Medication storage dating of multi use containers
Some clinics use a spike device in multi-use vials to provide a needle-less access.Can these spikes be left in place for the entire 28-day period for which the vial is used or do they need replacement more frequently? In the behavioral health clinics where I work patients often are prescribed injections of long acting medications like Prolixin Deconate 25mg/ml iml IM monthly (comes in a 5ml 25mg/ml vial), so this 5ml vial can last for up to 5 months.There have been too many examples in recent history of abuse and mismanagement of multi-dose vials with subsequent mass transmission of Hep C/B that this can no longer be taken lightly.Plain and simple, you put your patients at risk if you utilize multi-dose vials for more than one patient.Which leads me to my next question…How many times should you enter a vial before discarding it with a 28 day exp?i have been administering b12 shots to my husband for over a year,,i noticed that the exp date is coming close .. thank you In Canada, as of this writing (August 2016) the 28 day expiry after opening a multi-use vial is not generally known by physicians or even endocrinologists.While clinics are especially prone to utilizing these vials as a cost saving measure, it is inappropriate use.
Are there any guidelines you are aware of that relate to prepping solutions and multipatient use?should i be concerned with the efficacy of this drug? Canada’s largest pharmaceutical manufacturer recommends discarding their T enanthate product delasteryl two months after opening or after five extractions, whichever comes first, saying that their testing has only extended to these two points.However, it does not make this research data available.Regarding a multidose vial-“Use them for single patients whenever feasible”-where i work in a family physicians clinic a great deal of vials are used and not for one patient.Cyanocobalamin is usually given monthly for several patients as well as Depo Medro, Depo Testosterone and in procedures Lidocaine for local anesthesia-these of course should be used only when a sterile needle and syringe is used each time of drawing up. Is there a general rule then that these vials shouldn’t be kept past a 28 day rule?