Private practice: Has anyone seen lido/bupivacaine in stock in the last week?

[Drd105]

If so- would you share the source?

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[Ligament]

We have not. Nothing in stock anywhere. I'm glad they addressed this issue a the ISIS Vancouver meeting with a recycling campaign.

 

[SageCraft]

Our practice will be out in two weeks (Lido + Bupi). We have not been able to procure anything.

 

[Ducttape]

have you looked at buying block trays? the ones we have ordered for the office have 2 ampules of lido. i save the extra and have been bringing them in to the ASC...

 

[Drd105]

have you looked at buying block trays? the ones we have ordered for the office have 2 ampules of lido. i save the extra and have been bringing them in to the ASC...

SMART thanks will look!

 

[geauxg8rs]

have you looked at buying block trays? the ones we have ordered for the office have 2 ampules of lido. i save the extra and have been bringing them in to the ASC...

I am thinking of holding up the local hospital pharmacy.
“No I said gimme all your Omni, not oxy!”

 

[mid|ine]

Yeah, we are getting lido in block trays.

Bupi is getting low and haven't been able to buy in months.

We just bought some omnipaque for 2000% normal cost

 

[Ligament]

Don't worry, ISIS is addressing climate change as a priority.

 

[kstarm]

Don't worry, ISIS is addressing climate change as a priority.

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How is ISIS responsible for this? I am honestly asking, I don't understand how they are. I also don't understand how or why we would want them to prioritize efforts into supply chain issues. There mission isn't to make sure interventionalist have supplies. What am I missing?

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[nvrsumr]

They did involve themselves with a gpo for cheaper contrast few years ago. Which was nice but maybe raised expectations.

I assume ligaments comment was meant to be magenta.

 

[Tboned]

I haven’t really had any problems. There was a period of time maybe 4-5 months ago things got tight with Omni at the ASC but we never ran out. Been getting shipments of contrast, 1,2,4% lido and bupi. I work for a yuuuuuge ortho group and I’m sure we have a lot of buying power (if that matters?? Idk). I know our staff in charge of obtaining this stuff have had to explore alternative avenues than pre-COVID though I’m not exactly sure who. And if I told ya, we’ll you know what I would have to do.

 

[Drd105]

I haven’t really had any problems. There was a period of time maybe 4-5 months ago things got tight with Omni at the ASC but we never ran out. Been getting shipments of contrast, 1,2,4% lido and bupi. I work for a yuuuuuge ortho group and I’m sure we have a lot of buying power (if that matters?? Idk). I know our staff in charge of obtaining this stuff have had to explore alternative avenues than pre-COVID though I’m not exactly sure who. And if I told ya, we’ll you know what I would have to do.

I think that matters tremendously. I think my McKesson guy has it and is pretending like he doesn’t 2/2 shuttling it over to groups like yours. I appreciate that info tho it helps solidify my grudge against him

 

[Drd105]

I think that matters tremendously. I think my McKesson guy has it and is pretending like he doesn’t 2/2 shuttling it over to groups like yours. I appreciate that info tho it helps solidify my grudge against him

Yikes sorry I typed the semi-colon-parentheses wink and it autocorrected to this super overkill creepy wink. Will resist that urge in the future.

 

[BobBarker]

Lidocaine in stock
I have gotten my lidocaine from here and from injection kits.

 

[drpainfree]

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How is ISIS responsible for this? I am honestly asking, I don't understand how they are. I also don't understand how or why we would want them to prioritize efforts into supply chain issues. There mission isn't to make sure interventionalist have supplies. What am I missing?

​

without interventional pain practice, they won't be an ISIS...unless all these guys are in academia and really don't care what's going on in private practice

 

[Drd105]

Lidocaine in stock
I have gotten my lidocaine from here and from injection kits.

Thank you

 

[Sooshi]

I just did what we did in the OR when lido went on shortage a few years back - switched over to mepivacaine. There's no shortage of mepi.

 

[RoloTomassi]

I just did what we did in the OR when lido went on shortage a few years back - switched over to mepivacaine. There's no shortage of mepi.

What's the difference?

 

[Sooshi]

What's the difference?

None. That's the beauty of it - the two are virtually identical.

 

[bedrock]

None. That's the beauty of it - the two are virtually identical.

Is the cost similar?

 

[RoloTomassi]

Is the cost similar?

I just bought some, and it was almost 2x. Not too significant for a relatively cheap item. Appreciate the info @Sooshi

 

[Ducttape]

it is an amide anesthetic with increased risk (slightly) for allergic reaction.

it may have a slightly longer half life