Why is Trulicity 4.5 missing in pharmacies?

At present, no pharmacy in the Silesian Voivodeship integrated with our system declares the availability of Trulicity 4.5 mg. However, it is worth following the availability of the drug on an ongoing basis using the link below: https://www.gdziepolek.pl/produkty/87306/trulicity-iniekcja/apteki?pvid=259900#stacjonarne If we receive information from the marketing authorisation holder about the availability of the medicine, we will post it on the following page. By clicking on the link below, you can subscribe to e-mail notifications about the drug: https://www.gdziepolek.pl/produkty/87306/trulicity-iniekcja/apteki#news In a situation where you are unable to continue treatment due to the lack of availability of the drug, you should contact your doctor, who may decide on its possible modification. If treatment must be continued and it is not possible to obtain a 4.5 mg dose, the patient may ask for a lower dose of 3 mg or 1.5 mg and modify the dosing schedule to obtain a daily dose of 4.5 mg. The pharmacist may dispense the medicine in a lower dose than the dose shown on the prescription, provided that the patient is able to obtain the prescribed dose by adjusting the dosing regimen. At the moment, Trulicity 1.5 mg is distinguished by better availability: https://www.gdziepolek.pl/produkty/87306/trulicity-iniekcja/apteki/w-kedzierzynie-kozlu Unfortunately, such a change is associated with a significant increase in the cost of therapy, hence it is not an ideal solution, but in a situation where discontinuation of treatment may significantly affect the deterioration of health, it is worth considering this possibility.