If parents want to get fever juice for their sick kids, it may not work the first or second time they go to the pharmacy. Juices containing paracetamol or ibuprofen are not available everywhere. The Wieblingen pharmacist asks parents not to react by buying hamsters now – there are alternatives to the juice. But you should take care of it “in advance”. What are the causes of choking? And what can pharmacists do if they can no longer get fever juices.
At Dominik Öhlschläger, juices containing ibuprofen will continue to be supplied until the end of the year. In the time that followed, he could no longer order anything from his usual wholesalers, says the owner of two pharmacies in Korberhöhe and in Beinstein. Already with the last order was lucky to get another delivery.
If the supply runs out, he can get juices with the active ingredient ibuprofen from abroad, for example from Switzerland. But this will be much more expensive. And for the pharmacy, the search for new channels for drugs takes a long time. This costs almost an entire business, Olschlager says. “It used to be at the touch of a button.”
Are you still ibuprofen out there? Customers ‘positively surprised’
The pharmacist reports that customers are now happy that they can still get fever juice for their children from it. Colleague Patrick Pfeiffer of Central Pharmacy tells a similar story. People came from all over Reem Mer because they heard he was still taking ibuprofen and paracetamol. Only recently, at Sunday’s emergency service, have customers who were “positively surprised” tested positive.
Pfeiffer says he ordered “just in time and generously” because the coronavirus pandemic has shown that a certain amount of inventory makes sense. In addition, he can also refer to the stock of the Remspark pharmacy, which is run by his mother Ursula Pfeifer – and after Termination by mall owners You must go out.
For example, says Patrick Pfeiffer, it’s very difficult to say how long a supply of juice containing ibuprofen will last. He cannot currently order them from wholesalers. However, both pharmacists caution against panic. “Don’t buy hamsters, please,” says Dominik Öhlschläger. It makes sense, especially for families with children, to make antipyretic juice at home. But there are also alternatives such as suppositories.
In an emergency, pharmacists can make their own fever syrup. For this they have what is called a recipe on site, a room prepared for this. The active ingredients Ibuprofen or Paracetamol are enough for a while if they are available (they cannot be made in pharmacies). Other ingredients are also purchased and then everything is mixed together according to the pharmacopoeia, explains Patrick Pfeiffer.
Reasons: price pressure, production problems, war
However, there are legal obstacles here to prevent pharmacists from becoming drug producers: production is allowed only by prescription and only in individual cases and for a single patient, explains Frank Eckmann, deputy general director of the state pharmacists’ union. However, he also points out that there are usually alternatives. However, there is a “serious loophole” in fever juices. It is also “difficult” for pharmacists to turn away anxious parents empty-handed.
Difficulties with feverfew juices have existed for a long time – even before the Corona pandemic. One reason: technical problems at the BASF plant in Texas, one of the most important manufacturers of ibuprofen active ingredients in the world, who was absent for months in 2018.
From the point of view of the state pharmacists’ union, the most important cause of ibuprofen bottlenecks is not production, but economic efficiency. Medicines are relatively cheap in Germany, and the price pressure is “heavy”, according to Frank Eckmann. Manufacturers do not consider the German market attractive enough – while in Austria, for example, they get more fever juices. Hence, there is no shortage of pharmacies out there either. If German pharmacists order from there, juices are more expensive here too.
According to the German Pharmacists’ Association, most manufacturers of feverfew juice have stopped production in Europe for economic reasons. “Now there’s another one, and he can’t stand the crowd,” said vice-chairman Hans-Peter Hoppmann. In September to the dpa news agency.
The Federal Institute for Medicines and Medical Devices (BfArM) assumes that there is a “distribution problem”. According to an official review, this and the “withdrawal of a market participant” would lead to a “restriction of the availability of feverfew juices for children”. Demand for juices containing paracetamol and ibuprofen has also “increased disproportionately” this year. “The reasons for this have not yet been satisfactorily determined,” the authority said. on your web page.
According to Frank Ekman of the State Pharmacists’ Union, the factor here could also be the war in Ukraine: painkillers are needed “indefinitely”.