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Cinacalcet 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

Cinacalcet currently has availability issues reported in 6 European registers: Austria, Spain, Greece, Ireland, Italy, Sweden.

Shortage  ATC H05BX01 · also listed as: CINACALCET HYDROCHLORID · CINACALCET · Cinacalcet hydrochloride · cinakalcethydroklorid · data refreshed 11 September 2026

Key facts

As of 11 September 2026, 6 of the 9 tracked registers list current availability issues for Cinacalcet, covering 24 affected product presentations. The longest-running open report was filed in Ireland on 2023-06-09 and has now been open for about 39 months. Where agencies state a cause, manufacturing problems lead with 6 of the 10 stated-cause reports, followed by regulatory issues with 2. The furthest expected-resolution date currently on file is 2027-07-01; the earliest is 2026-09-25. Notably, 5 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: 4 of the open reports were filed within the last 90 days. The issue spread across registers over time rather than at once: Ireland reported first (2023-06-09), with Italy following roughly 39 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, Cinacalcet is coded H05BX01 — a medicine acting on systemic hormonal preparations — so clinically related products appear under “Related medicines” below.

Discontinued Listed in the EMA shortages catalogue — EU-level issue. EMA lists available alternatives — see the EMA record. EMA record ↗
WhereStatus & productsSinceExpected end Reason / alternativesSource
🇪🇺 EU-wide (EMA)Discontinued
Mimpara (cinacalcet)
2025-04-07Hypercalcemia;Parathyroid Neoplasms;Hyperparathyroidism
Alternatives: EMA lists available alternatives — see the EMA record.
register ↗
🇦🇹 AustriaShortage
Cinacalcet ratiopharm 30 mg Filmtabletten
+ 2 more products
Cinacalcet ratiopharm 60 mg Filmtabletten
Cinacalcet ratiopharm 90 mg Filmtabletten
2025-10-13register ↗
🇪🇸 SpainShortage
CINACALCET ACCORDPHARMA 30 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFG 28 x 1 comprimido (unidosis)
+ 2 more products
CINACALCET ACCORDPHARMA 60 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFG, 28 x 1 comprimido (unidosis)
CINACALCET ACCORDPHARMA 90 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFG 28 x 1 comprimido (unidosis)
2024-07-042026-12-30Existen 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
CINACALCET
+ 2 more products
CINACALCET
CINACALCET
2025-09-152026-12-14Καθυστέρηση παράδοσης περιεκτικότητας ή μέσω έκτακτης εισαγωγής Εναλλα
Alternatives: Εναλλακτικά άλλα σκευάσματα της ίδιας δραστικής, μορφής και
register ↗
🇮🇪 IrelandShortage
Cinacalcet Accordpharma 30 mg film-coated tablets EU/1/20/1429/002 Accor
+ 5 more products
Cinacalcet Accordpharma 60 mg film-coated tablets EU/1/20/1429/006 Accor
Cinacalcet Accordpharma 90 mg film-coated tablets EU/1/20/1429/010 Accor
Cinacalcet Clonmel 60 mg film-coated tablets
Cinacalcet Teva 60 mg film-coated tablets
Cinacalcet Teva 90 mg film-coated tablets
2023-06-092027-07-01Manufacturing delay (Multiple countries)
Alternatives: Alternative(s) available — see the national register.
register ↗
🇮🇹 ItalyShortage
CINACALCET AUROBINDO
+ 2 more products
CINACALCET VIATRIS
CINACALCET VIATRIS
2026-09-05Elevata richiesta/problemi produttivi
Alternatives: AIFA: equivalents with the same active substance are available.
register ↗
🇸🇪 SwedenShortage
Cinacalcet Accordpharma 30 mg Filmdragerad tablett
+ 6 more products
Cinacalcet Accordpharma 60 mg Filmdragerad tablett
Cinacalcet Accordpharma 90 mg Filmdragerad tablett
Cinacalcet Teva 30 mg Filmdragerad tablett
Cinacalcet Teva 30 mg Filmdragerad tablett
Cinacalcet Teva 60 mg Filmdragerad tablett
Cinacalcet Teva 90 mg Filmdragerad tablett
2024-10-152026-12-31
Alternatives: Alternative(s) available — see the national register.
register ↗

New register reports per month

2024-07: 12024-08: 02024-09: 22024-10: 32024-11: 02024-12: 02025-01: 02025-02: 12025-03: 02025-04: 32025-05: 02025-06: 02025-07: 02025-08: 02025-09: 12025-10: 22025-11: 22025-12: 02026-01: 02026-02: 42026-03: 12026-04: 02026-05: 02026-06: 02026-07: 12026-08: 02026-09: 12024-072026-09

Full report history (26 register entries)

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

Reg.ProductStatusReportedExpected endStated reason
🇮🇹 ITCINACALCET VIATRISShortage2026-10-20Problemi produttivi
🇮🇹 ITCINACALCET AUROBINDOShortage2026-10-02Elevata richiesta/problemi produttivi
🇮🇹 ITCINACALCET VIATRISShortage2026-09-05Problemi produttivi
🇮🇪 IECinacalcet Clonmel 60 mg film-coated tabletsShortage2026-07-012026-08-06Unexpected increased demand (Ireland only)
🇦🇹 ATCinacalcet ratiopharm 90 mg FilmtablettenShortage2026-03-23
🇸🇪 SECinacalcet Teva 90 mg Filmdragerad tablettShortage2026-02-162026-12-31
🇦🇹 ATCinacalcet ratiopharm 30 mg FilmtablettenResolved2026-02-13
🇸🇪 SECinacalcet Teva 30 mg Filmdragerad tablettShortage2026-02-132026-08-31
🇸🇪 SECinacalcet Teva 30 mg Filmdragerad tablettShortage2026-02-112026-08-31
🇬🇷 GRCINACALCETLimited availability2025-11-172026-12-14Αυξημένη ζήτηση περιεκτικότητας Εναλλακτικά άλλα σκευάσματα
🇬🇷 GRCINACALCETLimited availability2025-11-032026-12-14Καθυστέρηση παράδοσης περιεκτικότητας ή μέσω έκτακτης εισαγω
🇸🇪 SECinacalcet Teva 60 mg Filmdragerad tablettShortage2025-10-302026-08-31
🇦🇹 ATCinacalcet ratiopharm 60 mg FilmtablettenShortage2025-10-13
🇬🇷 GRCINACALCETLimited availability2025-09-152026-12-14Αυξημένη ζήτηση περιεκτικότητας ή μέσω έκτακτης εισαγωγής Πρ
🇪🇺 EUMimpara (cinacalcet)Discontinued2025-04-07Hypercalcemia;Parathyroid Neoplasms;Hyperparathyroidism
🇮🇪 IECinacalcet Accordpharma 30 mg film-coated tablets EU/1/20/1429/002 AccShortage2025-04-042027-07-01Manufacturing delay (Multiple countries)
🇮🇪 IECinacalcet Accordpharma 60 mg film-coated tablets EU/1/20/1429/006 AccShortage2025-04-032027-07-01Manufacturing delay (Multiple countries)
🇮🇪 IECinacalcet Accordpharma 90 mg film-coated tablets EU/1/20/1429/010 AccShortage2025-02-132027-07-01Manufacturing delay
🇸🇪 SECinacalcet Accordpharma 60 mg Filmdragerad tablettShortage2024-10-312026-09-30
🇸🇪 SECinacalcet Accordpharma 30 mg Filmdragerad tablettShortage2024-10-152026-09-30
🇸🇪 SECinacalcet Accordpharma 90 mg Filmdragerad tablettShortage2024-10-152026-09-30
🇪🇸 ESCINACALCET ACCORDPHARMA 60 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFGShortage2024-09-252026-12-30Existen otros medicamentos con el mismo principio activo y m
🇪🇸 ESCINACALCET ACCORDPHARMA 90 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFGShortage2024-09-252026-12-30Existen otros medicamentos con el mismo principio activo y m
🇪🇸 ESCINACALCET ACCORDPHARMA 30 MG COMPRIMIDOS RECUBIERTOS CON PELICULA EFGShortage2024-07-042026-12-30Existen otros medicamentos con el mismo principio activo y m
🇮🇪 IECinacalcet Teva 90 mg film-coated tabletsShortage2023-07-252026-09-04Regulatory issue (Ireland only)
🇮🇪 IECinacalcet Teva 60 mg film-coated tabletsShortage2023-06-092026-09-25Regulatory issue (Multiple countries)

Frequently asked

Is Cinacalcet currently in shortage in Europe?

Yes. As of 11 September 2026, availability issues are reported in: Austria, Spain, Greece, Ireland, Italy, Sweden. Availability is national — a shortage in one country does not mean it is short everywhere.

When is the Cinacalcet shortage expected to end?

Agency prognoses on file range from 2026-09-25 to 2027-07-01. These are manufacturer-reported estimates and frequently move; check the linked register entry for the latest date.

Are there alternatives to Cinacalcet?

20 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 Cinacalcet availability data come from?

Directly from the official medicines-agency registers that list Cinacalcet: BASG (Austria), AEMPS CIMA (Spain), EMA shortages catalogue (EU), 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 Cinacalcet — free, with attribution. Copy this snippet:

<iframe src="https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/cinacalcet/embed.html" width="100%" height="150" loading="lazy" style="border:1px solid #e1e0d9;border-radius:12px" title="Cinacalcet availability in Europe"></iframe>
<p style="font-size:12px">Source: <a href="https://www.mobidoctor.eu/medicine-shortages/medicine-shortages/cinacalcet/">Cinacalcet shortage status — European Medicine Shortage Tracker</a> by MobiDoctor</p>
Cite: “Cinacalcet: availability status across 7 European registers — European Medicine Shortage Tracker (MobiDoctor), 11 September 2026.” Link this page and the agency record. Statuses come from the linked official registers and can change daily.