Clinical management strategies and implications for parenteral nutrition drug shortages in adult patients

Pharmacotherapy. 2014 Jan;34(1):72-84. doi: 10.1002/phar.1350. Epub 2013 Nov 8.


Drug shortages affect every aspect of patient care, including and especially, nutrition therapy. The purpose of this review is to discuss current parenteral nutrition-related drug shortages, including causes and duration of the disruptions, and provide recommendations for managing specific nutritional shortages that minimize negative patient care outcomes. A general framework for the management of current and future shortages is presented.

Keywords: macronutrients; micronutrients; nutrition shortages; parenteral nutrition.

Publication types

  • Review

MeSH terms

  • Adult
  • Disease Management*
  • Humans
  • Micronutrients / administration & dosage
  • Parenteral Nutrition / methods*
  • Parenteral Nutrition / trends
  • Pharmaceutical Preparations / administration & dosage
  • Pharmaceutical Preparations / supply & distribution*


  • Micronutrients
  • Pharmaceutical Preparations