Methotrexate - supply shortage

Ongoing
methotrexate
ShortageHuman

Shortage information

Methotrexate is used for two different groups of indications:

  • different types of cancer;
  • inflammatory diseases including rheumatoid arthritis, juvenile chronic arthritis, psoriasis and Crohn’s disease.

There have been an unexpected increase in demand for methotrexate injections and delays in production which have led to supply shortages in some European countries.

Austria, Belgium, Finland, France, Germany, Hungary, Italy, Luxembourg, Netherlands, Portugal and Romania.

EMA’s SPOC working party is closely monitoring the supply situation and engaging with the marketing authorisation holders and other stakeholders to identify measures to mitigate the impact of the supply shortage.

The SPOC working party is responsible for monitoring and reporting events that could  affect the supply of medicines in the EU.

  • Different manufacturing issues are affecting the supply of methotrexate injections in some European countries.
  • Before starting treatment, healthcare professionals should ensure that sufficient supplies are available to complete the treatment (especially for the use in cancer).
  • In case of supply shortages, healthcare professionals should consider alternative treatment options for their patients.
  • Please consult your national shortage register for further advice, including advice on alternatives.

  • Different manufacturing issues are affecting the supply of methotrexate injections in some European countries.
  • Your doctor will check that there are sufficient supplies available before starting treatment, especially if you are being treated for cancer.
  • In case methotrexate injections become unavailable, your doctor will discuss possible alternatives with you.
  • Please consult your national shortage register for further advice, including advice on alternatives.

Key facts

Medicines affected
Methotrexate
Supply shortage status
Ongoing
International non-proprietary name (INN) or common name
methotrexate
Therapeutic area (MESH)
  • Cancer
  • Neoplasms
  • Arthritis, Rheumatoid
  • Arthritis
  • Psoriasis
  • Crohn Disease
Pharmaceutical forms affected
Solution for injection
Strengths affected
Various
Availability of alternatives
Yes

Key dates

First published

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