Health Team

State pharmacy board intervenes to stop run on lupus drug amid virus outbreak

Pharmacies have seen a run on several drugs, including one President Donald Trump recently name-dropped as a coronavirus treatment, and patients who need them to suppress auto-immune diseases are worried they won't be able to get them.

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By
Travis Fain
, WRAL statehouse reporter
RALEIGH, N.C. — The North Carolina Board of Pharmacy passed an emergency rule Tuesday to prevent drug hoarding for a handful of prescription drugs that may have some promise in COVID-19 treatments but are also unproven, have side-effects and are needed to treat lupus, HIV and the other illnesses for which they were produced.

Pharmacies have seen a run on the drugs, including one President Donald Trump recently name-dropped, and patients who need them to suppress auto-immune diseases are worried they won't be able to get them.

The board's rules say pharmacists can dispense no more than a 14-day supply on a COVID-19 diagnosis, that those diagnoses must be set down in writing and that refills won't be allowed.

The drugs also can't be prescribed as a preventative measure – that is, before a COVID-19 diagnosis.

The rules don't apply to patients in hospitals or to people with prescriptions in place prior to March 10.

The drugs affected by the emergency order are: hydroxychloroquine, chloroquine, lopinavir-ritonavir, ribavirin, oseltamivir, darunavir and azithromycyin. They are sold under a number of brand names, and some are used to treat malaria.

Several of these drugs are part of World Health Organization trials now on COVID-19, but scientists have repeatedly stressed that more research is needed. Some have poked holes in a much ballyhooed initial study that showed promise for the combination of hydroxychloroquine and azithromycyin, the latter of which is more commonly called a "Z-pack."

"The search for potential treatments for COVID-19 has caused shortages and threatens to cause further shortages in certain drugs," the board said in its announcement Tuesday afternoon.

Secretary of Health and Human Services Dr. Mandy Cohen and State Health Director Dr. Elizabeth Tilson asked the board to adopt the rules, the announcement says, "in order to alleviate shortages and ensure that these drugs are available to patients who need them."

Cohen and Tilson have asked the North Carolina Medical Board for a similar rule covering doctors, the announcement states.

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