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ATC N02AB03 · Phenylpiperidine Derivatives · updated 4 Nov 2026

Fentanyl shortage

As of 4 Nov 2026, Fentanyl has a reported shortage in 9 of the 16 countries we track (Canada, Italy, Spain, Austria, Belgium, Czechia, Norway, Sweden, Japan), covering 50 products from 11 companies.

Is there a Fentanyl shortage?

Yes. As of 4 Nov 2026, Fentanyl is reported short in 9 of the 16 countries we track: Canada, Italy, Spain, Austria, Belgium, Czechia, Norway, Sweden, Japan. The earliest expected return is 5 Nov 2026 (Spain). 30 of 50 affected products have no return date. New since 5 Oct 2026: Canada, Italy, Spain, Sweden.

Countries9/16
Products50packs or presentations
Companies114 listed
Short since17 Jul 20233.3 years ago
Earliest return5 Nov 2026company estimate
Main reasonManufacturing problem
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United StatesNo reported shortageCanada1 product shortGermanyNo reported shortageFranceNo reported shortageItaly18 products shortSpain3 products shortIrelandNo reported shortageAustria6 products shortBelgium1 product shortSwitzerlandNo reported shortageCzechia5 products shortNorway4 products shortSweden6 products shortJapan6 products shortNew ZealandNo reported shortageAustraliaNo reported shortage

How the shortage spread

All cross-border shortages

Countries in the order the shortage started there (earliest start date of a product still short). First reported in Italy on 17 Jul 2023; most recently in Canada on 23 Oct 2026.

Not on the official list in: United States, Germany, France, Ireland, Switzerland, New Zealand, Australia.

Timeline

CanadaItalySpainAustriaBelgiumCzechiaNorwaySwedenJapan
2024202520262028FENTORA (28 pack)FENTORA (28 pack)FENTANIL ZENTIVAFENTANIL ZENTIVAFENTANIL ZENTIVAFENTANIL ZENTIVAFENTANIL ZENTIVAFENTANIL ZENTIVAEFFENTORAEFFENTORAEFFENTORAEFFENTORAEFFENTORAEFFENTORAEFFENTORAEFFENTORADOGETICDOGETICEFFENTORAEFFENTORAACTIQACTIQEFFENTORAEFFENTORAEFFENTORAEFFENTORAFENROOFENROOFENROOFENROOFENROOFENROOFENPATCHFENPATCHEFFENTORAEFFENTORAFENTANIL ARISTOFENTANIL ARISTOFENTICERTA 100 MICROGRAMOS COMPRIMIDOS SUBLIFENTICERTA 100 MICROGRAMOS COMPRIMIDOS SUBLINGUALES EFG , 10 comprimidosEFFENTORA 100 microgramos COMPRIMIDOS BUCALEEFFENTORA 100 microgramos COMPRIMIDOS BUCALES, 28 comprimidosFENTICERTA 200 MICROGRAMOS COMPRIMIDOS SUBLIFENTICERTA 200 MICROGRAMOS COMPRIMIDOS SUBLINGUALES EFG 10 comprimidosDurogesic 100 Mikrogramm/Stunde - TransdermaDurogesic 100 Mikrogramm/Stunde - Transdermales Pflaster, 5 StückDurogesic 12 Mikrogramm/Stunde - TransdermalDurogesic 12 Mikrogramm/Stunde - Transdermales Pflaster, 5 StückDurogesic 50 Mikrogramm/Stunde - TransdermalDurogesic 50 Mikrogramm/Stunde - Transdermales Pflaster, 5 StückDurogesic 75 Mikrogramm/Stunde - TransdermalDurogesic 75 Mikrogramm/Stunde - Transdermales Pflaster, 5 StückFentabucc akut 100 Mikrogramm BuccaltabletteFentabucc akut 100 Mikrogramm Buccaltabletten, 28 StückFentanyl Actavis 75 Mikrogramm/h transdermalFentanyl Actavis 75 Mikrogramm/h transdermales Pflaster, 5 StückMatrifen 12 µg/h transderm. patch sachet 2 (Matrifen 12 µg/h transderm. patch sachet 2 (1,38 mg/4,2 cm²)FENTANYL-RATIOPHARM 100MCG/H 100MCG/H TDR EMFENTANYL-RATIOPHARM 100MCG/H 100MCG/H TDR EMP 5X16,5MGtoday

Solid bars run from the reported start to today; faded bars show the time left until the expected return. An arrow means no return date was given.

Which companies are short

products short, all countries
Phoenix Unlimited13Johnson & Johnson9 JNJSandoz6 SDZTeva6 TEVAIstituto Gentili4Zentiva3Stada3Orion3 ORNBVAristo1Genericon1帝國製薬1

Listed: Sandoz SDZ · SIX Swiss, Teva TEVA · NYSE / TASE, Johnson & Johnson JNJ · NYSE, Orion ORNBV · Nasdaq Helsinki

Compared with similar medicines

ATC group N02AB · Phenylpiperidine Derivatives
Fentanyl9/16Pethidine1/16

Affected products

CountryProductCompanySinceExpected backReason
CAFENTORA (28 pack)PHOENIX LABS UNLIMITED COMPANY23 Oct 20261 Mar 2027Manufacturing problem
Disruption of the manufacture of the drug
ITFENTANIL ZENTIVAZENTIVA ITALIA S.R.L.17 Jul 2023not givenManufacturing problem
Problemi produttivi
ITFENTANIL ZENTIVAZENTIVA ITALIA S.R.L.11 Sep 2023not givenManufacturing problem
Problemi produttivi
ITFENTANIL ZENTIVAZENTIVA ITALIA S.R.L.16 Oct 2023not givenManufacturing problem
Problemi produttivi
ITEFFENTORAPHOENIX LABS UNLIMITED COMPANY1 Feb 2026not givenManufacturing problem
Problemi produttivi
ITEFFENTORAPHOENIX LABS UNLIMITED COMPANY1 Feb 202615 May 2027Manufacturing problem
Problemi produttivi
ITEFFENTORAPHOENIX LABS UNLIMITED COMPANY17 Mar 202615 May 2027Regulatory or licensing
Problemi regolatori
ITEFFENTORAPHOENIX LABS UNLIMITED COMPANY15 Jun 2026not givenRegulatory or licensing
Problemi regolatori
ITDOGETIC discontinuationSANDOZ S.P.A.26 Jun 2026not givenIncreased demand
Elevata richiesta: distribuzione contingentata
ITEFFENTORAPHOENIX LABS UNLIMITED COMPANY29 Jun 2026not givenRegulatory or licensing
Problemi regolatori
ITACTIQPHOENIX LABS UNLIMITED COMPANY30 Jun 2026not givenManufacturing problem
Problemi produttivi
ITEFFENTORAPHOENIX LABS UNLIMITED COMPANY8 Jul 2026not givenManufacturing problem
Problemi produttivi
ITEFFENTORAPHOENIX LABS UNLIMITED COMPANY10 Jul 2026not givenRegulatory or licensing
Problemi regolatori
ITFENROOEG S.P.A.31 Jul 2026not givenIncreased demand
Elevata richiesta
ITFENROOEG S.P.A.31 Jul 2026not givenIncreased demand
Elevata richiesta
ITFENROOEG S.P.A.31 Jul 2026not givenIncreased demand
Elevata richiesta
ITFENPATCHRATIOPHARM GMBH1 Sep 2026not givenManufacturing problem
Problemi produttivi (carenza relativa solo al canale retail)
ITEFFENTORAPHOENIX LABS UNLIMITED COMPANY18 Sep 2026not givenManufacturing problem
Problemi produttivi
ITFENTANIL ARISTOARISTO PHARMA GMBH20 Oct 2026not givenIncreased demand
Elevata richiesta
ESFENTICERTA 100 MICROGRAMOS COMPRIMIDOS SUBLINGUALES EFG , 10 comprimidosSandoz Farmaceutica S.A.16 Jun 202615 Nov 2026Not stated
ESEFFENTORA 100 microgramos COMPRIMIDOS BUCALES, 28 comprimidosPhoenix Labs Unlimited Company23 Sep 20265 Nov 2026Not stated
ESFENTICERTA 200 MICROGRAMOS COMPRIMIDOS SUBLINGUALES EFG 10 comprimidosSandoz Farmaceutica S.A.22 Oct 202615 Nov 2026Not stated
ATDurogesic 100 Mikrogramm/Stunde - Transdermales Pflaster, 5 StückJanssen-Cilag Pharma GmbH25 Jun 2025not givenQuality problem or recall
Qualitätsprobleme bei der Herstellung
ATDurogesic 12 Mikrogramm/Stunde - Transdermales Pflaster, 5 StückJanssen-Cilag Pharma GmbH25 Jun 2025not givenQuality problem or recall
Qualitätsprobleme bei der Herstellung
ATDurogesic 50 Mikrogramm/Stunde - Transdermales Pflaster, 5 StückJanssen-Cilag Pharma GmbH21 Aug 2025not givenQuality problem or recall
Qualitätsprobleme bei der Herstellung
ATDurogesic 75 Mikrogramm/Stunde - Transdermales Pflaster, 5 StückJanssen-Cilag Pharma GmbH31 Oct 2025not givenQuality problem or recall
Qualitätsprobleme bei der Herstellung
ATFentabucc akut 100 Mikrogramm Buccaltabletten, 28 StückGenericon Pharma Ges.m.b.H.10 Feb 2026not givenIncreased demand
Erhöhter Mehrbedarf
ATFentanyl Actavis 75 Mikrogramm/h transdermales Pflaster, 5 StückActavis Group PTC ehf.21 Sep 2026not givenManufacturing problem
Verzögerung bei der Herstellung
BEMatrifen 12 µg/h transderm. patch sachet 2 (1,38 mg/4,2 cm²)Istituto Gentili2 Oct 202631 Dec 2027Other
Other reason
CZFENTANYL-RATIOPHARM 100MCG/H 100MCG/H TDR EMP 5X16,5MGratiopharm GmbH, Ulm16 Oct 2025not givenManufacturing problem
Výrobní důvody
CZFENTALIS AKUT 200MCG 200MCG SLG TBL NOB 30X1Sandoz s.r.o., Praha15 May 202623 Nov 2026Manufacturing problem
Výrobní důvody
CZFENTALIS AKUT 100MCG 100MCG SLG TBL NOB 30X1Sandoz s.r.o., Praha27 May 202620 Nov 2026Manufacturing problem
Výrobní důvody
CZFENTANYL-RATIOPHARM 50MCG/H 50MCG/H TDR EMP 5X8,25MGratiopharm GmbH, Ulm19 Jun 2026not givenManufacturing problem
Výrobní důvody
CZFENTALIS AKUT 400MCG 400MCG SLG TBL NOB 30X1Sandoz s.r.o., Praha11 Sep 202625 Jan 2027Distribution or logistics
Kapacitní/distribuční důvody
NOFentanyl ratiopharm 100 mikrog/time depotplaster, 5 stk doseposeratiopharm GmbH17 Apr 202631 Dec 2026Manufacturing problem
Produksjonsproblemer
NOInstanyl 100 mikrog/dose nesespray, oppløsning, 20 doser flaske av glassIstituto Gentili S.r.l.1 Aug 202631 Dec 2027Commercial decision or withdrawal
Kommersielle grunner
NOInstanyl 50 mikrog/dose nesespray, oppløsning, 20 doser flaske av glassIstituto Gentili S.r.l.1 Aug 202631 Dec 2027Commercial decision or withdrawal
Kommersielle grunner
NOInstanyl 200 mikrog/dose nesespray, oppløsning, 20 doser flaske av glass anticipatedIstituto Gentili S.r.l.31 Jan 202731 Dec 2027Commercial decision or withdrawal
Kommersielle grunner
SEFentanyl Orion 25 mikrogram/timme Påse, 10 x 1 plåsterOrion Corporation4 May 202616 Nov 2026Not stated
SEActiq 400 mikrogram Blister, 30 sugtabletter med applikatorPhoenix Labs Unlimited Company1 Aug 202631 Jan 2027Not stated
SEActiq 600 mikrogram Blister, 30 sugtabletter med applikatorPhoenix Labs Unlimited Company1 Aug 202631 Jan 2027Not stated
SEFentanyl Orion 25 mikrogram/timme Påse, 16 x 1 plåsterOrion Corporation10 Aug 202616 Nov 2026Not stated
SEFentanyl ratiopharm 25 mikrogram/timme Påse, 16 x 1 plåsterratiopharm GmbH1 Nov 20261 Jan 2027Not stated
SEFentanyl Orion 12 mikrogram/timme Påse, 16 x 1 plåster anticipatedOrion Corporation4 Jan 20271 Feb 2027Not stated
フェンタニルクエン酸塩1日用テープ0.5mg「テイコク」帝國製薬7 Mar 2024not givenOther
ワンデュロパッチ0.84mgJohnson & Johnson2 May 2025not givenQuality problem or recall
Quality problem
ワンデュロパッチ1.7mgJohnson & Johnson2 May 2025not givenQuality problem or recall
Quality problem
ワンデュロパッチ3.4mgJohnson & Johnson2 May 2025not givenQuality problem or recall
Quality problem
ワンデュロパッチ5mgJohnson & Johnson2 May 2025not givenQuality problem or recall
Quality problem
ワンデュロパッチ6.7mgJohnson & Johnson2 May 2025not givenQuality problem or recall
Quality problem

"Expected back" is the date the company gave the authority, when it gave one. Ask a pharmacist about alternatives.

Questions

Is there a Fentanyl shortage?

Yes. As of 4 Nov 2026, Fentanyl is reported short in 9 of the 16 countries we track: Canada, Italy, Spain, Austria, Belgium, Czechia, Norway, Sweden, Japan. The earliest expected return is 5 Nov 2026 (Spain). 30 of 50 affected products have no return date. New since 5 Oct 2026: Canada, Italy, Spain, Sweden.

When will Fentanyl be back in stock?

Companies expect supply back from 5 Nov 2026 in Spain; Canada: 1 Mar 2027; Italy: 15 May 2027; Spain: 5 Nov 2026; Austria: no date given; Belgium: 31 Dec 2027; Czechia: 20 Nov 2026; Norway: 31 Dec 2026; Sweden: 16 Nov 2026; Japan: no date given. These are company estimates reported to each authority.

Why is Fentanyl in short supply?

The most common reason reported is: manufacturing problem. Reasons by product are listed in the table below.

Which companies have Fentanyl shortages?

Phoenix Unlimited, Johnson & Johnson, Sandoz, Teva, Istituto Gentili, Zentiva, Stada, Orion, Aristo, Genericon.