7. How should auto-injector of epinephrine be stored? What if you live in a very hot or very cold climate year-round?
For information regarding the storage of the auto-injector, check the package insert. That said, you may find the advice given on the insert to be impractical.
It is more important to keep the device with you even if it cannot be stored as described in the package insert. Therefore, in real life, the issue of keeping the injector with you trumps the storage suggestions supplied in the insert.
8. If you are having a severe allergic reaction and only have an expired auto-injector of epinephrine or one where the liquid is discolored, what should you?
First, when you pick up an auto-injector at the pharmacist, check the expiration date and write it down, as you should refill the injector before each expiration date. If, however, you have forgotten to do this, or find that you have an injector which is out of date, even one in which the liquid has turned slightly brown, it is safe to administer the drug.
It will probably not have the same potency as would be found in the unexpired injector, but it will still have some effect. It is best to take advantage of that effect since the administration of an out-of-date epinephrine injector is not harmful.
9. How do we dispose of expired auto-injectors of epinephrine properly?
Injectors should be disposed of at a facility which has a “sharps disposal protocol.” Some pharmacies do have sharps disposal facilities, hospitals have such facilities, and physicians’ offices also have them.