Warning Advisory: Some EpiPen Auto-Injectors May Not Readily Slide Out of Carrier

 

The Asthma and Allergy Foundation of America is sharing this press release from the Food and Drug Administration to bring you the latest information quickly. We have provided the full press release along with excerpts from the letter to health professionals.


[PRESS RELEASE]

FDA alerts patients and health care professionals that some EpiPen auto-injectors may not readily slide out of carrier tube

[11/2/2018] FDA is alerting patients, caregivers and health care professionals that the labels attached to some EpiPen 0.3mg and EpiPen Jr 0.15mg auto-injectors, and the authorized generic versions, may block access to the auto-injector and prevent the ability to easily access the product.

In a letter to health care professionals from Pfizer, the manufacturer of the Mylan EpiPen, the label sticker on the auto-injector unit may have been improperly applied, causing resistance when removing it from the carrier tube. The carrier tube is the immediate package in which the auto-injector is contained. In some cases, the patient or caregiver may not be able to quickly remove the epinephrine auto-injector from the carrier tube.

The auto-injector device and the epinephrine it delivers are not affected by this issue and can be used as prescribed. It is vital for lifesaving products to work as designed in an emergency situation, and patients and caregivers should inspect their epinephrine auto-injector prior to needing it to ensure they can quickly access the product.

The letter also describes how to inspect potentially affected products and explains that patients should contact Mylan Customer Relations at 800-796-9526 if an auto-injector does not slide out easily from the carrier tube OR the label is not fully adhered to the auto-injector. Pharmacists should inspect the products before dispensing them to patients to ensure quick access to the auto-injector and should not dispense any product which does not easily slide out of its carrier tube.

FDA is not aware of any adverse event reports associated with improperly applied EpiPen or EpiPen Jr auto-injectors, or their authorized generics label. As stated on the product label, consumers should always seek emergency medical help right away after using their epinephrine auto-injector.

FDA asks health care professionals and consumers to report any adverse reactions or quality problems to the FDA’s MedWatch program:

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From the joint letter from Pfizer and Mylan with Important Safety Information including precautionary handling instructions and directions for obtaining a replacement device should there be an issue.

AFFECTED PRODUCT

EpiPen® 0.3 mg (EpiPen® NDC 49502-500-02) (Authorized Generic NDC 49502-102-02) products with the labeled expiry on the device and carton between June 2018 and February 2020.

EpiPen Jr® 0.15 mg (EpiPen Jr® NDC 49502-501-02) (Authorized Generic NDC 49502-101-02) products with the labeled expiry on the device and carton between October 2018 and October 2019.

Appendix 2: Precautionary Handling Instructions for Consumers Verifying EpiPen® Auto-Injectors for Ease of Removal from Carrier Tube

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