The height of Croagh Patrick dominates the skyline of Westport, a reasonably city on Eire’s Atlantic coast. Dominating its financial system, alternatively, are the not-so-pretty windowless gray manufacturing facility models that manufacture the world’s total provide of Botox for a US firm. And Donald Trump needs pharma manufacturing to maneuver dwelling.
The US president this week stepped up his criticism of American firms’ Irish operations. His threats to impose tariffs to encourage traders to reshore are weighing on the 7,000 folks of Westport: some 1,500 of them are employed by AbbVie to make the wrinkle-erasing drug.
“Individuals are holding their breath,” stated Geraldine Horkan, chief government of the Westport Chamber of Commerce, who labored at Allergan earlier than its takeover by AbbVie in 2020. “It’s like an aeroplane circling in a holding sample.”
Ireland has change into a serious base for US pharma firms together with Pfizer, Eli Lilly and Johnson & Johnson.
Moreover Botox — which leaves Westport as vials of powder to be blended with saline answer earlier than injection into movie star foreheads or to deal with cerebral palsy or muscle spasms — factories in Eire churn out energetic elements for medication together with Viagra, weight-loss treatment Mounjaro and statins for top ldl cholesterol.

Eire has been speeding to export prescribed drugs to the US earlier than any tariff axe falls: in February, 91 per cent of all its goods exports to the US had been chemical compounds and associated merchandise, which embrace medical and pharma items. Irish pharma exports to the US within the first two months of the yr reached almost €20bn, in contrast with €44bn for the entire of final yr, in keeping with official commerce information.
Regardless of Trump’s imposition of world tariffs, which he final week paused at a baseline international charge of 10 per cent pending talks on commerce offers with the EU and different international locations, pharmaceutical items are at present freed from tariffs.
Eire’s international and commerce minister, Simon Harris, says it will be “inappropriate” and “weird” for the US to impose tariffs whereas negotiating.
However a reprieve appears to be like more and more unlikely. The US commerce division has launched a “Part 232” investigation into the sector which might enable the president to limit imports deemed a menace to nationwide safety.
That might probably result in tariffs within the “subsequent month or two,” US commerce secretary Howard Lutnick stated.

Trump, who used a gathering with Taoiseach Micheál Martin final month to complain that Eire “has obtained your entire US pharmaceutical trade in its grasp” on Monday lashed out on the sector once more.
“We don’t make our personal medication, our personal prescribed drugs any extra. The drug firms are in Eire and so they’re in a number of different locations — China,” he stated.
Allergan opened a plant to provide contact lens answer and eyecare merchandise in Westport in 1977. Now, the actual money-spinner is Botox however the facility additionally produces eyecare prescribed drugs and 70 per cent of Westport’s manufacturing is bought within the US, in keeping with the Irish operation’s most not too long ago filed outcomes, from 2023.
Botox now has rivals making chemically comparable merchandise — rival medication embrace Dysport, produced by France’s Ipsen and Xeomin from Germany’s Merz — However AbbVie says it is confident it can keep its management place.
Whereas Botox for beauty functions introduced in $2.72bn in net revenues final yr, in keeping with AbbVie, therapeutic Botox netted $3.3bn. Tariffs would enhance the worth of medication for customers, and beauty functions will not be coated by US medical insurance.

AbbVie — which doesn’t formally disclose the place it makes its merchandise — invested €160mn in a second biologics facility in Westport 2020 and manufacturing can’t be “shifted in a single day”, stated Peter Flynn, a neighborhood councillor and former worldwide director of tax and finance at Allergan. “[Trump’s] low-cost remarks aren’t doing anybody any favours,” he stated.
“With the automation of manufacturing strains and ever rising high quality requirements, the main target in Eire has modified with multinationals now using extremely certified and skilled folks, a lot of whom play a key position in R&D,” he added.
Eire is the world’s third-largest pharma exporter, with 90 websites that provide the EU and different international locations in addition to the US. Greater than €10bn has been invested within the sector over the previous decade. Denmark, Switzerland and Singapore are different international locations with giant pharma sectors now in Trump’s sights.
Many drugmakers have responded by saying giant investments within the US. Johnson & Johnson has pledged $55bn over the subsequent 4 years, Eli Lilly is investing $27bn, whereas Swiss drugmaker Novartis stated final week it will make investments $23bn in manufacturing and R&D.
Pharma bosses have written to European Fee President Ursula von der Leyen warning that Europe dangers shedding €100bn in funding and R&D spending over the subsequent 5 years, as US tariffs and proposed EU reforms on mental property protections make the EU much less enticing.

However Eire is uniquely weak to any Trump motion: apart from massive pharma, it hosts the European headquarters or giant operations of US tech giants, which von der Leyen has threatened to target if tariff talks fail.
Tech and pharma make large company tax contributions which have delivered monumental finances surpluses.
Botox has additionally helped Westport develop into a vibrant, bustling city of sailing festivals, eating places, inns, stylish outlets and conventional bars.
In addition to being the city’s greatest employer, the corporate has been a distinguished supporter and sponsor of native initiatives and sports activities groups. “It might be a large loss,” in the event that they left, stated Adrian Noonan, proprietor of the Knockranny Home Lodge, the city’s first four-star lodge, situated beside the manufacturing facility, who has hosted visiting executives and board conferences.
New pharma crops want regulatory approval, which might imply years of delay in transferring manufacturing to the US, however analysts stated executives would by then have already slammed the brakes on future funding plans in Eire.
“We’re all extraordinarily apprehensive,” stated Philip Heaney, a neighborhood pharmacist. “They discuss Canada being the 51st [US] state. However with pharma, we almost are.”