17 May 2018:
EpiPen® 300mcg adrenaline (epinephrine) autoinjectors continue to be distributed each week via wholesalers to pharmacies. Mylan has recently introduced an EpiPen toll-free hotline 1800 931 625 for inquiries about supply. If a pharmacy is out of stock the pharmacist should contact their wholesaler/s to obtain stock. If there are any problems they should phone 1800 931 625 (AU) or 0800 168 169 (NZ).
Whilst the use of an expired adrenaline autoinjector is not ideal, research suggests that recently expired devices retain potency. Therefore, if no other adrenaline autoinjector is available, use of a recently expired device to treat anaphylaxis is advised, as stated on the ASCIA website: www.allergy.org.au/health-professionals/anaphylaxis-resources/adrenaline-autoinjector-storage-expiry-and-disposal
Due to safety concerns ASCIA does not recommend doctors, pharmacists and other health professionals in Australia to advise patients or their carers to learn to draw up adrenaline using an adrenaline ampoule, needle and syringe. Whilst using a recently expired device is not ideal, this is a safer option for patients at risk of anaphylaxis, than using an adrenaline ampoule, needle and syringe.
In the case of anaphylaxis, patients or their carers should follow instructions on their ASCIA Action Plan www.allergy.org.au/anaphylaxis - Give EpiPen® and call an ambulance by phoning 000 (AU) or 111 (NZ).