The height of Croagh Patrick dominates the skyline of Westport, a fairly city on Eire’s Atlantic coast. Dominating its financial system, then again, are the not-so-pretty windowless gray manufacturing unit models that manufacture the world’s complete provide of Botox for a US firm. And Donald Trump needs pharma manufacturing to maneuver residence.
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.
“Persons are holding their breath,” mentioned 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.”
Eire has turn into a significant base for US pharma firms together with Pfizer, Eli Lilly and Johnson & Johnson.
In addition to Botox — which leaves Westport as vials of powder to be combined with saline resolution earlier than injection into movie star foreheads or to deal with cerebral palsy or muscle spasms — factories in Eire churn out lively substances for medicine 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 items exports to the US have been chemical compounds and associated merchandise, which embody medical and pharma items. Irish pharma exports to the US within the first two months of the 12 months reached almost €20bn, in contrast with €44bn for the entire of final 12 months, in keeping with official commerce knowledge.
Regardless of Trump’s imposition of world tariffs, which he final week paused at a baseline world price of 10 per cent pending talks on commerce offers with the EU and different international locations, pharmaceutical items are at the moment 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 seems to be more and more unlikely. The US commerce division has launched a “Part 232” investigation into the sector which might permit 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 mentioned.

Trump, who used a gathering with Taoiseach Micheál Martin final month to complain that Eire “has bought all the US pharmaceutical business in its grasp” on Monday lashed out on the sector once more.
“We don’t make our personal medicine, our personal prescribed drugs any extra. The drug firms are in Eire and so they’re in a number of different locations — China,” he mentioned.
Allergan opened a plant to supply contact lens resolution and eyecare merchandise in Westport in 1977. Now, the true money-spinner is Botox however the facility additionally produces eyecare prescribed drugs and 70 per cent of Westport’s manufacturing is offered within the US, in keeping with the Irish operation’s most lately filed outcomes, from 2023.
Botox now has rivals making chemically comparable merchandise — rival medicine embody Dysport, produced by France’s Ipsen and Xeomin from Germany’s Merz — However AbbVie says it’s assured it could keep its management place.
Whereas Botox for beauty functions introduced in $2.72bn in web revenues final 12 months, in keeping with AbbVie, therapeutic Botox netted $3.3bn. Tariffs would increase the worth of medicine for customers, and beauty purposes aren’t 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”, mentioned Peter Flynn, an area councillor and former worldwide director of tax and finance at Allergan. “[Trump’s] low-cost remarks aren’t doing anybody any favours,” he mentioned.
“With the automation of manufacturing strains and ever growing high quality requirements, the main focus in Eire has modified with multinationals now using extremely certified and skilled folks, lots of whom play a key position in R&D,” he added.
Eire is the world’s third-largest pharma exporter, with 90 websites that offer 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 massive pharma sectors now in Trump’s sights.
Many drugmakers have responded by saying massive investments within the US. Johnson & Johnson has pledged $55bn over the following 4 years, Eli Lilly is investing $27bn, whereas Swiss drugmaker Novartis mentioned 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 following 5 years, as US tariffs and proposed EU reforms on mental property protections make the EU much less engaging.

However Eire is uniquely susceptible to any Trump motion: apart from massive pharma, it hosts the European headquarters or massive operations of US tech giants, which von der Leyen has threatened to focus on if tariff talks fail.
Tech and pharma make enormous company tax contributions which have delivered huge 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 outstanding supporter and sponsor of native initiatives and sports activities groups. “It might be an enormous loss,” in the event that they left, mentioned Adrian Noonan, proprietor of the Knockranny Home Resort, the city’s first four-star lodge, situated beside the manufacturing unit, who has hosted visiting executives and board conferences.
New pharma vegetation want regulatory approval, which may imply years of delay in transferring manufacturing to the US, however analysts mentioned executives would by then have already slammed the brakes on future funding plans in Eire.
“We’re all extraordinarily fearful,” mentioned Philip Heaney, an area pharmacist. “They discuss Canada being the 51st [US] state. However with pharma, we almost are.”