Epi-pen Crisis

Posted on: Mon, 01/12/2004 - 9:16am
leers's picture
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My son's epi-pen expired the end of Dec, 2003. I called Wal-mart to renew my prescription and they told me that they had none in stock and they would let me know when they got some more. I gave them a few days and called back and they told me that they are having problems with their supplier. I then asked them if they could call other Wal-marts and see if they have any. None of them do. I live in Mississauga, Ontario. Is anyone else having this problem. Tomorrow I am going to call either my doctor and get another prescription or call Wal-mart back and see if they can transfer my prescription to Shopper's Drug Mart. Maybe they use a different supplier, I hope.... For now I have been transporting his epi-pen to and from school so that I have something at home. I am having a slight panic attack......

Posted on: Mon, 01/12/2004 - 9:55am
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Anonymous (not verified)

leers, I'm not in Toronto, I'm east of Toronto quite a bit (I think) and I have not had any problems getting Epi-pens filled. I had one filled in December month.
I'd call another pharmacy. Perhaps the problem is WalMart specific for some reason. I don't think there is an Epi-pen problem or hope there isn't. I know I have to get another one this month for my DH to carry.
How many Epi-pens do you have right now?
If you can't get one for some reason, which I'm not sure why you couldn't, I would check pharmacies all over the place and especially independent ones (or do you have Hy & Zel's?), please let me know and for gosh sake, I'd send you one of mine. Seriously.
I'll try to call my pharmacy (independently owned) here tonight and see if they have an Epi-pen *problem*.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Mon, 01/12/2004 - 10:01am
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Don't panic (yet) ;-)
Epi-pens don't go from 'fine' to 'worthless' in one calendar day. Think of it as a 'best is used by' date. The medicine is still useful, just perhaps not as powerful. I asked my dd's Doctor how long to keep them (for back-up) before using them as 'practice' (on an orange of course) and he said "6 months." As long as the medicine is clear (not cloudy or tinted) it can still be benificial for a few months. Get the new epi-pen soon, but don't freak.
hope that helps,
Diane

Posted on: Mon, 01/12/2004 - 10:02am
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I'm in Western Canada (Greater Vancouver) and have recently phoned around to check on expiry dates and found a few pharmacies with no epipens in stock, so there does seem to be a supply problem right now. There is also an expiry date problem, with the best date I can find being only thirteen months, February 05, the same date as I bought two months ago. I'm holding off on buying for another two weeks to try to get a better date with the new shipment that is due on the 23rd of this month.

Posted on: Mon, 01/12/2004 - 11:28am
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Anonymous (not verified)

Kate B., I thought of you earlier tonight when I answered leers' thread starter. I know I replied in your thread - I got a 14 month away expiry on the one I got in December month. Having seen a LOT worse (six months), I was okay with that.
I'm sorry, who told you that there was another shipment coming in after the 23rd? Perhaps I should wait until after the 23rd before getting the Epi for my DH to carry? We have 3 right now - Jess has one in his Epi-belt, there is one at school, and one in my purse.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Mon, 01/12/2004 - 12:19pm
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Anonymous (not verified)

I'm in Toronto, and the pharmacy I used to use never kept them in stock - always ordered them in when I asked, but it took under 48 hours to arrive.
Before having your prescription transfered call the pharmacy you want it transfered to, and ask when they can have one for you - and if they actually have them in stock, ask what the expirey date is. I refuse to accept under one year.
Also, apparently epi's no longer require a prescription in Canada. There was a discussion about that recently. You may still want a prescription if it will be covered by any health plan you have (mine will no longer cover it). Also, with a prescription you pay the pharmacies dispensing fee, OTC you pay tax (I think just GST, but I'm not sure). Check which way is cheaper for you.

Posted on: Mon, 01/12/2004 - 12:21pm
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We are backordered til Jan 22 or so in Wpg - have one on order as we are travelling on the 28 th, Glad I called early.

Posted on: Mon, 01/12/2004 - 12:49pm
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Thanks Alternative to Mainstream. I have the one epi-pen that I am transporting from school and back home for now and it doesn't expire until May 2004. Plus I do still have this one that just expired the end of Dec. I think I am good for now. It just makes me a bit nervous not having extras around. I am going to call other pharmacies tomorrow and see what I can come up with. I will keep everyone posted. There must be different suppliers out there..
Wish me luck....

Posted on: Mon, 01/12/2004 - 11:32pm
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Well, I went to through the yellow pages trying to track down a pharmacy with epi-pens in stock. I thought I was going to die. I finally found one, Sobey's grocery store has a pharmacy and low and behold I took their last one and it expires Sept 2004. I took it...... Shopper's Drug Mart had none and couldn't even tell me when more were coming. What the heck is going on. I am tempted to call the supplier myself and find out what is going on. This is too serious of a manner. My hands are shaking as I am emailing this.

Posted on: Mon, 01/12/2004 - 11:44pm
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O.K. I read the pamphlet in the epi-pen tube and if I am reading this correctly epi-pen's are manufactured by Meridian Medical Technologies Inc., Columbia MD. Then it is distributed by a Canadian Company Allerex Lab. I am going to try and contact them and see what they have to say. If anyone else can help me with this I would greatly appreciate this.....

Posted on: Tue, 01/13/2004 - 12:07am
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I'm in the US, and checked on a refill a few days ago and was told they were backordered.

Posted on: Tue, 01/13/2004 - 12:30am
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Sounds then like it may be a manufacturing problem if you are backordered in the US as well......great.....

Posted on: Tue, 01/13/2004 - 4:01am
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Anonymous (not verified)

Chrikey, I best start calling pharmacies. [img]http://uumor.pair.com/nutalle2/peanutallergy/redface.gif[/img]
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Tue, 01/13/2004 - 4:13am
Anonymous's picture
Anonymous (not verified)

Well, that was quick. I phoned my regular drug store and asked them if they had any Epi-pens in stock. NO! They are back-ordered until January 22nd. Then, the pharmacy assistant who I know fairly well told me that not to trust that date because sometimes when they phone on the 22nd to order, they'll be told they have to wait a couple of more weeks.
She was quite concerned that Jesse had had to use one. I said, no, I was just checking and told her that I didn't need to come in until March month to get another one.
She told me to calm down and not freak out. The only alternative they have are vials of liquid adrenaline. The Ana-Kit is no longer available.
I don't know if I calmed down and stopped freaking out or not.
She did say that this did happen a few years ago as well and not to worry about it.
But what if I need two Epi-pens before the 22nd? One reaction only. And what if the 22nd isn't a firm date as she suggested? What if?
Of course, I *could* go bonkers over this with worry, but I'm going to put it on a back burner until I need to freak out.
Also, I didn't call any other pharmacy in town to see if they had any in stock. I suspect if they did, they would have shorter expiry dates, like the one you found, leers, but at least they would be find-able.
She did suggest that I call other pharmacies, I guess because I sounded so wigged out (it's a good thing she knows me fairly well and knows that's my regular state of mind [img]http://uumor.pair.com/nutalle2/peanutallergy/rolleyes.gif[/img] ) but I told her that really I was okay because I don't need to come in for one until March month.
But still, WHAT IF?
To compliment both Kate B's and arachide's recent threads, it would be interesting to see when the new batches come in if the price has gone up and how far away the expiry dates are.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Tue, 01/13/2004 - 4:18am
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Anonymous (not verified)

leers, did you call Allerex or is there a website address?
I'll try to check later.
Well, at least with the thread I started last night in Living with PA, we know who to call when we run out of our limited supplies of Epi-pens - those people that have more on-hand than we do.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Tue, 01/13/2004 - 4:55am
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I tried looking up a website for Allerex and there isn't one. I found a phone on the tube of the epi-pen and I will try that tomorrow. I knew I should of refilled his prescription alot sooner than two weeks before it was due. I don't like filling it too soon because I want the latest possible expiry date. Like you alternative to mainstream I am a little perplexed. How can there be a backorder of such an important medication??????? Is there anyone in the US having the same problem besides pgrubbs??????? HELP......I guess the only good thing is I did finally get an epi-pen after combing through the yellow pages.....

Posted on: Tue, 01/13/2004 - 8:30am
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FWIW -- no problem in refilling an Epi *Jr.* rx here (USA, west coast). The pharmacy had one, and will have the other two in tomorrow.
The one in stock has an expiration date of 12/04. M is apparently their only customer for the EpiJr's (and I really like this pharmacy -- super nice techs and pharmacists), so I'm not going to press for a later date. I will be interested in seeing the dates on the other two, though.
-Sue

Posted on: Tue, 01/13/2004 - 8:45am
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Well, we are in the US. I just received 3 Epi's (not JR's) with no problem just a few weeks ago. Their expiration date is not 'til 2/05. Please keep us updated. I will try to call some local pharmacies tonight and see what their response is.

Posted on: Tue, 01/13/2004 - 9:15am
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Saw a blurb in our city paper today - a warning to those who need to re-order - apparently they have had shipping trouble with the manufacturer
[url="http://www.winnipegfreepress.com/subscriber/local/story/1612171p-1896424c.html"]http://www.winnipegfreepress.com/subscriber/local/story/1612171p-1896424c.html[/url]
hope this link works....

Posted on: Tue, 01/13/2004 - 9:36am
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Mae what do I look under when I get to the link. Curious to read article.....

Posted on: Tue, 01/13/2004 - 10:23am
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leers - I found it under local news (the very last story) when I did a search on the website - we subscribe to the paper - and they charge to view the website - I'll try copying and pasting-
Life-saving allergic-shock medication in short supply
Tue Jan 13 2004
THE province's health department is advising patients to use an alternative until the manufacturer eases a national shortage of Epi Pens, a life-saving medication for allergic shock.
"What we recommend is that pharmacists, doctors and the distributor work together to find (and use) an alternative," said Jack Rosentreter, the executive director of the province's drug program.
The type of Epi Pen that is not available is the adult-size dose.
There is another Epi Pen in a smaller size called a junior Epi Pen that is available at city pharmacies. The smaller size contains enough of the medication to get you to a hospital in time and pharmacists recommend using it until the shortage has eased.
Patients with allergies are advised to talk to their pharmacists to decide how much of the smaller-sized Epi Pens to use until the adult size is back in stock.
The shortage began a month ago and it is limited to the adult-sized Epi Pen, an epinephrine-filled injection in a pen-like device. Epinephrine is an adrenaline-like hormone that works by opening up the lungs and allowing patients in anaphylactic shock to breath. It is used primarily by people with severe allergies who suffer catastrophic reactions when they come into contact with foods such as peanuts and shellfish.
The shortage is not related to the cross-border difficulties with discount Internet pharmacy sales of Canadian prescription drugs to Americans.
The shortage is the result of shipping problems in the United States with the manufacturer, Meridian Medical Technologies, based in St. Louis, Mo.
"Shipments are going out today and they should reach wholesalers in the next week or so," said Rosentreter.
A spokesman for the distributor, Allerex Laboratories in the Ottawa area, said the shortage affects all of Canada and the drug has been on order since Dec. 15. He said a combination of factors, including snowstorms south and heightened security measures at the international border is to blame.
This is the first time there has been a shortage of the life-saving drug since 1998. At that time, the manufacturer issued a recall when it was discovered the pump which injects the drug had failed. No other company makes the product.
[This message has been edited by mae (edited January 13, 2004).]

Posted on: Tue, 01/13/2004 - 10:36am
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I have raised the other thread entitled "Epipen expiry dates" on the board "Living with peanut allergy". Dey Laboratories toll free number is there, and also my not so good experience with Allerex.
Alternative to Mainstream, in answer to your question, I was told by my local 'Save-On-Foods that they had a shipment scheduled to come in on the 22nd or 23rd - I forget which. I don't know if you have Save-On-Foods in eastern Canada.
However, it sounds as though there is a shortage all over, or is it just in Canada? I don't have another day off this week or I'd phone Dey Labs again and see what's going on. We do have two non-expired epipens, and I wouldn't hesitate to use the third that has just expired if need be.

Posted on: Tue, 01/13/2004 - 10:40am
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Mae posted while I was posting, so I didn't see her article. So it IS just Canada - why can they ship it all over the USA and not to Canada? If there is a shortage, it should be all over. I will hold off for the new shipment, and just keep my fingers crossed that it comes in, as I think the dates ought to be better if they are newly shipped.

Posted on: Tue, 01/13/2004 - 10:42am
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Mae posted while I was posting, so I didn't see her article. So it IS just Canada - I wonder why can they ship it all over the USA (no apparent shortage there) and not to Canada? I will hold off for the new shipment, and just keep my fingers crossed that it comes in, as I think the dates ought to be better if they are newly shipped.

Posted on: Tue, 01/13/2004 - 1:01pm
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Thanks Mae!!!
Another sleepless night......

Posted on: Tue, 01/13/2004 - 1:51pm
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Anonymous (not verified)

Wow, not great news. Why only Canada? Well, I have two expiring in May month, so what, five months away (or four) and one that expires in 2005 so we're okay for now. But, as I posted above, I need to get one a month so March and April months to replace the two expiring in May month. I would never want the school to have an expired one.
Hopefully it will be resolved by then, and a heckuva lot sooner because I'm just going on the expiry dates of my three pens, not if Jesse should require one.
I may try to call the pharmacist tomorrow to see how many Epi-pen Jr.'s = an Epi-pen.
This has the potential to be quite scary, but again, for me, only if Jess needs an Epi before the ones expiring need replaced.
In the article that you posted mae, which was great, thank-you [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] , it didn't mention what alternatives other than the Epi-pen Jr. there were. I know when I spoke with the pharmacy assistant to-day she did say there was liquid adrenaline available and I don't even know what that would normally be prescribed for.
The other thing that concerns me. Is this shortage only Epi-pen related or ephinephrine related? Meaning, does that mean that perhaps ambulances wouldn't have it either?
leers, you got your second one, right? I wouldn't lose sleep over it until you have to. Seriously. It is quite frightening but obviously it has happened before and I wasn't even aware of it.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Tue, 01/13/2004 - 2:45pm
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Here's the dosing information from the Dey website.
Epi-Pen Jr. has 0.15 mg of medication, and is for people 33 to 66 lbs
Epi-Pen has 0.3 mg of medication, and is from people who weigh more than 66 lbs.
Here's where I got the info [url="http://www.epipen.com/epipen_dosing.html"]http://www.epipen.com/epipen_dosing.html[/url]
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Cheryl, mom to Jason (6 PA/TnA/other FAs and EAs),Joey (4 NKA) and Allison (1 suspected milk allergy)

Posted on: Tue, 01/13/2004 - 9:37pm
leers's picture
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Yes, got my second epi-pen.... Good for now as long as I don't have to use any.....keep my fingers crossed that this works out for everyone. I am going to keep my expired one until this gets resolved though.....

Posted on: Wed, 01/14/2004 - 6:14am
Anonymous's picture
Anonymous (not verified)

Alt to M., I also would like to know about this liquid adrenaline, and how it is taken (orally, or injection).
I used to carry around an anakit - I'm glad it got taken off the market. But if this liquid adrenaline has to be put in to a needle and then injected, I don't think it is a viable alternative.

Posted on: Wed, 01/14/2004 - 8:56am
Anonymous's picture
Anonymous (not verified)

solarflare, are you American? I know there has been discussion here before because I think most Canadians are carrying regular size Epi-pens for their children. Jesse only clocks in at 52 pounds (maybe 54) and he has had a adult dose Epi-pen since he was 2-1/2 years of age. I know there was some debate about it here.
I also know that within the last few months a doctor we had at the walk-in prescribed an Epi-pen Jr. and he wouldn't budge on it and I reluctantly filled the 'script. I asked the pharmacist if he was schooled in Canada, and no, he was educated in Europe.
I'll have to check the packet insert in the one in my purse.
I do know we've talked about it before and it actually might be interesting to see if it is true that *most* Canadians are carrying regular dose Epi-pens for their children. I think our weight requirement was different.
I am. I have been for six years. It was an regular sized Epi-pen that we used the night that Jesse almost died and he did have to have another one.
Also, I was fortunate with the Epi-pen Jr., if you can call it that, my DH injected himself with it by mistake [img]http://uumor.pair.com/nutalle2/peanutallergy/rolleyes.gif[/img] and I didn't have to question about when I was going to use it.
Interesting question. Hmm.....
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Wed, 01/14/2004 - 9:36am
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I am very surprised that there are not more hits on this forum. Maybe because I don't carry tons of epi-pens I am the only one worried about it. I am fine with the number of epi-pens I have but my concern is that if I need to use one then I am in big trouble with this backorder crisis.

Posted on: Wed, 01/14/2004 - 10:25am
Anonymous's picture
Anonymous (not verified)

First, after reading this thread I checked my epi-pens. And one has expired. So, thank you for raising a topic that brought this to my attention.
I just checked my son's epi jr. It says "for patients wighing 15 kg and less only".
Now, how many pounds is 15 kg?

Posted on: Wed, 01/14/2004 - 10:40am
erik's picture
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1 kg = 2.2 pounds
15 kg = 33 pounds?
my guess anyway........... [img]http://uumor.pair.com/nutalle2/peanutallergy/tongue.gif[/img]

Posted on: Wed, 01/14/2004 - 1:14pm
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I contacte my pharmacy tonight and they have Epi's still in stock. Now, I do know someone up above that posted in the US that also said they were having problems.
I also checked the information that came with the Epi Pen. I have a question re: yours stating for patients under 15 kg. Mine states that "EpiPen Jr., which provides a dosage of 0.15 mg, may be more appropriate for patients weighing less than 30 kg." Which area did you read that it was for 15 kg? It also states, "However, the prescribing physician has the option of prescribing more or less than these amounts, based on careful assessment of each individual patient and recognizing the life-threatening nature of the reactions for which this drug is being prescribed."
Cindy, not sure if it is only doctors in Canada who prescribe Epi's to patients under the weight limit. My ds weighs about 55 and he has been prescribed Epi's also.

Posted on: Thu, 01/15/2004 - 1:15am
Anonymous's picture
Anonymous (not verified)

Quote:Originally posted by Naer74:
[b]Which area did you read that it was for 15 kg? [/b]
It is written on the epi-pen jr. Not on the case, or paper with directions, but right on the pen.
On my epi-pen I couldn't find anything about weight.

Posted on: Thu, 01/15/2004 - 1:18am
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copied from the Pediatric journal:
In the United States, the EpiPen provides a disposable drug delivery system with a spring-activated, concealed needle used for a single intramuscular injection. It is available in 2 forms: the EpiPen (0.3 mg, which is recommended for individuals who weigh > 66lbs) and the EpiPen Jr. (0.15mg for individuals who weigh 33-66 lb.) The recommended dose of epinephrine for treatment of anaphylaxis is 0.01 mg/kg/dose. Therefore EpiPen Jr is ideal for children who weigh 30 kg (66 lb). Most allergists will prescribe the EpiPen Jr for children who weigh from 10kg to 20kg (22lb-44lb) and the EpiPen for children >28kg(62lb). In some cases, patients who weigh <10 kg (22lb) may need self injectable epinephrine. In children who weigh 21kg to 28kg, the use of the EpiPen or the EpiPen Jr will depend on the physicians judgment as to the risk of the patients experiencing a severe anaphylactic reaction. Simons et al found that 5 of 5 children who weighed an average of 25.4 kg (56lb) developed pallor, tremor, anxiety, and palpitations or other cardiovascular effects after using the 0.3mg EpiPen and several developed headache and nausea. In general, if a patient in this weight range has experienced a severe anaphylactic reaction previously and/or is at high risk for such a reaction, ie, history of asthma or allergic to peanut, tree nut, or seafood, then the 0.3 mg EpiPen is probably the appropriate choice. However if the patient has never experienced a severe allergic reaction and is not in the higher risk group, then the physician may continue the 0.15 mg EpiPen Jr until the patient is .28kg (62 lb).
It also states that addition epinephrine may be administered every 15 to 20 minutes if necessary.

Posted on: Thu, 01/15/2004 - 4:26am
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Quote:Originally posted by Alternative to Mainstream:
[b]solarflare, are you American? I know there has been discussion here before because I think most Canadians are carrying regular size Epi-pens for their children. Jesse only clocks in at 52 pounds (maybe 54) and he has had a adult dose Epi-pen since he was 2-1/2 years of age. I know there was some debate about it here.
[/b]
Yeah, I'm American.
Jason is small for his age. At almost 6 1/2 he weighs in at 42 lbs. He's always had the epi-pen jrs for the 3 years we've been carrying them. He's well under the 66 lbs that dey's website says so I'm not too worried.
I've been planning on asking his pediatrician when we should bump him up to the regular epi-pens when I take the baby in for her next appointment.
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Cheryl, mom to Jason (6 PA/TnA/other FAs and EAs),Joey (4 NKA) and Allison (1 suspected milk allergy)

Posted on: Thu, 01/15/2004 - 5:04am
leers's picture
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I hate to sound like I am complaining but this forum is talking about the shortage of epi-pens not the dosage we need to take...I was hoping to hear from others and their experience thus far.....sorry I am having a bad day. So cold and lots of snow.......

Posted on: Thu, 01/15/2004 - 5:47am
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I don't think we have gone on a tangent - I think the postings so far have been very informative and related to the original question. I think the two topics are definitely related. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
If there is a shortage of epi-pens, the epi-pen junior might be the only other option, and it is good to know what dosage an epi-pen junior gives for those of us who can't find epi-pens. I find all of the information in the thread quite useful so far. I think it is valuable for those who can not find an epi-pen anywhere to know whether an epi-pen junior would be a suitable alternative for their child [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
[This message has been edited by erik (edited January 15, 2004).]

Posted on: Thu, 01/15/2004 - 5:53am
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Sorry, didnt mean to post anything "off-topic", just trying to answer someones questions. Just noting that you did get at least 20 direct responses to your question, and since the article posted states you should look to alternative sources, such as EpiPen jr., then some people want to know what that dosage is for that and if it will work, etc. Dont think anyone was trying to take over the thread.
Again , I apologize.

Posted on: Thu, 01/15/2004 - 6:18am
erik's picture
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Quote:Originally posted by momma2boys:
[b]In the United States, the EpiPen provides a disposable drug delivery system with a spring-activated, concealed needle used for a single intramuscular injection. It is available in 2 forms: the EpiPen (0.3 mg, which is recommended for individuals who weigh > 66lbs) and the EpiPen Jr. (0.15mg for individuals who weigh 33-66 lb.[/b]
I don't think you were "off topic" at all. If people are having trouble finding epi-pens, the info you posted is very helpful at giving us an alternative (epi-pen junior) so I thought your posting was beneficial and related to the topic, and it could even save a life if someone who was unable to fnd an epi-pen was to order an epi-pen junior based on your posting. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Thu, 01/15/2004 - 6:20am
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Leers, I live in Mississauga too.I just called my pharmacy and she has 2 epipen junors left.
-- If you need an adult epipen call your childs school. They usually have lots in the office. I am sure they will give you one for now and then you can replace it later. If they give you a hard time I will call my school for you and get one of my son's. He has 2 at school, and 2 on his epibelt.
Sandy
[This message has been edited by Sandy (edited January 15, 2004).]
[This message has been edited by Sandy (edited January 15, 2004).]

Posted on: Thu, 01/15/2004 - 6:20am
Anonymous's picture
Anonymous (not verified)

I did call the downtown Shoppers' Drug Mart and spoke with the pharmacist that I know quite well, even though it's not my regular pharmacy. He has two Epi-pens in stock. Since it's the only pharmacy downtown at all and they're quite busy, I didn't keep him on the phone to ask him about expiry dates, since I was just researching. So, at least I know if I need them before the shipment comes in, there are two downtown.
I didn't call any other pharmacies to-day though, not well.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
------------------

Posted on: Thu, 01/15/2004 - 6:44am
Anonymous's picture
Anonymous (not verified)

When the pharmacies start getting in their *back orders* could everyone please return here and post what the expirey dates are?
I know this company is providing something that has saved my life - and in future could save mine or my sons - but lately, I'm feeling like their taking us for a ride. (Over priced, otc, back ordered and yet less than a year expirey dates.) This is just [b]my own personal opinion[/b], but I really would like to know, since it's back-ordered across the country - are we getting the newest? or do they expire quickly?
momma2boys, thank you very much for the info. It definitely is useful.

Posted on: Thu, 01/15/2004 - 6:53am
momma2boys's picture
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Joined: 03/14/2003 - 09:00

Thanks Erik and AnnaMarie [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Thu, 01/15/2004 - 7:01am
cooper's picture
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Joined: 12/20/2002 - 09:00

I live in the Northeast US and refilled a script two weeks ago for the adult dose epi. It was not backordered - got it right then (a two pack), with an expiration date of 1/05. Last time I refilled, I remember having a few more months on it, but I figured a year is ok. And my son's allergist switched him over from the epi-jr when he was 60 pounds. (My son, not the allergist) [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Thu, 01/15/2004 - 7:17am
leers's picture
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Joined: 07/09/2001 - 09:00

Sorry, everyone you are right. It is important to know the dosage because in a worse case scenerio I may have to use a jr.epipen. I guess I am just a bit panicky over this whole thing. I just pray every night that he has a peanut-free day so I don't have to us up my supply. Sandy, thank you so much for your offer but I do have two epi-pens(expire May 04, and the one I just got Sept 04)plus I kept the expired Dec 03 and the medicine inside is still clear so it should be good if I need back up. I just can't figure out why the pharmacies can get jr's but not sr's. We may be asking our US PA friends to start shipping epi-pens to us like we did with the smarties thread started way back when. LOL
Best Wishes to all
Pam

Posted on: Thu, 01/15/2004 - 12:09pm
KateB's picture
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Joined: 05/11/2004 - 09:00

AnnaMarie,
I would expect that if there is a shortage, when the new ones come in they should have a very good expiry date. In another thread a month or so ago I had mentioned that I spoke with Dey Labs directly, and the epipen adult is now made with a 20 month expiry date. That's what makes me so mad at getting anything under an 18 month expiry date. The FDA made Dey Labs reduce the expiration period to 20 months from 24? months (I forget the exact number), but still, why should it take 5 - 12 months to get to the drugstores? What I'd really like to know is if this is unique to Canada, or is it the same all over the USA too, which isn't good either, and we should all complain to Dey, who were bought over by Meridian Pharmaceuticals - again, I'm going from memory (which isn't all that good these days) as I don't have my info at hand. I'll go and look for it - I think I'm rambling a bit.

Posted on: Thu, 01/15/2004 - 12:39pm
leers's picture
Offline
Joined: 07/09/2001 - 09:00

Is anyone else in another country having any problems with this epi-pen shortage and short expiry dates? I would be curious to know if anyone from Europe and beyond have any comments.... Where do your epi-pens come from? (which manufacturing??)

Posted on: Fri, 01/16/2004 - 2:29am
KateB's picture
Offline
Joined: 05/11/2004 - 09:00

I found some more information regarding manufacturers.
Dey Laboratories (original distributor)
Sharon Heer - 1-800-869-9005, ext. 2810
Meridian Medical Technologies, Inc. (manufacturer of the Epipen for Dey)
[url="http://www.meridianmeds.com"]www.meridianmeds.com[/url]
King Pharmaceuticals (purchased Meridian Medical Technologies in Jan. 03)
501 Fifth Street,
Bristol,
Tennessee 37620
1-800-776-3637
[url="http://www.kingpharm.com"]www.kingpharm.com[/url]
James E. Green
Vice President, Corporate Affairs
Allerex (distributor in Canada)
613-831-7733
The shelf life of the adult epipen used to be 27 months until the FDA made the manufacturers reduce it.
If anyone wants to call some or all of the above, that may help. Allerex don't have a toll free number, unfortunately, so perhaps the people living in that area could call them and post. When I called in November they were less than helpful [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]

Posted on: Fri, 01/16/2004 - 3:00am
katiee's picture
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Joined: 05/09/2001 - 09:00

We had 2 pens expire at once (Dec. 03) and one in Jan. 04. I needed 3 pens, went to the pharmacy and "had" to get one with an April 04 date and he ordered 2 more for me which have a Dec. 04 date. Pissed off, you bet but felt I needed the pen and given it was the holidays, I did not have the time to pharmacy shop around and therefore could not transfer the prescription to another pharmacy. These (the last 2 pens) came directly from Allerex, something tells me I need to call them about expiry dates.
Katiee

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