The Union Democrat

Amoxicilli­n is in short supply. Here’s what parents need to know

- Abraham Gutman

An antibiotic that is commonly prescribed to kids is in low supply in pharmacies nationwide amid a surge of respirator­y illness that is filling up children’s hospitals. Parents are struggling to fill amoxicilli­n prescripti­ons for their sick kids, causing frustratio­n as they visit multiple pharmacies.

The Food and Drug Administra­tion confirmed the shortage last month. The agency specifical­ly lists a shortage of the powder form of the medication, which pharmacist­s use to create the liquid that children usually take. The antibiotic is also available in other forms, such as chewable tablets and capsules.

Here’s what parents need to

know about the shortage.

What is amoxicilli­n?

Amoxicilli­n is “related to penicillin” and is “one of the most commonly used antibiotic­s, particular­ly in children,” Celine Gounder, an infectious disease specialist, told CBS News.

The medication is considered “first line” treatment for multiple infections in kids, including acute sinusitis and middle ear infection, according to the Centers for Disease Control and Prevention.

Does amoxicilli­n treat RSV or flu?

No.

Respirator­y syncytial virus, or RSV, and the flu are caused by viruses. Antibiotic­s only treat bacteria. But kids with RSV or flu-like illness can have symptoms that look like a bacterial infection, Tina Tan, a pediatrics professor at Northweste­rn University’s medical school and a doctor at Lurie Children’s Hospital of Chicago, told the Washington Post.

“Because the viral illness can cause other conditions that look like they might be bacterial, people are putting kids on amoxicilli­n,” she told the Post.

It is also possible for kids with a viral illness to develop a secondary infection.

Why is there a shortage?

The FDA cites demand increase for the drug as the cause for the shortage in four of five amoxicilli­n manufactur­ers. The reason for the last company, Swiss manufactur­er Sandoz, is listed as “other.”

A spokespers­on for the company told the Washington Post that Sandoz is struggling to ramp up production due to supply chain issues in response to a spike in demand in the U.S.,

Europe, and Canada.

Amoxicilli­n is not the only commonly used prescripti­on that patients are visiting multiple pharmacies to fill. Last month, the FDA confirmed a nationwide shortage in some forms of Adderall, the ADHD medication.

There is an Adderall shortage. A local psychiatri­st explains what it means for kids, adults with ADHD.

What should parents do?

It might be worth calling or visiting a few pharmacies, both large chains and small independen­t ones, to see if they have bottles on the shelf.

Health providers can also prescribe alternativ­es if you can’t find the strength originally prescribed, Erin Fox, from the American Society of HealthSyst­em Pharmacist­s, told CNN.

“My first advice would be, don’t panic,” she said.

 ?? Erin Hooley / Chicago Tribune ?? Reconstitu­ted powered antibiotic amoxicilli­n is refrigerat­ed before dosages are given Nov. 10 at Rush University Medical Center in Chicago.
Erin Hooley / Chicago Tribune Reconstitu­ted powered antibiotic amoxicilli­n is refrigerat­ed before dosages are given Nov. 10 at Rush University Medical Center in Chicago.

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