Home Advisory Sporadic Shortages of Epinephrine Devices Continue

Sporadic Shortages of Epinephrine Devices Continue

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Epinephrine is the only drug that can halt the progression of anaphylaxis, a severe, life-threatening allergic reaction.

Sufficient supplies of the drug are critical to the food allergy community, whether provided via devices intended for use by individuals or those intended for administration by trained practitioners.

The Food and Drug Administration (FDA) maintains a database of drugs that are in short supply. Though epinephrine is currently readily available, emergency devices from specific manufacturers are experiencing sporadic shortages.

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The following table indicates the availability of epinephrine auto-injectors and prefilled syringes intended for use by individuals:

Supply of Emergency Epinephrine Devices
(auto-injector or prefilled syringe)

Adamis Pharmaceuticals Corporation (Reverified 12/17/2019)

ProductAvailabilityRelated InfoReason
SYMJEPI
0.3mg single-dose, pre-filled syringe
Available
SYMJEPI
0.15mg single-dose, pre-filled syringe
Available

Impax Laboratories (Revised 12/13/2019)

ProductAvailabilityRelated InfoReason
“Adrenaclick Generic”
0.15mg auto-injector
On allocation to current customersSee FDA site for more information including extension of expiration datesManufacturing delays
“Adrenaclick Generic”
0.3mg auto-injector
On allocation to current customersSee FDA site for more information including extension of expiration datesManufacturing delays

Kaleo (Reverified 03/18/2020)

ProductAvailabilityRelated InfoReason
AUVI-Q
0.3mg auto-injector
AvailableAUVI-Q is readily available and not currently in shortage.
AUVI-Q
0.15mg auto-injector
AvailableAUVI-Q is readily available and not currently in shortage.
AUVI-Q
0.1mg auto-injector
AvailableAUVI-Q is readily available and not currently in shortage.

Mylan Specialty (Revised 03/24/2020)

ProductAvailabilityRelated InfoReason
EpiPen® and Generic
0.3mg
auto-injector
Available (though supplies vary)Meridian Medical Technologies, a subsidiary of Pfizer that manufactures EpiPen® and the authorized generic version, continues to experience manufacturing constraints. Currently, supplies will vary from pharmacy to pharmacy. Mylan, the distributor, is expediting shipments to wholesalers upon receipt from Pfizer. Patients who are experiencing difficulty accessing product should continue to contact Mylan Customer Relations at 800-796-9526 for assistance in locating alternative pharmacies.
See FDA site for more information including extension of expiration dates
Manufacturing delays
EpiPen® and Generic
0.15mg
auto-injector
Available (though supplies vary)Meridian Medical Technologies, a subsidiary of Pfizer that manufactures EpiPen® and the authorized generic version, continues to experience manufacturing constraints. Currently, supplies will vary from pharmacy to pharmacy. Mylan, the distributor, is expediting shipments to wholesalers upon receipt from Pfizer. Patients who are experiencing difficulty accessing product should continue to contact Mylan Customer Relations at 800-796-9526 for assistance in locating alternative pharmacies.
See FDA site for more information including extension of expiration dates
Manufacturing delays

Teva Pharmaceuticals (Revised 03/17/2020)

ProductAvailabilityRelated InfoReason
Generic EpiPen Equivalent
0.15mg auto-injector
Available but sporadic supply interruptions through June 2020
Generic EpiPen Equivalent
0.3mg auto-injector
Available but sporadic supply interruptions through June 2020

If you experience difficulty finding your specific emergency epinephrine device, follow the instructions provided in the Related Info column above or consider switching to a brand that is readily available. You can find a summary of the current options along with usage instruction videos by clicking here.

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The following table indicates shortages of prefilled epinephrine syringes intended for use by trained practitioners:

Supply of Epinephrine Syringes for Trained Practitioners

Amphastar Pharmaceuticals, Inc./IMS (Reverified 03/30/2020)

ProductAvailabilityRelated InfoReason
10mL Luer-Jet Prefilled SyringeIntermittent SupplyIMS is releasing product, but market demand continues to exceed our capacityDemand increase for the drug

Hospira, Inc. (Reverified 03/25/2020)

ProductAvailabilityRelated InfoReason
1mg/10mL LifeShield Abboject Glass SyringeLimited Supply Available. Next Delivery: March 2020; Estimated Recovery: August 2020Check Wholesaler for Availability Shortage per Manufacturer
See FDA site for more information including extension of expiration dates
Manufacturing delays
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Dave Bloom
Dave Bloom is CEO and "Blogger in Chief" of SnackSafely.com.