Posts Tagged ‘EpiPen’

In the summer of 2016, local and national media highlighted the problems with the current lack of drug pricing transparency with Mylan’s EpiPen^® auto-injector prices rising hundreds of dollars. Epinephrine is the generic drug name for the brand EpiPen^® and would deliver the same life-saving drug needed in case of a severe allergic reaction.

As a result of this controversy, Representative Derek Merrin joined over 240 pharmacy students, faculty members, and pharmacist volunteers to announce the introduction of new legislation under House Bill 101, which aims to improve access to epinephrine auto-injectors.

HB 101 tackles this issue in two ways:

First off, HB 101 would allow pharmacists to substitute generic epinephrine auto-injectors for prescriptions written for brand EpiPen^® as long as the patient agreed to this substitution. This change would prevent the current hurdles of having to contact the doctor to replace the prescription to the generic alternative since they are not considered substitutable under current law.

The second part of HB 101 would allow pharmacists to dispense epinephrine auto-injectors to those 18 years and older under a physician-approved protocol without requiring a prescription. This protocol process outlines the specific requirements that must be met for pharmacists to be able to dispense epinephrine auto-injectors without a prescription. This type of protocol process is currently available for naloxone for the reversal of opioid overdose. It is also available for all CDC-recommended vaccines so that pharmacists are equipped to fill gaps in care within the community.

With HB 101, hopefully more patients will have access to this vital medication in cases of severe allergic reactions while also facilitating better competition within the epinephrine auto-injector marketplace.

As you and your children gear up to go back to school, there are many things to do: buy school supplies, shop for new clothes, get haircuts, and try out new lunch recipes.

Don’t forget, however, to add one more important task to your to-do list: get your child’s medication ready for school.

Many children have food allergies which require an EpiPen to be kept with them not only at home, but at school, as well. Some students use asthma inhalers and others carry insulin.

Your child’s important medical information should be shared with the school.

Discuss with your child’s doctor about using medications in school and whether prescriptions are needed for school use. For example, if a child needs an extra EpiPen at school, ask your doctor for an additional prescription for the second EpiPen. Also ask your child’s doctor about carrying medical information with the child when they are at school.

Along with the many forms you fill out for back to school, ensure that medical information and emergency contact information is completed accurately. Provide detailed information about your child’s allergies, medical conditions, and symptoms. Schedule a meeting with school staff, including your child’s teacher and the school nurse, to discuss the use of medications and any special instructions. You may be able to talk with the official in charge of food services, as well, for those children with food allergies. Work with your child’s doctor and school to develop an emergency action plan for steps to follow in case medication administration is necessary.

So how does your pharmacist fit in? Ask your pharmacist to show you how to use all medications, including the EpiPen. Your pharmacist will use the EpiPen training device to help you practice, so you will be comfortable using the actual EpiPen when the time comes. If your child uses medications that need to be taken at school, ask your pharmacist to provide two bottles to separate the medicine for home use and for school use–that way appropriate labels with instructions will be available in both places. Your pharmacist is a great resource, so discuss any questions or concerns with them.

Quick Tips for the EpiPen:

Keep the EpiPen at room temperature and not in cars where the temperatures can become very hot.

Check to make sure the solution is NOT cloudy and make sure it is NOT expired.

Give the injection in the outer thigh. The injection can be given through clothing.

Do not re-use the EpiPen after it is used.

How To Use the EpiPen (follow the picture instructions):

1. Flip open the yellow cap of your EpiPen or the green cap of your EpiPen Jr. Slide the auto-injector out of the carrier tube. Grasp the EpiPen in your fist with the orange tip pointing downward. Remove the blue safety release by pulling straight up–do not bend or twist the release.

2. Push the orange tip against the outer thigh. You can do this through clothing.

3. Push down until a “click” is heard or felt and hold for 10 seconds.

4. Remove the EpiPen and massage the injection site for 10 seconds.