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Potassium Chloride Injection

Last Updated: August 29, 2018
Status: Current

Products Affected - Description
    • Potassium chloride injection, Fresenius Kabi, 2 mEq/mL, 10 mL vial, 25 count, NDC 63323-0965-10
    • Potassium chloride injection, Fresenius Kabi, 2 mEq/mL, 20 mL vial, 25 count, NDC 63323-0965-20
    • Potassium chloride injection, Fresenius Kabi, 2 mEq/mL, 30 mL vial, 25 count, NDC 63323-0967-30
    • Potassium chloride injection, Fresenius Kabi, 2 mEq/mL, 5 mL vial, 25 count, NDC 63323-0965-05
    • Potassium chloride injection, Pfizer, 2 mEq/mL, 10 mL vial, 25 count, NDC 00409-6651-06
    • Potassium chloride injection, Pfizer, 2 mEq/mL, 15 mL vial, 25 count, NDC 00409-6636-01
    • Potassium chloride injection, Pfizer, 2 mEq/mL, 20 mL vial, 25 count, NDC 00409-6653-05
    • Potassium chloride injection, Pfizer, 2 mEq/mL, 250 mL bulk package 1 count, NDC 00409-1513-02
    • Potassium chloride injection, Pfizer, 2 mEq/mL, 5 mL vial, 25 count, NDC 00409-6635-01
    • Potassium chloride injection, ICU Medical, 10 mEq/500 mL, 5% dextrose and 0.225% sodium chloride 24 count, NDC 00409-7901-03
    • Potassium chloride injection, ICU Medical, 20 mEq/100 mL, sterile water 24 count, NDC 00409-7075-26
Reason for the Shortage
    • Baxter had their highly concentrated potassium chloride in sterile water on shortage because a manufacturing facility was affected by Hurricane Maria. Baxter did not provide a reason for the shortage of their other potassium chloride products.
    • Fresenius Kabi did not provide a reason for the shortage.
    • Pfizer has potassium chloride injection on shortage due to increase demand. Pfizer discontinued 2 mEq/mL 250 mL bottles in mid-2018.
    • ICU Medical has potassium chloride injection on shortage due to increased demand.
    • ICU Medical discontinued potassium chloride 10 mEq/500 mL in 5% dextrose and 0.225% sodium chloride in 2018.
Available Products
    • Potassium chloride injection, BBraun, 2 mEq/mL, 250 mL bulk package 1 count, NDC 00264-1940-20
    • Potassium chloride injection, Baxter, 20 mEq/L, 5% dextrose 14 count, NDC 00338-0683-04
    • Potassium chloride injection, ICU Medical, 20 mEq/L, 5% dextrose 12 count, NDC 00409-7905-09
    • Potassium chloride injection, Baxter, 20 mEq/L, 5% dextrose and lactated ringers 14 count, NDC 00338-0811-04
    • Potassium chloride injection, ICU Medical, 20 mEq/L, 5% dextrose and lactated ringers 12 count, NDC 00409-7111-09
    • Potassium chloride injection, Baxter, 10 mEq/L, 5% dextrose and 0.45% sodium chloride 14 count, NDC 00338-0669-04
    • Potassium chloride injection, Baxter, 20 mEq/500 mL, 5% dextrose and 0.2% sodium chloride 14 count, NDC 00338-0663-03
    • Potassium chloride injection, Baxter, 20 mEq/500 mL, 5% dextrose and 0.45% sodium chloride 24 count, NDC 00338-0671-03
    • Potassium chloride injection, Baxter, 20 mEq/L, 5% dextrose and 0.2% sodium chloride 14 count, NDC 00338-0663-04
    • Potassium chloride injection, Baxter, 20 mEq/L, 5% dextrose and 0.45% sodium chloride 14 count, NDC 00338-0671-04
    • Potassium chloride injection, Baxter, 20 mEq/L, 5% dextrose and 0.9% sodium chloride 14 count, NDC 00338-0803-04
    • Potassium chloride injection, Baxter, 30 mEq/L, 5% dextrose and 0.45% sodium chloride 14 count, NDC 00338-0673-04
    • Potassium chloride injection, Baxter, 40 mEq/L, 5% dextrose and 0.45% sodium chloride 14 count, NDC 00338-0675-04
    • Potassium chloride injection, Baxter, 40 mEq/L, 5% dextrose and 0.9% sodium chloride 14 count, NDC 00338-0807-04
    • Potassium chloride injection, ICU Medical, 10 mEq/500 mL, 5% dextrose and 0.45% sodium chloride 24 count, NDC 00409-7902-03
    • Potassium chloride injection, ICU Medical, 10 mEq/L, 5% dextrose and 0.45% sodium chloride 12 count, NDC 00409-7993-09
    • Potassium chloride injection, ICU Medical, 20 mEq/L, 5% dextrose and 0.225% sodium chloride 12 count, NDC 00409-7901-09
    • Potassium chloride injection, ICU Medical, 20 mEq/L, 5% dextrose and 0.45% sodium chloride 12 count, NDC 00409-7902-09
    • Potassium chloride injection, ICU Medical, 20 mEq/L, 5% dextrose and 0.9% sodium chloride 12 count, NDC 00409-7107-09
    • Potassium chloride injection, ICU Medical, 30 mEq/L, 5% dextrose and 0.45% sodium chloride 12 count, NDC 00409-7903-09
    • Potassium chloride injection, ICU Medical, 40 mEq/L, 5% dextrose and 0.45% sodium chloride 12 count, NDC 00409-7904-09
    • Potassium chloride injection, ICU Medical, 40 mEq/L, 5% dextrose and 0.9% sodium chloride 12 count, NDC 00409-7109-09
    • Potassium chloride injection, Baxter, 20 mEq/L, 0.45% sodium chloride 14 count, NDC 00338-0704-34
    • Potassium chloride injection, Baxter, 20 mEq/L, 0.9% sodium chloride 14 count, NDC 00338-0691-04
    • Potassium chloride injection, Baxter, 40 mEq/L, 0.9% sodium chloride 14 count, NDC 00338-0695-04
    • Potassium chloride injection, ICU Medical, 20 mEq/L, 0.45% sodium chloride 12 count, NDC 00409-9257-39
    • Potassium chloride injection, ICU Medical, 20 mEq/L, 0.9% sodium chloride 12 count, NDC 00409-7115-09
    • Potassium chloride injection, ICU Medical, 40 mEq/L, 0.9% sodium chloride 12 count, NDC 00409-7116-09
    • Potassium chloride injection, Baxter, 10 mEq/100 mL, sterile water 24 count, NDC 00338-0709-48
    • Potassium chloride injection, Baxter, 10 mEq/50 mL, sterile water 24 count, NDC 00338-0705-41
    • Potassium chloride injection, Baxter, 20 mEq/100 mL, sterile water 24 count, NDC 00338-0705-48
    • Potassium chloride injection, Baxter, 20 mEq/50 mL, sterile water 24 count, NDC 00338-0703-41
    • Potassium chloride injection, Baxter, 40 mEq/100 mL, sterile water 24 count, NDC 00338-0703-48
    • Potassium chloride injection, ICU Medical, 10 mEq/100 mL, sterile water 24 count, NDC 00409-7074-26
    • Potassium chloride injection, ICU Medical, 10 mEq/50 mL, sterile water 24 count, NDC 00409-7075-14
    • Potassium chloride injection, ICU Medical, 20 mEq/50 mL, sterile water 24 count, NDC 00409-7077-14
    • Potassium chloride injection, ICU Medical, 40 mEq/100 mL, sterile water 24 count, NDC 00409-7077-26

Estimated Resupply Dates

    • Baxter has potassium chloride 20 mEq/1000 mL in lactated ringer's and 5% dextrose on back order and the company cannot estimate a release date.
    • Fresenius Kabi has potassium chloride 10 mEq/5 mL, 20 mEq/10 mL, 40 mEq/20 mL, and 60 mEq/30 mL vials on back order and the company estimates a release date of late-October 2018 for the 5 mL vials and 10 mL vials, early-October 2018 for the 20 mL, and late-September 2018 for the 30 mL vials. Check wholesalers for inventory.
    • ICU Medical has potassium chloride 20 mEq/100 mL in sterile water on back order and the company cannot estimate a release date.
    • Pfizer has potassium chloride 10 mEq/5 mL vials and 40 mEq/20 mL vials on back order and the company estimates a release date in November 2018. The 20 mEq/10 mL vials are on back order and the company estimates a release date in October 2018.

Safety

    • During this shortage, use oral therapy whenever possible to reserve remaining IV supplies. Compounding potassium-containing products poses significant safety risks. Consider oral therapy for patients with enteral or oral access and patients with potassium concentrations higher than 2.8 mmol/L.

Alternative Agents & Management

    • To help alleviate the potassium chloride shortage, Athenex is coordinating with FDA to temporarily import potassium chloride 2 mEq/mL concentrate for injection 10 mL ampules in 10 count. This is manufactured and marketed in Italy by Industria Farmaceutica Galenica Senese S.r.l. (Galenica). Additional information can be found at the FDA shortage site https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Potassium%20Chloride%20Injection&st=c&tab=tabs-1# and at the Dear Healthcare Professional Letter https://www.fda.gov/downloads/Drugs/DrugSafety/DrugShortages/ucm615370.pdf
    • Laboratoire Aguettant (Aguettant) is coordinating with FDA to temporarily import Potassium Chloride Proamp 0.15 g/mL (equivalent to 2 mEq/mL) concentrate for injection 10 mL ampules in 50 count to help alleviate the potassium chloride shortage. This product is distributed by La Jolla Pharmaceuticals. Additional information can be found at the FDA shortage site https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Potassium%20Chloride%20Injection&st=c&tab=tabs-1# and at the Dear Healthcare Professional Letter https://www.fda.gov/downloads/Drugs/DrugSafety/DrugShortages/UCM616862.pdf

Updated

Updated August 29, 2018 by Leslie Jensen, PharmD, Drug Information Specialist. Created February 28, 2012 by Jane Chandramouli, PharmD, Drug Information Specialist. Copyright 2018, Drug Information Service, University of Utah, Salt Lake City, UT.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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