diff --git a/src/app/api/medications/[id]/glp1/route.ts b/src/app/api/medications/[id]/glp1/route.ts
index b6523afd9..ab3de40cb 100644
--- a/src/app/api/medications/[id]/glp1/route.ts
+++ b/src/app/api/medications/[id]/glp1/route.ts
@@ -38,6 +38,7 @@ import {
   resolveLowStockRunwayDays,
   resolveReorderLeadDays,
 } from "@/lib/validations/notification-prefs";
+import { invalidateUserMedications } from "@/lib/cache/invalidate";
 import { NextRequest } from "next/server";
 
 type RouteParams = { params: Promise<{ id: string }> };
@@ -285,6 +286,11 @@ export const POST = apiHandler(
         meta: { medication_id: id, doseValue, doseUnit },
       });
 
+      // A dose change shifts the daily-dose estimate the list payload's
+      // runway derivation uses. Hard-evict the medications + compliance
+      // buckets so the card reflects the new runway on the next read.
+      invalidateUserMedications(user.id, { evict: true });
+
       return apiSuccess({ doseChange: created }, 201);
     }
 
@@ -324,6 +330,11 @@ export const POST = apiHandler(
       meta: { medication_id: id, delta },
     });
 
+    // A legacy ledger delta changes the stock the list payload reports
+    // for a medication with no per-item containers. Hard-evict so the
+    // card reflects it on the next read.
+    invalidateUserMedications(user.id, { evict: true });
+
     return apiSuccess({ inventory: created }, 201);
   },
 );
diff --git a/src/app/api/medications/[id]/inventory/[itemId]/route.ts b/src/app/api/medications/[id]/inventory/[itemId]/route.ts
index 99ce9346d..f8da4a14e 100644
--- a/src/app/api/medications/[id]/inventory/[itemId]/route.ts
+++ b/src/app/api/medications/[id]/inventory/[itemId]/route.ts
@@ -36,6 +36,7 @@ import {
   computeInventoryState,
 } from "@/lib/medications/inventory/state-machine";
 import { serializeInventoryItem } from "@/lib/medications/inventory/service";
+import { invalidateUserMedications } from "@/lib/cache/invalidate";
 
 type RouteParams = { params: Promise<{ id: string; itemId: string }> };
 
@@ -170,6 +171,12 @@ export const PATCH = apiHandler(
       meta: { medication_id: id, prev: existing.state, next: updated.state },
     });
 
+    // A stock correction / first-use / used-up flip changes the
+    // dose-derived stock the medications-list payload carries, which the
+    // card and table render. Hard-evict so the supply shows on the next
+    // read instead of after the `cachedSwr` stale window.
+    invalidateUserMedications(user.id, { evict: true });
+
     return apiSuccess(serializeInventoryItem(updated));
   },
 );
@@ -204,6 +211,11 @@ export const DELETE = apiHandler(
       meta: { medication_id: id },
     });
 
+    // Removing a container changes the dose-derived stock the
+    // medications-list payload carries. Hard-evict so the card / table
+    // reflect the drop on the very next read.
+    invalidateUserMedications(user.id, { evict: true });
+
     return apiSuccess({ id: itemId, deleted: true });
   },
 );
diff --git a/src/app/api/medications/[id]/inventory/__tests__/route.test.ts b/src/app/api/medications/[id]/inventory/__tests__/route.test.ts
index d27144f42..1b0bea45e 100644
--- a/src/app/api/medications/[id]/inventory/__tests__/route.test.ts
+++ b/src/app/api/medications/[id]/inventory/__tests__/route.test.ts
@@ -31,6 +31,10 @@ vi.mock("@/lib/rate-limit", () => ({
 
 vi.mock("@/lib/logging/transports", () => ({ emitIfSampled: vi.fn() }));
 
+vi.mock("@/lib/cache/invalidate", () => ({
+  invalidateUserMedications: vi.fn(),
+}));
+
 vi.mock("@/lib/db-compat", () => ({
   ensureDbCompatibility: vi.fn().mockResolvedValue(undefined),
 }));
@@ -49,6 +53,7 @@ import { PATCH, DELETE } from "../[itemId]/route";
 import { prisma } from "@/lib/db";
 import { getSession } from "@/lib/auth/session";
 import { checkRateLimit } from "@/lib/rate-limit";
+import { invalidateUserMedications } from "@/lib/cache/invalidate";
 
 const SESSION_OK = {
   session: { id: "sess-1", expiresAt: new Date(Date.now() + 3_600_000) },
@@ -173,6 +178,13 @@ describe("POST /api/medications/[id]/inventory", () => {
         expiresAt: new Date(printed),
       }),
     });
+    // Staleness regression: the dose-derived stock the medications-list
+    // payload carries must hard-evict on a registration so the card / table
+    // reflect the new supply on the very next read (not after the SWR
+    // stale window). Mark-stale would serve the pre-write stock.
+    expect(invalidateUserMedications).toHaveBeenCalledWith("user-1", {
+      evict: true,
+    });
   });
 
   it("returns 429 when the rate limit is exceeded", async () => {
@@ -271,6 +283,11 @@ describe("PATCH /api/medications/[id]/inventory/[itemId]", () => {
       state: "USED_UP",
       unitsRemaining: 0,
     });
+    // Staleness regression: a stock-affecting correction must hard-evict
+    // the medications-list bucket so the card reflects the change next read.
+    expect(invalidateUserMedications).toHaveBeenCalledWith("user-1", {
+      evict: true,
+    });
   });
 
   it("flips ACTIVE → EXPIRED when markAsFirstUseAt is more than 30 days back-dated", async () => {
@@ -352,6 +369,11 @@ describe("DELETE /api/medications/[id]/inventory/[itemId]", () => {
     expect(prisma.medicationInventoryItem.delete).toHaveBeenCalledWith({
       where: { id: "inv-1" },
     });
+    // Staleness regression: removing a container drops the dose-derived
+    // stock the list payload reports — hard-evict so it reflects next read.
+    expect(invalidateUserMedications).toHaveBeenCalledWith("user-1", {
+      evict: true,
+    });
   });
 });
 
diff --git a/src/app/api/medications/[id]/inventory/route.ts b/src/app/api/medications/[id]/inventory/route.ts
index 79bbc9b95..68978f3c1 100644
--- a/src/app/api/medications/[id]/inventory/route.ts
+++ b/src/app/api/medications/[id]/inventory/route.ts
@@ -33,6 +33,7 @@ import {
   serializeInventoryItem,
 } from "@/lib/medications/inventory/service";
 import { assertMedicationOwnership } from "@/lib/medications/route-guards";
+import { invalidateUserMedications } from "@/lib/cache/invalidate";
 
 type RouteParams = { params: Promise<{ id: string }> };
 
@@ -134,6 +135,14 @@ export const POST = apiHandler(
       meta: { medication_id: id },
     });
 
+    // A registered container changes the dose-derived stock the
+    // medications-list payload carries (`stockUnitsRemaining` /
+    // `stockDosesRemaining`), which the card and table render. Hard-evict
+    // the per-user medications + compliance buckets so the supply shows on
+    // the very next read — a mark-stale would let the `cachedSwr` list
+    // serve the pre-write stock for the rest of the stale window.
+    invalidateUserMedications(user.id, { evict: true });
+
     return apiSuccess(serializeInventoryItem(created), 201);
   },
 );
diff --git a/src/components/medications/sections/__tests__/inventory-section.test.tsx b/src/components/medications/sections/__tests__/inventory-section.test.tsx
new file mode 100644
index 000000000..e5f106c55
--- /dev/null
+++ b/src/components/medications/sections/__tests__/inventory-section.test.tsx
@@ -0,0 +1,43 @@
+/**
+ * Supply-staleness regression — the medications-list card / table read
+ * the dose-derived stock (`stockUnitsRemaining` / `stockDosesRemaining`)
+ * straight from the `GET /api/medications` list payload. The add / adjust /
+ * delete supply mutations used to invalidate only the per-medication
+ * inventory query, leaving the list query (`queryKeys.medications()`)
+ * serving the pre-write stock — so the card kept showing the old supply
+ * until an unrelated refetch landed.
+ *
+ * `invalidateSupplyQueries` is the single helper all three mutations call;
+ * this pins that it drops BOTH the list key (the card / table source) and
+ * the per-medication inventory key. The repo's component-test convention
+ * avoids `@testing-library/react` DOM interaction, so the mutation's
+ * invalidation contract is asserted through the extracted helper against a
+ * minimal QueryClient stand-in.
+ */
+
+import { describe, expect, it, vi } from "vitest";
+
+import { invalidateSupplyQueries } from "@/components/medications/sections/inventory-section";
+import { queryKeys } from "@/lib/query-keys";
+
+describe("invalidateSupplyQueries — supply staleness regression", () => {
+  it("invalidates the medications LIST key AND the per-medication inventory key", async () => {
+    const invalidateQueries = vi.fn().mockResolvedValue(undefined);
+    const queryClient = { invalidateQueries } as unknown as Parameters<
+      typeof invalidateSupplyQueries
+    >[0];
+
+    await invalidateSupplyQueries(queryClient, "med-1");
+
+    const invalidatedKeys = invalidateQueries.mock.calls.map((call) =>
+      JSON.stringify((call[0] as { queryKey: unknown }).queryKey),
+    );
+
+    // The card / table source — the regression was this key being absent.
+    expect(invalidatedKeys).toContain(JSON.stringify(queryKeys.medications()));
+    // The per-medication supply tab still refetches too.
+    expect(invalidatedKeys).toContain(
+      JSON.stringify(queryKeys.medicationInventory("med-1")),
+    );
+  });
+});
diff --git a/src/components/medications/sections/inventory-section.tsx b/src/components/medications/sections/inventory-section.tsx
index 28a769047..9018ea169 100644
--- a/src/components/medications/sections/inventory-section.tsx
+++ b/src/components/medications/sections/inventory-section.tsx
@@ -37,7 +37,11 @@
 
 import { useState, type FormEvent } from "react";
 import Link from "next/link";
-import { useQuery, useQueryClient } from "@tanstack/react-query";
+import {
+  useQuery,
+  useQueryClient,
+  type QueryClient,
+} from "@tanstack/react-query";
 import { toast } from "sonner";
 import { Loader2, PackageOpen, Plus } from "lucide-react";
 
@@ -74,6 +78,31 @@ import {
 } from "@/lib/api/api-fetch";
 import { summariseSupply } from "@/lib/medications/inventory/summary";
 
+/**
+ * Invalidate every read key whose payload reflects a medication's supply
+ * after a container write (register / adjust / delete).
+ *
+ * The per-medication inventory read (`medicationInventory`) is the supply
+ * tab's own list. The medications LIST read (`medications`) carries the
+ * dose-derived stock (`stockUnitsRemaining` / `stockDosesRemaining`) that
+ * the card and table render — without invalidating it, the card kept
+ * showing the pre-write stock until an unrelated refetch landed (the
+ * supply-staleness bug). Both keys must drop together.
+ */
+export async function invalidateSupplyQueries(
+  queryClient: QueryClient,
+  medicationId: string,
+): Promise<void> {
+  await Promise.all([
+    queryClient.invalidateQueries({
+      queryKey: queryKeys.medicationInventory(medicationId),
+    }),
+    queryClient.invalidateQueries({
+      queryKey: queryKeys.medications(),
+    }),
+  ]);
+}
+
 type InventoryState = "ACTIVE" | "IN_USE" | "EXPIRED" | "USED_UP";
 
 const CONTAINER_TYPES = [
@@ -138,9 +167,7 @@ export function InventorySection({
   async function deleteItem(item: InventoryItem) {
     try {
       await apiDelete(`/api/medications/${medicationId}/inventory/${item.id}`);
-      await queryClient.invalidateQueries({
-        queryKey: queryKeys.medicationInventory(medicationId),
-      });
+      await invalidateSupplyQueries(queryClient, medicationId);
       toast.success(t("medications.detail.bestand.deleteSuccess"));
     } catch {
       toast.error(t("medications.detail.bestand.deleteFailed"));
@@ -492,9 +519,7 @@ export function AddInventoryDialog({
           ? new Date(`${expiry}T00:00:00`).toISOString()
           : null,
       });
-      await queryClient.invalidateQueries({
-        queryKey: queryKeys.medicationInventory(medicationId),
-      });
+      await invalidateSupplyQueries(queryClient, medicationId);
       toast.success(t("medications.detail.bestand.addSuccess"));
       onClose();
     } catch {
@@ -694,9 +719,7 @@ function AdjustInventoryDialog({
         // The wire field carries UNITS (v1.16.10 symmetric naming).
         unitsRemaining: parsed,
       });
-      await queryClient.invalidateQueries({
-        queryKey: queryKeys.medicationInventory(medicationId),
-      });
+      await invalidateSupplyQueries(queryClient, medicationId);
       toast.success(t("medications.detail.bestand.adjustSuccess"));
       onClose();
     } catch {