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OZempic shortage and workarounds

  • 1.  OZempic shortage and workarounds

    Posted 23-01-2024 11:57

    I am a type 2 diabetic.  I have been using this drug on and off now for 2 years but it is so often in short or no supply.

    This week I found that the 1mg dose is more readily available than the 0.5mg.  I had asked my pharmacist if I could use the 1mg pen to inject a 0.5mg dose.  I answer was no.

    This morning I found this document chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.bcdiabetes.ca/wp-content/uploads/bcdpdfs/Semaglutide-05-mg-weekly-dosing-265day.pdf

    In short it says 

    Instruct the patient as follows.  "You will be dispensed two pens, each containing 2 mg of semaglutide.  The box the pen comes in will say Ozempic1 mg.  This will cost approximately $207 (including dispensing fee).  Have no fear, at a dose of 0.5 mg weekly this will last you 8 weeks.  Each pen is designed to be used to give 1.0mg weekly, not less - as such there is no demarcation of 0.25, 0.5 or 0.75 mg.  If you count the clicks (notches on the pen) as you turn the dosing dial you will notice that there are approximately78 clicks for 1.0 mg.  To give yourself 0.5 mg turn the dosing dial to 38 clicks and administer! You will notice at around 38 clicks the notch on the dosing dial is subtly different.  To give yourself the starting dose of 0.25 mg you will need to give yourself 19 clicks.

    This means that if I want 0.5mg I will need to count 38 clicks and this pen should then last twice as long.  I will need extra needles but I had been saving the unused ones for some reason and now I know why.  Hopefully with a prescription for both 0.5 and 1mg I can cover supply issues!

    I hope this helps someone else.



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    Ronald
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  • 2.  RE: OZempic shortage and workarounds

    Posted 24-01-2024 08:47

    I started off on 0.5 mg but after the first month i moved up to the 1.0mg. What is your mmol reading ? I have scripts for both but when I went to the chemist the other day they say that they now have plenty so not to worry about them running out. I pay $7.70 per script not the $207.00 the normal price.



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    Alan
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  • 3.  RE: OZempic shortage and workarounds

    Posted 24-01-2024 09:23
    Edited by Ronald 24-01-2024 09:32

    I have a script for both the 1mg and the 0.5mg.  I was at the chemist yesterday and they still had no 0.5 so I got the 1mg.
    I only pay $7.70 as I am a pensioner.
    My BSL  normally ranges from high 6's to mid 8's mmol depending on how my diet & exercise goes.

    I tried the 1mg and the side effects were too severe so that's when my GP recommended I go back to the 0.5mg and hence the research.

    The 1mg pack only comes with the 4 needles so if I am going to inject the 0.5 and use new needle every time then I need 8.
    Not an issue at this stage as I have spares but if I can get the 0.5mg/0.25mg pack it has 6 needles so that leaves me with two spare for later use.

    The information I provided was from Canada but I deemed it relevant for my needs.

    I live in regional Qld so supply is not as good as the Big Smoke.



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    Ron
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  • 4.  RE: OZempic shortage and workarounds

    Posted 24-01-2024 19:53

    I dropped into Chemist Warehouse this week and confirm the 1mg blue pen is available, however the 0.5mg red pen is not and unlikely to be available in Australia until the end of 2024.

    When I said I could not start up again on the full 1mg a week and suggested that perhaps I could use half the 1mg dose instead, the pharmacist bluntly said no.



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    Peter
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  • 5.  RE: OZempic shortage and workarounds

    Posted 24-01-2024 20:00
    Yes I was told NO as well by my pharmacist.  However I printed out the advice from DACDIABETES about the 38 clicks and after he read it he agreed you could count the clicks. I tried it yesterday and it seemed to work.





  • 6.  RE: OZempic shortage and workarounds

    Posted 24-01-2024 20:34

    Thank you, I will do just that.

    I do not have spare needles but did some fast searching and located the following on Amazon's Australian site (shipped from the US), so ordered a box

    ONE-CARE Pen Needles 32G x 5mm, Box of 100, Universal Fit

    They fit Ozempic pens and come in a box of 100 which means that should there be a break in supply of 1mg doses later in the year I know I can restart and "ramp up" my dose as though I had the lower dose red pen.

    Thank you all.



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    Peter
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  • 7.  RE: OZempic shortage and workarounds

    Posted 26-01-2024 09:25
    Edited by Paul 26-01-2024 09:26

    Re-using needles is not a good idea. I have seen micro-photographs of needle tips after a single use and they were quite scary.

    Are you in NDSS? Under NDSS needles are free, as Alan stated. If you can get them, I recommend Novofine needles.



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    Paul D
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  • 8.  RE: OZempic shortage and workarounds

    Posted 26-01-2024 09:57
    I agree that reusing needles is not recommended for many reasons.

    However needles are not free under the NDSS unless you are on Insulin so my pharmacist tells me.  I tried to buy some with my NDSS card and I was not eligible for free needles.  I will discuss this with my GP next visit.  I did but 1 box of 100 Novofine 32g/4mm needles for $29.99 (or 30cents each) at Terry White so I now have plenty

    --
    Cheers
    RT





  • 9.  RE: OZempic shortage and workarounds

    Posted 26-01-2024 10:05

    I stand corrected, apparently. But that's crazy. Needles are free for insulin users, but not for Ozempic users? Seriously? Perhaps Diabetes Australia could take that up with NDSS.

    Doesn't apply to Trulicity. Their cartridges are single use and have self-contained needles.



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    Paul D
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  • 10.  RE: OZempic shortage and workarounds

    Posted 25-01-2024 08:54

    Your needles should be free from your chemist I get a box of 100 



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    Alan
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  • 11.  RE: OZempic shortage and workarounds

    Posted 26-01-2024 09:40

    If you're registered with the NDSS (not sure if you have to be registered for insulin/injectables use), you should be able to get your needles for free or a discounted price.

    Ask your local pharmacist as it's always handy to have extras on hand just in case the supplied needles have an issue or you damage one before use, for example.



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    Randy G
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  • 12.  RE: OZempic shortage and workarounds

    Posted 26-01-2024 12:28

    NDSS does not cover needles for Type 2 diabetics



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    Peter
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  • 13.  RE: OZempic shortage and workarounds

    Posted 27-01-2024 08:35

    I picked up a box of 100 just last week at no charge from my local pharmacy.



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    Barry
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  • 14.  RE: OZempic shortage and workarounds

    Posted 27-01-2024 17:53

    Peter, haven't read the whole thread, have you?

    NDSS covers needles for insulin dependent type 2 diabetics. (I've only been getting them free for about 10 years now). It apparently doesn't cover needles for Ozempic users, which is understandable as Ozempic packs apparently include enough needles for the pack, but no spares.



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    Paul D
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  • 15.  RE: OZempic shortage and workarounds

    Posted 02-02-2024 12:08

    Hi Ronald,

    A response from one of our Health Professionals below. 

    The supply of the medication Ozempic to patients with diabetes has been a little erratic to say the least , especially in the last 1-2 years.

    In addition to the short supply of Ozempic, there is much confusion regarding the usage and dosage etc  of this medication.

    Ozempic medication is in injection form and is a titrating dose which is dialled up as prescribed by a doctor.

    In Australia , all medications are approved by TGA prior to being available to be prescribed by doctors or to be purchased from a retail outlet, eg: pharmacy.

    I would encourage all people with diabetes using Ozempic medication to be only guided by their general practitioner or medical specialist, on all aspects of suitability of the medication to individuals and dosage etc of Ozempic Medication.

    In addition, be very careful of social media posts relating to anything written or providing advice on Ozempic and dosage of . For a couple of reasons.

    1. The posts on social media can be posted form any country on an international basis. Every country has its own specific prescribing and dosing regulations and laws. Which can differ from the laws and regulations in Australia.

    2. And as  importantly , The information posted on these forums  can come from people who are not medically trained

    In summary:

    Best solution with anything  relating to the medication Ozempic  is be only  guided my your general practitioner or medical specialist



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    Natasha, Ange and Anna

    Membership and Community Team
    community@diabetesaustralia.com.au
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  • 16.  RE: OZempic shortage and workarounds

    Posted 03-02-2024 08:53

    Agree just ….. wish the manufacturers could make lots mor3 of Ozempic and Trulicity 



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    Kenneth
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  • 17.  RE: OZempic shortage and workarounds

    Posted 08-02-2024 07:48

    Yesterday (7/2/24) was my GP visit and one of the things on my list was to seek his opinion on the use of the 1mg Ozempic and 38 clicks.

    As soon as I raised the subject he immediately said that he was aware of it and had no problem with it.  He said many Pharmacist that he knew were on board as a work around for patients who could manage this little bit of complexity.
    His only concern was that now demand for the 1mg might outstrip supply just like the 0.5mg.

    It was heartening to see that some were more proactive and placed more weight on helping their patients than just sitting back....



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    Ronald
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