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Azacitidine 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

Azacitidine currently has availability issues reported in 5 European registers: Spain, Greece, Ireland, Italy, Sweden.

Shortage  ATC L01BC07 · also listed as: AZACITIDINA · AZACITIDINE · azacitidin · data refreshed 10 September 2026

Key facts

As of 10 September 2026, 5 of the 9 tracked registers list current availability issues for Azacitidine, covering 8 affected product presentations. The longest-running open report was filed in Italy on 2025-01-03 and has now been open for about 20 months. Where agencies state a cause, manufacturing problems lead with 1 of the 2 stated-cause reports, followed by commercial decisions or discontinuation with 1. The furthest expected-resolution date currently on file is 2026-12-15; the earliest is 2026-09-17. Notably, 2 reports have already passed the expected-resolution date without closing — prognoses for this medicine should be read as estimates, not commitments. Momentum is current, not historical: 3 of the open reports were filed within the last 90 days. The issue spread across registers over time rather than at once: Italy reported first (2025-01-03), with Sweden following roughly 18 months later — a pattern typical of supply problems cascading between national markets. Registers in Spain, Greece, Ireland, Italy, Sweden indicate that alternatives or equivalents are available — a pharmacist or doctor can advise on switching. In the WHO ATC classification, Azacitidine is coded L01BC07 — a medicine acting on antineoplastic and immunomodulating agents — so clinically related products appear under “Related medicines” below.

WhereStatus & productsSinceExpected end Reason / alternativesSource
🇪🇸 SpainShortage
AZACITIDINA EUGIA 25 MG/ML POLVO PARA SUSPENSION INYECTABLE EFG, 1 vial
+ 1 more products
AZACITIDINA SANDOZ 25 MG/ML POLVO PARA SOLUCION INYECTABLE EFG , 1 vial
2025-01-302026-11-29Existen 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 ↗
🇬🇷 GreeceLimited availability
VIDAZA PD.INJ.SUS 25MG/ML BTx1 VIAL x 100MG
2026-06-012026-07-15Αυξημένη ζήτηση περιεκτικότητας JAVLOR C/S.SOL.IN 25MG/ML BTX1VIAL (ΜΕ
Alternatives: Προβλήματα στην παραγωγική
register ↗
🇮🇪 IrelandShortage
Azacitidine Accord 25 mg / mL powder for suspension for injection EU/1/1
2026-02-04Manufacturing delay (n/a)
Alternatives: Alternative(s) available — see the national register.
register ↗
🇮🇹 ItalyShortage
AZACITIDINA ACCORD
+ 1 more products
AZACITIDINA AUROBINDO
2025-01-03Cessata commercializzazione temporanea
Alternatives: AIFA: equivalents with the same active substance are available.
register ↗
🇸🇪 SwedenShortage
Azacitidine Accord 25 mg/ml Pulver till injektionsvätska, suspension
+ 1 more products
Azacitidine Mylan 25 mg/ml Pulver till injektionsvätska, suspension
2026-07-012026-12-15
Alternatives: Alternative(s) available — see the national register.
register ↗

New register reports per month

2025-01: 22025-02: 02025-03: 02025-04: 02025-05: 02025-06: 02025-07: 02025-08: 02025-09: 02025-10: 02025-11: 02025-12: 02026-01: 02026-02: 12026-03: 12026-04: 02026-05: 02026-06: 12026-07: 22025-012026-07

Full report history (8 register entries)

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

Reg.ProductStatusReportedExpected endStated reason
🇮🇹 ITAZACITIDINA ACCORDShortage2026-12-31Cessata commercializzazione temporanea
🇸🇪 SEAzacitidine Mylan 25 mg/ml Pulver till injektionsvätska, suspensionShortage2026-07-212026-12-15
🇸🇪 SEAzacitidine Accord 25 mg/ml Pulver till injektionsvätska, suspensionShortage2026-07-012026-07-31
🇬🇷 GRVIDAZA PD.INJ.SUS 25MG/ML BTx1 VIAL x 100MGLimited availability2026-06-012026-07-15Αυξημένη ζήτηση περιεκτικότητας JAVLOR C/S.SOL.IN 25MG/ML BT
🇪🇸 ESAZACITIDINA SANDOZ 25 MG/ML POLVO PARA SOLUCION INYECTABLE EFG , 1 viaShortage2026-03-172026-09-17Existen otros medicamentos con el mismo principio activo y m
🇮🇪 IEAzacitidine Accord 25 mg / mL powder for suspension for injection EU/1Shortage2026-02-04Manufacturing delay (n/a)
🇪🇸 ESAZACITIDINA EUGIA 25 MG/ML POLVO PARA SUSPENSION INYECTABLE EFG, 1 viaShortage2025-01-302026-11-29Existen otros medicamentos con el mismo principio activo y m
🇮🇹 ITAZACITIDINA AUROBINDOShortage2025-01-03Problemi regolatori

Frequently asked

Is Azacitidine currently in shortage in Europe?

Yes. As of 10 September 2026, availability issues are reported in: Spain, Greece, Ireland, Italy, Sweden. Availability is national — a shortage in one country does not mean it is short everywhere.

When is the Azacitidine shortage expected to end?

Agency prognoses on file range from 2026-09-17 to 2026-12-15. These are manufacturer-reported estimates and frequently move; check the linked register entry for the latest date.

Are there alternatives to Azacitidine?

8 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 Azacitidine availability data come from?

Directly from the official medicines-agency registers that list Azacitidine: AEMPS CIMA (Spain), EOF limited-availability list (Greece), HPRA (Ireland), AIFA (Italy), Läkemedelsverket (Sweden). 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 Azacitidine — free, with attribution. Copy this snippet:

<iframe src="https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/azacitidine/embed.html" width="100%" height="150" loading="lazy" style="border:1px solid #e1e0d9;border-radius:12px" title="Azacitidine availability in Europe"></iframe>
<p style="font-size:12px">Source: <a href="https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/azacitidine/">Azacitidine shortage status — European Medicine Shortage Tracker</a> by MobiDoctor</p>
Cite: “Azacitidine: availability status across 5 European registers — European Medicine Shortage Tracker (MobiDoctor), 10 September 2026.” Link this page and the agency record. Statuses come from the linked official registers and can change daily.