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Is Midodrine Being Discontinued?

Published in Drug Availability 3 mins read

While some manufacturers have discontinued their versions of midodrine, the medication is not entirely discontinued and remains available from other suppliers.

Midodrine is a medication primarily used to treat orthostatic hypotension, a condition characterized by a sudden drop in blood pressure when standing up. Its availability has seen shifts among pharmaceutical companies over time.

Current Status of Midodrine Availability

The availability of midodrine tablets has varied by manufacturer. While certain companies ceased production, others continue to supply the drug.

Here's a breakdown of the status from key manufacturers:

Manufacturer Status Date of Change (if applicable) Notes
Impax Discontinued July 2018 Ceased production of midodrine tablets.
Sandoz Discontinued Mid-2018 Ceased production of midodrine tablets.
Mylan Available Ongoing Continues to provide midodrine 5 mg tablets.

This indicates that even though two manufacturers (Impax and Sandoz) stopped supplying midodrine tablets in 2018, Mylan continues to make midodrine 5 mg tablets available. Therefore, patients requiring this medication should still be able to obtain it, albeit potentially from a different supplier.

Understanding Drug Discontinuation

Drug discontinuations can occur for various reasons, including:

  • Business Decisions: A company may choose to discontinue a product due to low profitability, market competition, or a shift in its therapeutic focus.
  • Manufacturing Issues: Problems with production, raw material availability, or quality control can lead to discontinuation.
  • Regulatory Changes: New regulations or updated safety profiles might make a drug no longer viable for a particular manufacturer.
  • Alternative Treatments: The emergence of newer, more effective, or safer alternatives can reduce demand for older medications.

When a specific manufacturer discontinues a drug, it doesn't always mean the drug is unavailable altogether. Often, other manufacturers continue to produce generic versions or branded alternatives, ensuring continued access for patients.

What to Do if You are Prescribed Midodrine

If you are currently taking midodrine or have been prescribed it, here are practical steps to ensure continuity of your treatment:

  • Consult Your Healthcare Provider: Discuss the specific brand or generic version you are using and confirm its current availability. Your doctor can confirm if Mylan's version or another generic is suitable for you.
  • Check with Your Pharmacy: Pharmacists are often the first to know about drug availability issues and can advise on current stock and alternative suppliers.
  • Explore Generic Options: Midodrine is available as a generic drug, which means it may be supplied by multiple companies. If one brand is unavailable, a generic from another manufacturer is usually an equivalent option.
  • Stay Informed: Keep an eye on announcements from reputable drug information sources or speak with your healthcare team about any potential changes in medication supply.

In conclusion, while specific versions of midodrine from certain manufacturers are no longer available, the drug itself remains on the market through other suppliers like Mylan, ensuring patients can continue to access this important treatment.