The Medicines and Healthcare products Regulatory Agency (MHRA) has announced in a press release that during 2023, it seized more than 15.5 million doses of illegally traded medicines with a street value of more than £30m. This includes more than two million doses seized during Operation Pangea, the international initiative of global enforcement partners that targets the illegal internet trade in medical products. The seizure included prescription-only anti-anxiety medicines, opioids, sleeping pills and falsified and unlicensed lifestyle products such as erectile dysfunction and hair loss medications, as well as a small number of aesthetic products such as Botox and semaglutide-containing ‘weight loss’ products. More than 12,000 websites illegally selling medical products were disrupted and almost 3,000 social media profiles were shut down. In 2023, six MHRA investigations resulted in significant custodial sentences for many of those convicted.