There is an ongoing shortage of EpiPen® and EpiPen® Junior, and it may also be difficult to obtain alternative injector devices during this time. See SPS website for full details.
The pharmacy department has issued guidance for staff around the supply of these devices, restrictions in place and advice on expiry dates:
- The supply of these devices should be prioritised to patients and families who may require to use them.
- Patients may need to switch to an alternative device depending on availability. If this is necessary it is essential that they are given appropriate training and support material to ensure that they are able to use the device when required.
- Restrictions are in place on ordering 150mcg adrenaline auto injectors and pharmacists need to validate whether prescriptions should be fulfilled as per attached guidance. Interim protocol ref 08564 and Pharmacy Q & A EpiPen and Epipen junior ref 08564.
- Healthcare staff in clinical areas are advised to use adrenaline 1:1000 ampoules if it is required to manage anaphylaxis as per BNF Guidance. This is already widely available in clinical areas across NHS Tayside. Each area should ensure that they are able to access this product urgently should they require it.
- An auto injector will continue to be included in the Paediatric Emergency Boxes as supplies allow. If no injector devices are available then adrenaline 1:1000 ampoules will be added to the box with appropriate cautionary labelling.
- See epipen.co.uk for specific batches of EpiPen® 300mcg strength that can have the expiry date extended by 4 months.
- See jext.co.uk for specific batches of Jext® 150mcg and 300mcg strengths that can have the expiry date extended by 4 months.
- Expiry dates refer to the end of the month i.e. a device labelled expiry October 18 means the product can be used up until 31 of October 2018.