Market Overview

Injectable Medication Shortage is Affecting Terminally Ill Patients


Hospi Corporation: Keeping hospice patients comfortable in the midst
of opioid shortage

Up to 75% of dying patients experience pain requiring opioid analgesics
when they enter the terminal phase. In response to the injectables
shortage, a growing number of large hospice organizations and their
pharmacists are adopting the rectal route of administration thanks to a
nurse who invented a device (the Macy Catheter) to make rectal
administration discreet, painless, and reliable.

The injectable opioid shortage is forcing clinicians to look for
alternate routes of medication administration.

"The supply shortage of injectable opioids is putting pressure on
pharmacists to find alternative routes, especially for our end-of-life
patients," said Dr. Nate Hedrick, PharmD, Manager of Clinical Services, ProCare

The Philadelphia
recently reported that morphine, hydromorphone (Dilaudid),
and fentanyl — staples of pain control and sedation in hospitals and
hospices— are in short supply.

"Pain management is of critical importance for patients facing serious
or terminal illness. With supplies of injectable pain medications in
short supply clinicians need an immediate alternative. I am pleased to
see the Macy Catheter meeting this need in both the inpatient and home
hospice settings," said Brad Macy, RN, BSN, CHPN, 2013 Hospice and
Palliative Care Nurse of the Year and co-founder of Hospi Corporation.

Wendy Schmitz, M.D., Vice President of Medical Services, Ohio's Hospice
of Dayton, said "Based on my experience on our hospice inpatient unit,
the Macy Catheter is faster than subcutaneous in controlling pain with
opioids and I am able to control pain with less opioid dose adjustments.
It is also very effective in most instances in quickly controlling
terminal agitation and other symptoms. It saves nursing time and
decreases medication cost and waste. I will never go back to my prior
practice and will continue using the Macy Catheter."

Patented and FDA cleared, the Macy Catheter provides access to the
clinically proven rectal route of delivery. It is designed to make the
rectal route a practical, painless and discreet alternative for those
medications that can be prescribed per rectum. The Macy Catheter can be
used in multiple settings, including in hospice and palliative care,
skilled nursing facilities, and the emergency department.

About Hospi Corporation

Hospi Corporation developed the Macy Catheter to provide the best
alternative for rapid administration of medication and fluids. The Macy
Catheter improves patient care and nursing efficiency while decreasing
the cost of care. For more information, visit

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