PREP Phenylephrine ruled ineffective. Will it be pulled from Shelves?

[Kennori]

I used Phenylephrine for years in a critical care unit for blood pressure control. Pharmacy makes a solution of Phenylephrine and a liter of saline . Central lines are best because PIV's can extravasate and you lose the effect. On a pump you slowly dial up the drug until you get the number you want on the arterial line. Someone who had lost BP or dangerously low could be bumped back up quickly while fluids were going in and causation determined. Phenylephrine first, Norepinephrine if that fails, Epinephrine next, and as a last resort a Vasopressin drip. Ephedrine could be rarely used but as we knew from bitter experience the saying was "Leave them dead on Levophed"

 

[Satanta]

As long as they don't grab oxymetazoline I'm OK.

And BENADRYL is real FREAKING IMPORTANT if you are using an epipen or other rescue allergy injectable. BECAUSE that injectable is good for about 20 minutes, and the Benadryl kicks in at about 25-30 minutes post ingestion (the variable is stomach contents, and yes, things can get a TAD drawed up for that last 5-7minutes.

Yeah, FL has Emphysemia, Copd and something else along with allergies to nearly everything. Carries an Epipem as I do for her.

This is going to be an issue.

Who ruled on this? Names?

Inquiring vindictive,motherhumpers just gotta know.

 

[kyrsyan]

As long as they don't grab oxymetazoline I'm OK.

And BENADRYL is real FREAKING IMPORTANT if you are using an epipen or other rescue allergy injectable. BECAUSE that injectable is good for about 20 minutes, and the Benadryl kicks in at about 25-30 minutes post ingestion (the variable is stomach contents, and yes, things can get a TAD drawed up for that last 5-7minutes.

Dad is absolutely terrified of needles. And has two severe anaphylaxis allergies, MSG and bees. When it was available, he discovered that the Benadryl quick dissolve strips would work like a pen. And then there were the quick dissolve tablets.

He took to always carrying them with him because he knew he would use them. Carrying an epipen didn't work because he couldn't make himself use it.

Unfortunately, neither are available anymore.

 

[phloydius]

Phenylephrine. A decongestant.

Not Benadryl (diphenhydramine). An allergy / sleep aid.

 

[tnhillbilly]

Pseudoephedrine, the original Sudafed is what they give you if you have an erection lasting more than 4 hours. Information just in case you ever need it.

 

[pauldingbabe]

Pseudoephedrine, the original Sudafed is what they give you if you have an erection lasting more than 4 hours. Information just in case you ever need it.

Good to know...

 

[beaglemama]

Oh! I did not realize it had to be a Real ID compliant license! Thanks, good to know.

It doesn't - I'm able to buy it with my regular license.

 

[subnet]

Does it matter if someone rules it ineffective? I mean the covid vax is ineffective, and they don't pull it.

I read somewhere the threshold is 50 issues and a drug is pulled, seems like they are ignoring that

 

[psychgirl]

It doesn't - I'm able to buy it with my regular license.

You’re correct. We’ve don’t it many times.
Not recently, but DH used to until the medication cost became so outrageous

 

[Knighttemplar]

And we should trust their judgement why?