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ATC V03AF01 · Detoxifying Agents for Antineoplastic Treatment · updated 4 Nov 2026

Mesna shortage

As of 4 Nov 2026, Mesna has a reported shortage in 3 of the 16 countries we track (Canada, Italy, Norway), covering 3 products from 1 company.

Is there a Mesna shortage?

Yes. As of 4 Nov 2026, Mesna is reported short in 3 of the 16 countries we track: Canada, Italy, Norway. The earliest expected return is 1 Dec 2026 (Norway). 2 of 3 affected products have no return date. No longer reported short in Germany (since 1 Nov).

Countries3/16
Products3packs or presentations
Companies11 listed
Short since24 Dec 202510 months ago
Earliest return1 Dec 2026company estimate
Main reasonManufacturing problem
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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 24 Dec 2025; most recently in Norway on 15 Jun 2026.

Not on the official list in: United States, Germany, France, Spain, Ireland, Austria, Belgium, Switzerland, Czechia, Sweden, Japan, New Zealand, Australia.

Timeline

CanadaItalyNorway
20262027UROMITEXAN (10mL Ampoules)UROMITEXAN (10mL Ampoules)UROMITEXANUROMITEXANUromitexan 400 mg tablett, filmdrasjert, 1 sUromitexan 400 mg tablett, filmdrasjert, 1 stk endoseblisterpakningtoday

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
Baxter3 BAX

Listed: Baxter BAX · NYSE

Compared with similar medicines

ATC group V03AF · Detoxifying Agents for Antineoplastic Treatment
Calcium Folinate7/16Mesna3/16Calcium Levofolinate2/16Dexrazoxane1/16

Affected products

CountryProductCompanySinceExpected backReason
CAUROMITEXAN (10mL Ampoules)BAXTER CORPORATION15 Jun 2026not givenIncreased demand
Demand increase for the drug
ITUROMITEXAN discontinuationBAXTER S.P.A.24 Dec 2025not givenManufacturing problem
Problemi produttivi: distribuzione contingentata
NOUromitexan 400 mg tablett, filmdrasjert, 1 stk endoseblisterpakningBaxter Medical AB15 Jun 20261 Dec 2026Manufacturing problem
Produksjonsproblemer

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

Questions

Is there a Mesna shortage?

Yes. As of 4 Nov 2026, Mesna is reported short in 3 of the 16 countries we track: Canada, Italy, Norway. The earliest expected return is 1 Dec 2026 (Norway). 2 of 3 affected products have no return date. No longer reported short in Germany (since 1 Nov).

When will Mesna be back in stock?

Companies expect supply back from 1 Dec 2026 in Norway; Canada: no date given; Italy: no date given; Norway: 1 Dec 2026. These are company estimates reported to each authority.

Why is Mesna in short supply?

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

Which companies have Mesna shortages?

Baxter.