rxstat › Shortages › Raltitrexed

Raltitrexed (Tomudex) shortage status

Widespread shortage Tier 3: critical

Source: Health Canada shortage reports · Updated Oct 1, 2026

Raltitrexed is in a widespread shortage in Canada. 1 of 1 reported products are affected, and Health Canada has designated this a Tier 3 (most serious) shortage. The latest manufacturer estimate for full recovery is Dec 31, 2028.
Products affected
1 / 1
In shortage since
Aug 7, 2026
Est. full return
Dec 31, 2028
Reports on file
7
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Shortage history

2023 2024 2025 2026

Shortage history (red bands = periods in shortage).

Reports by product

The DIN is printed on your prescription label.

Active shortage
TOMUDEX
2MG · POWDER FOR SOLUTION · PFIZER CANADA ULC
DIN 02229566 · since Aug 7, 2026, est. end Dec 31, 2028 · Disruption of the manufacture of the drug.
Resolved
TOMUDEX
2MG · POWDER FOR SOLUTION · PFIZER CANADA ULC
DIN 02229566 · ended Sep 3, 2024 · Disruption of the manufacture of the drug.
Resolved
TOMUDEX
2MG · POWDER FOR SOLUTION · PFIZER CANADA ULC
DIN 02229566 · ended Jan 31, 2024 · Disruption of the manufacture of the drug.
Resolved
TOMUDEX
2MG · POWDER FOR SOLUTION · PFIZER CANADA ULC
DIN 02229566 · ended Jan 10, 2020 · Disruption of the manufacture of the drug.
Resolved
TOMUDEX
2MG · POWDER FOR SOLUTION · PFIZER CANADA ULC
DIN 02229566 · ended Sep 30, 2019 · Disruption of the manufacture of the drug.
Resolved
TOMUDEX
2MG · POWDER FOR SOLUTION · PFIZER CANADA INC
DIN 02229566 · ended Oct 12, 2018 · Disruption of the manufacture of the drug.
Resolved
TOMUDEX
2MG · SOLUTION · HOSPIRA HEALTHCARE CORPORATION
DIN 02229566 · ended May 25, 2017 · Disruption of the manufacture of the drug.

What's happening

Raltitrexed is currently affected by an active shortage report filed with Health Canada by PFIZER CANADA ULC.

The reported cause is: disruption of the manufacture of the drug. Manufacturers must report shortages, but end-date estimates are their own projections and often move.

Health Canada has flagged this as a Tier 3 shortage, its most serious category, meaning the shortage has the greatest potential impact on the health system and alternatives are limited.

If your usual product is affected, a pharmacist is the fastest route to a solution: they can dispense an unaffected manufacturer's equivalent when one exists, and in most provinces can adapt doses or substitute a therapeutic alternative without a new appointment.

Raltitrexed is classified under “ANTIMETABOLITES” (ATC L01BA).

Recent changes

Common questions

When will Raltitrexed be back in stock in Canada?

The latest manufacturer estimate is Dec 31, 2028. Estimates are self-reported and often slip; this page updates automatically when they change.

Why is Raltitrexed in shortage?

See the reports above; manufacturers must state a reason (most commonly manufacturing disruption or a surge in demand) when filing with Health Canada.

What can my pharmacist do about it?

Often quite a lot: substitute an equivalent product from an unaffected manufacturer, adjust quantities, or in most provinces adapt or renew prescriptions on the spot. Call your pharmacy before visiting, and call 811 for free health advice.

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Possible alternatives in the same class (antimetabolites)

Drugs in the same therapeutic class, best-supplied first. These are not automatic substitutes: only your pharmacist or prescriber can judge whether a switch makes sense for you.

Guides: what to do when your medication is in shortage · how to read shortage reports

Data reflects reports manufacturers are legally required to file with Health Canada, republished with per-drug aggregation by rxstat. Estimated end dates are supplied by manufacturers and frequently change. This page describes drug supply only and is not medical advice; never stop or switch a medication without speaking to your pharmacist or prescriber.