Shortage of Hydrocortisone 2.5mg muco-adhesive buccal tablets

Source: SPS 6th June 2022


Medicines affected

Medicines Supply Notification Number: MSN/2022/054

Hydrocortisone 2.5mg muco-adhesive buccal tablets                              9 September 2022
sugar free (Accord Healthcare Ltd) 20 tablet


Clinicians considering treatment for patients presenting with oral ulcers should:

  • assess the severity of the patient’s ulcers including frequency and interference with daily activities;
  • if treatment is required, establish whether over-the-counter products (purchased or prescribed) have already been tried, and whether it is appropriate to use/retry;
  • if above mentioned treatments are not suitable, consider prescribing betamethasone soluble tablets for off-label topical use as a mouthwash, counselling patients on how to administer treatment, and stressing that the mouthwash must not be swallowed;
  • if neither of the above options are appropriate, prescribers should seek specialist advice from the oral medicine clinic.

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