The Dorset Formulary has been developed in associations with NHS Dorset Clinical Commissioning Group Dorset County Hospital NHS Foundation Trust Dorset Healthcare University NHS Foundation Trust Poole Hospital NHS Foundation Trust Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
The Department of Health and Social Care (DSHC) has clarified that although the expiry dates for the Epipen junior will not be extended, the following paragraph in the CAS alert (page 5) applies to all adrenaline auto injectors:
Whilst at present it is believed careful management of existing supply will avoid the need to use expired devices other than for batch numbers where it is known to be safe to do so, patients should be advised not to dispose of their expired devices until they have replaced them. This is because AAIs will not actively cause harm if used after expiry but they may be less effective at treating the anaphylactic episode as the potency of the adrenaline gradually reduces (and is also dependent on the conditions they were stored in). It is still preferable to use a device even if it has expired, rather than no device at all, if an in-date device is not available.
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The Dorset Formulary aims to provide information on medicines supporting safe, evidence-based, cost-effective practice. Whilst the formulary contains links to relevant policies and guidelines, the prescriber retains the responsibility for the appropriate use of this information.
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