Sirks Marc J, Subhi Yousif, Rosenberg Noa, Hollak Carla E M, Boon Camiel J F, Diederen Roselie M H, Yzer Suzanne, Ossewaarde-van Norel Jeannette, de Jong-Hesse Yvonne, Schlingemann Reinier O, Moss Rob J, van Dijk Elon H C
Department of Ophthalmology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Department of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Ophthalmol Ther. 2024 Jul;13(7):1821-1831. doi: 10.1007/s40123-024-00952-9. Epub 2024 May 16.
An ongoing global shortage of verteporfin (Visudyne) limits the treatment possibilities for several chorioretinal diseases, including central serous chorioretinopathy, choroidal hemangioma, and polypoidal choroidal vasculopathy. Verteporfin is required to perform photodynamic therapy in these ocular diseases. Therefore, the current situation has a substantial impact on eye care worldwide. The worldwide supply of verteporfin appears to be manufactured by a single factory, which is situated in the United States. The distribution of verteporfin is done by different companies for different regions of the world. Official communication on the shortage by the responsible companies has been scarce and over the past years several promises with regards to resolution of the shortage have not been fulfilled. The delivery of new batches of verteporfin is at irregular intervals, unpredictable, and may not be fairly balanced between different regions or countries in the world. To ensure a fair distribution of available verteporfin within a country, several measures can be taken. In the Netherlands, a national committee, consisting of ophthalmologists, is in place to arrange this. On the European level, the European Union and European Medicine Agency have plans to monitor medicine shortages more closely and to intervene if necessary. With a more intensified monitoring and regulation of medicine supplies, future impending shortages may be prevented. Remarkably, the amount of medicine shortages is increasing, having a significant and sometimes irreversible impact on patient care. Thus, efforts should be undertaken to minimize the consequences and, whenever possible, to prevent future medicine shortages.
维替泊芬(Visudyne)持续的全球短缺限制了包括中心性浆液性脉络膜视网膜病变、脉络膜血管瘤和息肉样脉络膜血管病变在内的几种脉络膜视网膜疾病的治疗可能性。在这些眼部疾病中进行光动力疗法需要维替泊芬。因此,当前形势对全球的眼保健产生了重大影响。维替泊芬的全球供应似乎由位于美国的一家工厂生产。维替泊芬在世界不同地区由不同公司进行分销。负责公司关于短缺的官方沟通很少,并且在过去几年中,关于解决短缺问题的多项承诺均未兑现。新批次维替泊芬的交付间隔不规律、不可预测,且在世界不同地区或国家之间可能分配不均。为确保一个国家内现有维替泊芬的公平分配,可以采取多种措施。在荷兰,一个由眼科医生组成的国家委员会负责安排此事。在欧洲层面,欧盟和欧洲药品管理局计划更密切地监测药品短缺情况,并在必要时进行干预。通过加强对药品供应的监测和监管,未来可能即将出现的短缺情况或许可以避免。值得注意的是,药品短缺的数量正在增加,对患者护理产生重大且有时是不可逆转的影响。因此,应努力将后果降至最低,并尽可能防止未来出现药品短缺。
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