Tier 2 medicine supply issues published

Tier 2 medicine supply notification have been issued for the following items:

Ciprofloxacin 0.3% / dexamethasone 0.1% ear drops
Atorvastatin (Lipitor) 10mg and 20mg chewable tablets
Piroxicam (Feldene Melt) 20mg orodispersible tablets.

Medicine	Out of stock	Alternatives
Ciprofloxacin 0.3% / dexamethasone 0.1% ear drops	Until mid-March 2022	Cetraxal Plus (Ciprofloxacin 0.3% dexamethasone 0.1% ear drops) Cetraxal (ciprofloxacin 0.2%) ear drops
Atorvastatin (Lipitor) 10mg and 20mg chewable tablets	Until mid-March 2022	Atorvastatin 10mg and 20mg film-coated tablets. Serious Shortage Protocols have been issued.
Piroxicam (Feldene Melt) 20mg orodispersible tablets	Until late April 2022	Piroxicam 10mg and 20mg capsules Other nonsteroidal anti-inflammatory drugs (NSAIDS) remain available, including orodispersible and liquid presentations as well as other licensed solid dosage forms.

Up-to-date information about medicines supply issues is now available via the online Medicines Supply Tool (registration required).

There have also been changes to the resupply dates of the medicines listed below. These communications were previously circulated via the NHSE&I commissioning routes.

Original MSN/SDA reference	Date of original MSN/SDA	Supply issue	Resupply date originally communicated	Updated resupply date as of w/c 14 February 2022

MSN/2021/036	21/07/2021	Locorten Vioform (flumetasone/clioquinol) 0.02% w/v / 1% w/v ear drops solution	April 2022	May 2022

Ciprofloxacin 0.3% / dexamethasone 0.1% ear drops; atorvastatin 10mg and 20mg chewable tablets; Piroxicam

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