Cash-strapped On Saturday, Sri Lanka announced a 40% price increase for dozens of regularly used medicines, as the island nation struggles to recover from its worst economic crisis in decades.

Months of lengthy blackouts and acute shortages of food, fuel and pharmaceuticals have sparked widespread protests calling for the government’s resignation.

Hospitals have already cancelled routine surgeries after running out of anesthetics, and Saturday’s directive applies to 60 medicines in short supply.

Antibiotics, non-prescription painkillers and medications for heart conditions and diabetes will all be subject to the price rise, health minister Channa Jayasumana said.

It is the second time in six weeks that pharmaceutical prices have been raised. In mid-March a 30 percent increase was imposed.

Industry officials said the latest hike was necessary to offset the impact of fuel prices, which have doubled since December.

Official figures released Friday showed Sri Lanka’s inflation rate at nearly 30 percent in April, a seventh consecutive record high.

Sri Lanka has run out of foreign currency to import sorely needed essential goods.

The government this month announced a default on its $51 billion foreign debt and asked citizens abroad to donate money to help the island out of its economic predicament.

Sri Lanka has requested a bailout from the International Monetary Fund, which might take three months to materialize.