Add one more thing to the ever-growing supply chain shortage list.

The antibiotic amoxicillin is now on the list of items in short supply.

On Oct. 28, U.S. Food and Drug Administration warned it could be harder to fill a prescription for the widely used antibiotic amoxicillin because of a shortage that appears to be linked to an ongoing surge in RSV infections across the United States. Supplies of amoxicillin oral solution, which is typically used in children, are low, the FDA warned. The warning went on to say one issue could be that the pharmacy has the drug in stock, but not in the strength needed for the prescription, so it may require some back and forth between the pharmacy and the prescriber.

In Mexico, MO the shortage has not been much of a problem so far.

Justin Webber, owner of Webber Pharmacy says "We have been affected by the amoxicillin shortage, however we have not had to turn anyone away due to the shortage. We've had to change some dosage's to an undesirable amount, I.E. 32ml (over an ounce) twice daily for an eight month old vs. using a lesser dose giving a stronger concentration which would only require 10 mls. The amoxicillin shortage has caused other types of oral antibiotics to become lesser available. Throughout all of it though, we haven't had to change medications and have always been able to fill the scripts that have come in."

Similarly Dr. Alex Finck  owner of Cornerstone Family Medicine Clinic in Mexico says "I have not experienced it. We have it available so far for dispensing. With other shortages I usually work with local pharmacies to find where it's available and when. Sometimes call other towns like Fulton or Columbia pharmacies.”

Dr. Simon McKeown with MU Healthcare says "I have spoken with the nurses and other providers at the Mizzou Urgent Care in Mexico and none of us had experienced any issues in more than a week. Even before that, the problems were minimal. We're easily the biggest prescriber of amoxicillin in Audrain County, and it really hasn't caused any disruption that I've noticed. It seems to me our local pharmacies have kept us running superbly. I know that MU has been watching the situation closely, and has sent out notifications to clinicians, to make us aware. Having the information really helps. If there had been a serious shortage we had already done the thinking about alternative treatment options, so nobody would go untreated."

It is unclear when the shortage will end, however experts say the supply of amoxicillin is expected to improve in December. The drug is typically used to treat ear and sinus infections and things like streptococcal pharyngitis, which is otherwise known as strep throat.