We want to remind you that Advanz Pharma, the supplier of hydrocortisone sodium phosphate, has confirmed that due to manufacturing issues they are currently unable to supply the liquid hydrocortisone for emergency injection kits. This is expected to be resupplied by the first quarter of 2023.

In some parts of the UK your pharmacist may still be able to locate some of the remaining stock. However, if it is not possible to locate this then you need to ask for a prescription of hydrocortisone sodium succinate (Solu-Cortef), if renewing supplies for your emergency injection kit until early next year. 

How to order the alternative form

If you need to a new emergency kit then you should ask your GP to issue a prescription for the alternative form of injectable hydrocortisone. For NHS prescriptions it is necessary to give the generic name which is: 

  • Hydrocortisone 100mg Powder for Solution for Injection or Infusion 1x2ml – vial with diluent (previously known as Solu-Cortef), by Pfizer.
  • Those outside the UK (Ireland, Europe and Americas) may also be able to obtain the Act-o-Vial preparation, containing hydrocortisone sodium succinate and water in a chambered ampoule. 

How to use Solu-cortef

This form of hydrocortisone is a powder so needs to be mixed with the sterile water solution prior to use. 

The video below shows how to make up this injection type, but we would recommend asking your GP or endocrine nurse for support with this. 


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If you have any concerns or more questions about what the drug shortage might mean for you then please contact our nurse helpline or email helpline