Medicine Supply Notification: Triamcinolone acetonide 10mg/ml (Adcortyl® multi-dose vial) and 40mg/ml (Kenalog® vials) suspension for injection
Department of Health and Social Care (DHSC) has issued a medicine supply notification for Triamcinolone acetonide 10mg/ml (Adcortyl® multi-dose vial) and 40mg/ml (Kenalog® vials) suspension for injection.
MSN/2025/021
Tier 2 – medium impact
Date of issue: 7th April 2025
- Triamcinolone acetonide 10mg/ml (Adcortyl® multi-dose vial) and 40mg/ml (Kenalog® vials) suspension for injection are being discontinued with stock expected to be exhausted by early June 2025.
- Dexamethasone sodium phosphate 3.3mg/ml and 3.8mg/ml injections are available and can support increased demand (see Supporting information).
- Hydrocortisone sodium succinate 100mg powder for solution for injection is available and can support increased demand (see Supporting information).
- Methylprednisolone sodium succinate (Solu-Medrone®) 500mg and 1g injection and methylprednisolone acetate (Depo-Medrone®) 40mg/ml injection are available and can support increased demand (see Supporting information).
- Unlicensed supplies of triamcinolone acetonide 10mg/1ml suspension for injection ampoules and triamcinolone acetonide 40mg/1ml suspension for injection vials have been sourced; lead times may vary.
Unlicensed products
The following specialist importers have confirmed they can source unlicensed triamcinolone acetonide 10mg/ml and/or triamcinolone acetonide 40mg/ml injections (please note there may be other companies that can also source supplies):
If there is currently no listing on dm+d for the imported product for prescribers to select using their prescribing systems an EPS prescription for the unlicensed product cannot be issued. Where a prescriber wishes to prescribe a specially manufactured or imported product, an FP10 paper prescription should be issued as ‘triamcinolone acetonide XXmg/ml (Special Order)’ and endorsed by the pharmacy as a non-Part VIII special with the following information:
- Amount dispensed over pack size used;
- Invoice price per pack size from which the order was supplied less any discount or rebate;
- Manufacturers’/importers’ MHRA licence number;
- Batch number of the product supplied;
- SP
Further guidance on how prescriptions for unlicensed specials should be written can be found here.
A copy of this medicine supply notification, including supporting information, has been sent to all pharmacy NHS email addresses.
DHSC and NHS England have launched an online Medicines Supply Tool, which provides up-to-date information about medicine supply issues. The contents of these MSNs can now be viewed on the Tool.
The Tool also details any changes to resupply dates and updates to the entries.
To access the Tool you will need an NHS email address. Once set up and logged in, you will be able to access it online.
New shortages not listed on the SPS website, can be reported using our shortage reporting tool.
