Health
National Shortage Forces Calgary Man Off Essential Heart Medication

A Calgary resident, Fred Fischer, has had to discontinue his use of the heart medication spironolactone due to a national shortage affecting its availability. The drug, which is crucial for managing heart conditions, is facing supply issues that have left many patients in a precarious situation.
Fischer, who relies on several medications to manage his enlarged heart, learned about the shortage when he attempted to refill his prescription. “I went to refill it again and found out they were having trouble even getting it,” he explained. “That was when the pharmacist advised me there was a shortage, and if they had to outsource from their normal supplier, the price was going to be steep again.” Following this, his doctor advised him to stop taking the medication.
Spironolactone plays a vital role in improving heart health, particularly for patients diagnosed with heart failure. According to Dr. Justin Ezekowitz, a cardiologist, “It’s used to manage the condition and specifically used to help reduce the risk for dying or being hospitalized.” The drug is essential for individuals experiencing pump problems or other types of heart failure.
The situation regarding spironolactone’s availability has been aggravated by manufacturing disruptions at two of the four companies that supply it in Canada. Additionally, a third supplier has reported shortages due to increased demand. A statement from Health Canada indicated, “As a result, spironolactone may not always be available.”
With the ongoing shortage, health experts advise against purchasing unverified or unlicensed medications as alternatives. Instead, individuals affected by this situation should consult their healthcare providers about potential substitutes. “There are several medications that are very similar, not identical, but can be used as a replacement or even a short-term or longer-term replacement to be considered,” Dr. Ezekowitz noted.
Health Canada has indicated that the shortages should resolve by the end of the month, offering some hope to patients like Fischer who depend on this crucial medication for their heart health. The call for vigilance regarding alternative treatments remains paramount as the healthcare community seeks to manage this unexpected challenge.
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