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BRITS are continuing to face some of the “most severe” shortages of NHS medicines on record.

Earlier this week, officials sounded the alarm over two drugs, one to prevent strokes and the other to treat allergies, warning certain doses would remain out of stock for weeks.

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Another, an antidepressant, is now expected to remain unavailable across the UK until November.

Drug shortages reached a record high earlier this year with pharmacists warning the situation is “deeply alarming”.

The National Pharmacy Association (NPA) has repeatedly warned that medicine shortages pose a “serious risk to patient safety”.

The Royal College of GPs has also raised concerns about the impact medicine shortages have on patients, GPs and pharmacists.

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The Govenrment’s price concessions list currently features 230 medications, as of the end of August 2026 – an indicator that a drug is in short supply.

Currently the NHS pays pharmacies a fixed price for each medicine they dispense and they then have to try and source the drug for that amount, or less.

But when the price goes above what the NHS pays, the medication is placed on the government’s price concessions list.

Some medications are becoming harder to obtain because of surging global prices and the fact that government funding has not kept up with rising costs.

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When market prices rise suddenly – often above the original tariff and even above the concession price offered – pharmacies end up dispensing medication at a loss, meaning they are not fully reimbursed by the NHS.

This then makes it harder for pharmacies to buy enough stock for their patients, increasing the likelihood that people will face delays or sudden shortages.

Medicines that have been on the list for the last two months include:

  • Thirty types of cardiovascular medications, from ACE inhibitors to blood thinners
  • Twenty three types of mental health and neurological medications, including antidepressants, dementia medications and migraine drugs
  • Seven types of gastrointestinal medications – from anti-sickness and IBS treatments to laxatives and gout treatments
  • Ten types of hormone and endocrine medications – e.g. HRT, thyroid hormones and steroids
  • Nine different pain relief drugs
  • Antihistamines, certain weight loss medication, diuretics, bladder control medicines and antimalarials

According to the NPA, pharmacists are spending hours sourcing scarce medication while GPs are having to alter prescriptions to fit in with supply issues, inconveniencing and often worrying patients.

A recent survey by the pharmacy body, which represents around 6,000 independent community pharmacies in the UK,  found that 96 per cent felt the situation posed a serious risk to the safety of their patients.

Full list of the 114 medicines at risk of shortages

When pharmacies cannot source a drug at or below the reimbursement price as set out in the Drug Tariff, the Department of Health and Social Care (DHSC) can introduce a price concession at the request of Community Pharmacy England.

The price concessions list is updated every month and as of the August 2026, there were 230 different medicines on it.

When comparing the list from July and August, there were 114 medicines that appeared on both.

These were:

30 types of cardiovascular medications:

ACE Inhibitors

  • Enalapril
  • Lisinopril
  • Perindopril erbumine
  • Ramipril

Angiotensin II Receptor Blockers (ARBs)

  • Candesartan

Antiarrhythmics

  • Amiodarone
  • Digoxin
  • Flecainide

Anticoagulants (Blood Thinners)

  • Apixaban
  • Rivaroxaban
  • Warfarin

Beta-Blockers

  • Bisoprolol
  • Carvedilol
  • Labetalol
  • Sotalol
  • Timolol

Calcium Channel Blockers

  • Lacidipine
  • Nifedipine
  • Verapamil

Lipid-Lowering Medications (Statins & Cholesterol)

  • Atorvastatin
  • Ezetimibe
  • Fenofibrate
  • Simvastatin

Heart related chest pain and blood flow

  • Isosorbide mononitrate
  • Naftidrofuryl
  • Nicorandil
  • Ranolazine

Antiplatelets

  • Aspirin
  • Dipyridamole
  • Ticagrelor

23 types of mental health and neurology meds:

Anticonvulsants / Nerve Pain Medications

  • Gabapentin
  • Lacosamide
  • Lamotrigine
  • Levetiracetam
  • Phenobarbital
  • Pregabalin

Antidepressants

  • Clomipramine
  • Fluoxetine
  • Lofepramine
  • Mirtazapine
  • Nortriptyline
  • Sertraline
  • Venlafaxine

Parkinson’s & Neurological Disorders

  • Pyridostigmine bromide
  • Ropinirole
  • Trihexyphenidyl

Antipsychotics

  • Aripiprazole
  • Chlorpromazine
  • Haloperidol

Migraine medications

  • Sumatriptan

Sedatives, Anxiolytics & Sleep Aids

  • Clonazepam
  • Melatonin
  • Zolpidem

9 types of pain relief

Anti-Inflammatory & Pain Relief (NSAIDs & Non-Opioids)

  • Diclofenac sodium
  • Indometacin
  • Meloxicam
  • Nefopam

Opioid Analgesics (Pain Relief)

  • Alfentanil
  • Co-codamol
  • Codeine
  • Morphine sulfate
  • Oxycodone

10 types of anti-infectives

Antibiotics & Antimicrobials

  • Amoxicillin
  • Chloramphenicol
  • Co-trimoxazole
  • Erythromycin
  • Flucloxacillin
  • Lymecycline
  • Oxytetracycline

Antifungals

  • Clotrimazole
  • Itraconazole

Antivirals

  • Aciclovir

10 types of hormone and endocrine medications:

Antidiabetics

  • Dapagliflozin
  • Gliclazide
  • Metformin

Hormonal Therapies & Endocrine Agents

  • Bicalutamide
  • Levothyroxine sodium
  • Progesterone
  • Tamoxifen

Corticosteroids

  • Dexamethasone
  • Hydrocortisone
  • Mometasone

7 types of gastro medicines

Gastrointestinal & Antispasmodics

  • Esomeprazole
  • Glycopyrronium bromide
  • Hyoscine butylbromide
  • Lansoprazole
  • Prucalopride
  • Rabeprazole

Immunosuppressants

  • Azathioprine

10 other categories of medications:

Alpha-Blockers (prostate/high blood pressure)

  • Doxazosin

Antimalarials & Disease-Modifying Antirheumatics (DMARDs)

  • Hydroxychloroquine
  • Leflunomide
  • Quinine sulfate

Antihistamines

  • Loratadine

Vitamins, Minerals & Food Supplements

  • Ascorbic acid
  • Colecalciferol
  • Cyanocobalamin
  • Folic acid
  • Vitamins A and D capsules

Weight Loss & Smoking Cessation

  • Nicotine medicated chewing gum
  • Orlistat

Topicals & Emollients

  • Aqueous cream

Urological & Bladder Control

  • Fesoterodine
  • Oxybutynin

Antiemetics & Vestibular Disorders (Nausea & Dizziness)

  • Betahistine
  • Domperidone
  • Prochlorperazine

Psychostimulants / ADHD Medications

  • Atomoxetine

Glaucoma

  • Travoprost

Diuretics

  • Bendroflumethiazide
  • Co-amilofruse
  • Co-amilozide
  • Eplerenone
  • Indapamide

Source: Community Pharmacy England

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Some 83 per cent of pharmacy teams said they have faced abuse or anger from patients due to a prescribed medicine being unavailable.

And 89 per cent of pharmacies said they were unable to dispense a medicine at least once a day last year due to supply issues.

At the time, Olivier Picard, chair of the NPA said: “It is deeply distressing to find patients who have travelled from pharmacy to pharmacy to find the medicines they need without success.

“Although medicine shortages are frustrating and worrying, we are clear that in some instances they pose a serious risk to patient safety.

“We’re urging the government to convene an emergency taskforce to bring together all parts of the supply chain to tackle this issue.

“As well as this, the government should amend legislation that prevents pharmacies from making simple substitutions to a prescription, where are a safe alternative is in stock.”

Dr Leyla Hannbeck, CEO of the Independent Pharmacies Association, added: “Community pharmacies across the country are experiencing high levels of medicines shortage, from common blood pressure medicines to cancer medicines.

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“We wrote a letter to the previous health secretary Wes Streeting warning of the worsening medicines supply issues but we never heard back from him.“

Earlier this summer, Graham Jones, owner of Shrivenham Pharmacy in Oxfordshire, also said that medication shortages at the moment are the “worst [he’s] ever known”.


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