There are supply issues affecting epidural bags from Sandoz (licensed) and Fresenius Kabi (unlicensed) containing:

·  bupivacaine only

·  bupivacaine and fentanyl

·  levobupivacine and fentanyl.

A range of alternative licensed and unlicensed bags (including unlicensed imports) are available during the affected period expected to last until at least March 2026, but the use of these products will require a co-ordinated trust wide approach to ensure safe implementation.

This National Patient Safety Alert provides further background, clinical information and actions for providers.