeply the US Government is involved in Healthcare.

[–] [email protected] 11 points 2 years ago (2 children)

And yet the DEA sets limits for manufacturing.

[–] [email protected] 6 points 2 years ago (1 children)

I am curious if the limitations are due to lobbying from the manufacturers to create an artificial limit to the supply.

I wouldn’t be surprised based on how these manufacturers have operated in the past.

[–] [email protected] 3 points 2 years ago (1 children)

"Please daddy DEA don't let me make more profits!"

No, this is just DEA being DEA. The DEA needs to be abolished.

[–] [email protected] 7 points 2 years ago (1 children)

If you artificially limit the supply of whatever drug, the demand for that drug is also artificially inflated. Companies being companies can then increase the price of the drug based on those figures and make more profit without having to spend time and resources making more of those drugs.

Limiting the manufacture of those drugs also ensures that the market doesn’t get flooded with too much of that drug, keeping a baseline floor price of that drug.

If the pharmaceutical companies were advocating for the patients I would believe that the DEA is being ridiculous, but that’s not what’s happening here. You have pharmaceutical companies not producing those medications to the limits already set.

With the logic of “please daddy afea Don’t let me make more profits!” You would think those pharmaceutical manufacturers would be making more, but they aren’t. So it isn’t the DEA being the DEA in this instance.

[–] [email protected] -1 points 2 years ago

Thanks for explaining supply and demand for me. Have you heard of the insurance industry?

[–] [email protected] 1 points 2 years ago* (last edited 2 years ago)

Prescribing, manufacturing, sale, and use. The Government is watching and analyzing literally every link in the chain from the drug precursors to the patient.

[–] [email protected] 4 points 2 years ago

The key pieces of information missing from their numbers:

What proportion of manufacturers hit a limit last year.
If those allocations were adjusted this year to be given to mfgs that could actually produce.
If they're talking about final product limits or core ingredient limits.

[–] [email protected] 2 points 2 years ago

Thank you for sharing this info. 12 days ago it took me, my doctor’s office, my insurance company, and 6 pharmacies to solve a 12 day supply to finish my original 28 day supply that was shorted. All those calls, sweat and tears still took 4 days to resolve. And now those 12 days are up. So now I’m in another battle to get this months prescription filled. It causes me so much anxiety, and feelings of hopelessness. I’m very grateful my doctor’s office called all these places on my behalf and advocated for me.

load more comments