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Adenosine shortage — availability across Europe

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MEDICALLY REVIEWED
Dr. Chrysoula I. Liakou MD, PhD
Internal Medicine Specialist
Cancer Immunology Researcher
Reviewed 30 July 2026 · next review due 30 January 2027

Adenosine currently has availability issues reported in 4 European registers: Germany, Spain, Ireland, Italy.

Shortage  ATC C01EB10 · also listed as: Adenosin · ADENOSINA · Adenosine · data refreshed 12 September 2026

Key facts

As of 12 September 2026, 4 of the 9 tracked registers list current availability issues for Adenosine, covering 9 affected product presentations. The longest-running open report was filed in Germany on 2024-03-01 and has now been open for about 30 months. Where agencies state a cause, manufacturing problems lead with 4 of the 7 stated-cause reports, followed by unexpectedly high demand with 2. The furthest expected-resolution date currently on file is 2027-12-31; the earliest is 2026-09-20. Momentum is current, not historical: 2 of the open reports were filed within the last 90 days. The issue spread across registers over time rather than at once: Germany reported first (2024-03-01), with Spain following roughly 27 months later — a pattern typical of supply problems cascading between national markets. Registers in Germany, Spain, Ireland, Italy indicate that alternatives or equivalents are available — a pharmacist or doctor can advise on switching. In the WHO ATC classification, Adenosine is coded C01EB10 — a medicine acting on the cardiovascular system — so clinically related products appear under “Related medicines” below.

WhereStatus & productsSinceExpected end Reason / alternativesSource
🇩🇪 GermanyShortage
Adenosin Altamedics 3 mg/ml Injektionslösung
+ 2 more products
Adenosin Altamedics 30 mg/10 ml Infusionslösung
Adrekar
2024-03-012027-12-31Herstellerwechsel
Alternatives: N/A
register ↗
🇪🇸 SpainShortage
ADENOSINA HIKMA 6 MG/2ML SOLUCION INYECTABLE EFG, 10 ampollas
+ 1 more products
ADENOSINA KABI 3 MG/ML SOLUCION INYECTABLE EN JERINGA PRECARGADA, 10 jeringas precargadas de 2 ml
2026-06-242026-10-15Existen otros medicamentos con el mismo principio activo y misma vía.
Alternatives: Existe/n otro/s medicamento/s con el mismo principio activo y para la misma vía de administración.
register ↗
🇮🇪 IrelandShortage
Adenocor 3 mg / ml solution for injection
+ 1 more products
Adenosine 3 mg / ml solution for injection in pre-filled syringe
2026-05-222026-09-30Unexpected increased demand (Ireland only)
Alternatives: Alternative(s) available — see the national register.
register ↗
🇮🇹 ItalyShortage
ADENOSCAN
+ 1 more products
KRENOSIN
2025-12-23Ridotta disponibilità: distribuzione contingentata
Alternatives: AIFA: import of a foreign equivalent can be authorised.
register ↗

New register reports per month

2024-03: 12024-04: 02024-05: 02024-06: 02024-07: 02024-08: 02024-09: 02024-10: 02024-11: 02024-12: 02025-01: 02025-02: 02025-03: 02025-04: 02025-05: 02025-06: 02025-07: 02025-08: 02025-09: 12025-10: 02025-11: 02025-12: 12026-01: 02026-02: 12026-03: 12026-04: 02026-05: 22026-06: 22024-032026-06

Full report history (9 register entries)

Every individual register entry for Adenosine in the tracked sources, newest first — including resolved and discontinued reports.

Reg.ProductStatusReportedExpected endStated reason
🇪🇸 ESADENOSINA KABI 3 MG/ML SOLUCION INYECTABLE EN JERINGA PRECARGADA, 10 jShortage2026-06-282026-10-15Existen otros medicamentos con el mismo principio activo y m
🇪🇸 ESADENOSINA HIKMA 6 MG/2ML SOLUCION INYECTABLE EFG, 10 ampollasShortage2026-06-242026-09-20Existen otros medicamentos con el mismo principio activo y m
🇮🇪 IEAdenocor 3 mg / ml solution for injectionShortage2026-05-29Unexpected increased demand (Ireland only)
🇮🇪 IEAdenosine 3 mg / ml solution for injection in pre-filled syringeShortage2026-05-222026-09-30Unexpected increased demand (Multiple countries)
🇩🇪 DEAdrekarShortage2026-03-272026-12-31Unzureichende Produktionskapazitäten
🇮🇹 ITADENOSCANShortage2026-02-16Ridotta disponibilità: distribuzione contingentata
🇮🇹 ITKRENOSINShortage2025-12-23Problemi produttivi: distribuzione contingentata
🇩🇪 DEAdenosin Altamedics 3 mg/ml InjektionslösungShortage2025-09-092027-12-31Herstellerwechsel
🇩🇪 DEAdenosin Altamedics 30 mg/10 ml InfusionslösungShortage2024-03-012027-12-31Herstellerwechsel

Frequently asked

Is Adenosine currently in shortage in Europe?

Yes. As of 12 September 2026, availability issues are reported in: Germany, Spain, Ireland, Italy. Availability is national — a shortage in one country does not mean it is short everywhere.

When is the Adenosine shortage expected to end?

Agency prognoses on file range from 2026-09-20 to 2027-12-31. These are manufacturer-reported estimates and frequently move; check the linked register entry for the latest date.

Are there alternatives to Adenosine?

9 of the active register entries indicate alternatives or equivalents (same active substance or an alternative treatment). Do not switch on your own — a pharmacist or prescriber can confirm the right substitute in your country.

Where does this Adenosine availability data come from?

Directly from the official medicines-agency registers that list Adenosine: BfArM (Germany), AEMPS CIMA (Spain), HPRA (Ireland), AIFA (Italy). Every row on this page links to the underlying official record, and the dataset is refreshed from the primary sources every morning. Cross-language matching groups the same active substance across registers, so national spellings all resolve to this page.

Related medicines (same ATC class)

Embed this tracker

Pharmacies, patient sites and newsrooms are welcome to embed the live status of Adenosine — free, with attribution. Copy this snippet:

<iframe src="https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/adenosine/embed.html" width="100%" height="150" loading="lazy" style="border:1px solid #e1e0d9;border-radius:12px" title="Adenosine availability in Europe"></iframe>
<p style="font-size:12px">Source: <a href="https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/adenosine/">Adenosine shortage status — European Medicine Shortage Tracker</a> by MobiDoctor</p>
Cite: “Adenosine: availability status across 4 European registers — European Medicine Shortage Tracker (MobiDoctor), 12 September 2026.” Link this page and the agency record. Statuses come from the linked official registers and can change daily.