Macrogol 3350 (Molaxole) Powder: Supply issue

Affected product

Supply of the following product will be constrained until late May 2025. 

• Chemical: Macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride
• Presentation: Powder for oral soln 13.125 g with potassium chloride 46.6 mg, sodium bicarbonate 178.5 mg and sodium chloride 350.7 mg
• Brand: Molaxole
• Pharmacode: 2519887 
• Subsidy: $8.50
• Measure / Qty: per 30

Alternative product

We listed an alternative product from 1 April 2025 so people can continue to access this treatment. It has the same active ingredients and flavour as the usual Molaxole brand. This is expected to be available by late April 2025.

• Brand: APO Health Macrogol
• Measure/Qty: 30 pack 
• Subsidy: $8.50
• Pharmacode: 2702215

This product is not Medsafe-registered. As such, it will need to be prescribed and dispensed in line with section 29 of the Medicines Act.

We have developed a flier to support pharmacists' conversations with affected people. 

Prescribing and supplying an unapproved medicine

Section 29 of the Medicines Act 1981 allows for medicines that are not Medsafe approved to be prescribed and supplied to people. The medicine must be prescribed by someone registered with the Medical Council of New Zealand – such as, a doctor. 

We know supplying a medicine under section 29 is not ideal. In this case, however, this will allow patients to be able to access an appropriate treatment. 

We apologise for any inconvenience this causes. 

Advice for prescribing under section 29 – BPAC website(external link) 

Prescriber and pharmacist requirements for section 29 medicines – Medsafe website (external link)

Medsafe’s section 29 Declaration / Notification Form [DOC](external link)

What patients need to know about unapproved medicines – Healthify website(external link)

Expected resupply

The supplier expects the next shipment of Molaxole to arrive by the end of April 2025. It may take another 1 to 2 weeks for the product to reach pharmacies around the motu.

Who to contact

If you have questions about this issue, email enquiry@pharmac.govt.nz

Please include as much information as you can about the product (presentation, brand, Pharmacode) and who your wholesaler is.

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