The height of Croagh Patrick dominates the skyline of Westport, a reasonably city on Eire’s Atlantic coast. Dominating its financial system, then again, are the not-so-pretty windowless gray manufacturing facility 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 buyers to reshore are weighing on the 7,000 individuals of Westport: some 1,500 of them are employed by AbbVie to make the wrinkle-erasing drug.
“Individuals 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.”
Ireland has turn out to be 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 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 lively substances for medicine together with Viagra, weight-loss treatment Mounjaro and statins for prime ldl cholesterol.

Eire has been speeding to export prescription 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 substances and associated merchandise, which embrace medical and pharma items. Irish pharma exports to the US within the first two months of the yr reached practically €20bn, in contrast with €44bn for the entire of final yr, in keeping with official commerce knowledge.
Regardless of Trump’s imposition of worldwide tariffs, which he final week paused at a baseline world fee of 10 per cent pending talks on commerce offers with the EU and different nations, pharmaceutical items are presently freed from tariffs.
Eire’s overseas and commerce minister, Simon Harris, says it could 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 enable the president to limit imports deemed a risk to nationwide safety.
That would doubtlessly 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 received your complete US pharmaceutical trade in its grasp” on Monday lashed out on the sector once more.
“We don’t make our personal medicine, our personal prescription drugs any extra. The drug firms are in Eire and so they’re in plenty of different locations — China,” he mentioned.
Allergan opened a plant to supply contact lens answer and eyecare merchandise in Westport in 1977. Now, the true money-spinner is Botox however the facility additionally produces eyecare prescription drugs and 70 per cent of Westport’s manufacturing is offered within the US, in keeping with the Irish operation’s most just lately filed outcomes, from 2023.
Botox now has opponents making chemically comparable merchandise — rival medicine embrace Dysport, produced by France’s Ipsen and Xeomin from Germany’s Merz — However AbbVie says it is confident it can preserve 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 value of medicine for customers, and beauty functions are usually not lined by US medical health 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 rising high quality requirements, the main focus in Eire has modified with multinationals now using extremely certified and skilled individuals, a lot of whom play a key function in R&D,” he added.
Eire is the world’s third-largest pharma exporter, with 90 websites that offer the EU and different nations in addition to the US. Greater than €10bn has been invested within the sector over the previous decade. Denmark, Switzerland and Singapore are different nations 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 subsequent 4 years, Eli Lilly is investing $27bn, whereas Swiss drugmaker Novartis mentioned final week it could make investments $23bn in manufacturing and R&D.
Pharma bosses have written to European Fee President Ursula von der Leyen warning that Europe dangers dropping €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 engaging.

However Eire is uniquely weak to any Trump motion: apart from large pharma, it hosts the European headquarters or massive 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 funds surpluses.
Botox has additionally helped Westport develop into a vibrant, bustling city of sailing festivals, eating places, resorts, stylish retailers 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 could be an enormous loss,” in the event that they left, mentioned Adrian Noonan, proprietor of the Knockranny Home Lodge, the city’s first four-star lodge, positioned beside the manufacturing facility, who has hosted visiting executives and board conferences.
New pharma vegetation want regulatory approval, which might 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 nervous,” mentioned Philip Heaney, an area pharmacist. “They discuss Canada being the 51st [US] state. However with pharma, we practically are.”