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US FDA approves nasal spray alternative to EpiPen for allergic reactions

reuters.com

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Re: US FDA approves nasal spray alternative to EpiPen for allergic reactions

#81

Post by makeitdouble »

viraptor wrote: post #72
makeitdouble wrote: post #69

Earlier quoted context omitted.

Isn't there a limitation on what teacher are allowed to do in most countries ? I'd assume a teacher usually doesn't have the right to give medication to a kid, at least that's the rule we had when discussion with the school.

> Isn't there a limitation on what teacher are allowed to do in most countries ? Obviously, yes. > I'd assume a teacher usually doesn't have the right to give medication to a kid We're talking here about emergencies and epipens. That's a bit beyond the "right to give medication" and in the good Samaritan laws territory.

The moment you put a system in place where the teacher isn't acting on its own as a human being in an unforeseen situation, but as the guardian of the cabinet where all the EpiPen are stored, you're required to codify who and under which circumstances gets access, who shoots, etc. Basically the organization gets involved as it sets the rules, and it's where the finger will be pointed when it all goes for the worse.

This is the primary reason it's the kid and the parents who are in charge, that's the discussion we had with the school staff.

Re: US FDA approves nasal spray alternative to EpiPen for allergic reactions

#82

Post by makeitdouble »

amluto wrote: post #68
makeitdouble wrote: post #56

Earlier quoted context omitted.

I see the cost part, but on managing the devices it would either require: - centralising all the devices in one point and have one or two trained professionals do the injections, which means a significant delay in case of emergency - or training every professor to do injections, which isn't hard in theory, but time and cost consuming, puts more burden and restrictions on the staff (how do you deal with a 60yo math te…

Schools already have to solve exactly these problems. Kids with known anaphylactic reactions have an epinephrine autoinjector and possibly a little pack of antihistamines in a baggie, with the kid’s name on it, in the school nurse’s office. And there’s a piece of paper (generally a standard-ish form that may or may not be comprehensible) with specific instructions for that kid. This being America, the kid’s doctor ab…

We've seen these kind of settings, but some schools will refuse a kid with "special needs" and punt it to bigger/more prepared schools, while others won't go the full length.

We were in one that couldn't provide meals (kid comes with it's own lunch, and they can't touch anything else) and individual medication was on a special cabinet in the classroom, but accessed by the kids.

TBH it felt more reassuring to us, as we only had to care about our kid properly reacting, and not about a whole chain of events we have no idea how well a generic school prepares for.

Re: US FDA approves nasal spray alternative to EpiPen for allergic reactions

#83

Post by NavinF »

toomuchtodo wrote: post #80
NavinF wrote: post #78

Earlier quoted context omitted.

Why are you linking 2016 articles in 2024? Back then the generic wasn't widely available

Because options prevent further monopoly activity that was proven to have happened (citations provided). You seem to have some interest in avoiding the truth and facts around this topic, which is odd. First “there was no monopoly,” and then “well, it was a while ago so it doesn’t matter now.” It happened, and it could happen again. Also, it isn’t enough to be generic based on manufacturing complexity and capacity, wh…

> First “there was no monopoly,”

Nope, first "there is no monopoly". I don't give a shit about 2016

Re: US FDA approves nasal spray alternative to EpiPen for allergic reactions

#84

Post by AbstractH24 »

modeless wrote: post #50
sweca wrote: post #46

Earlier quoted context omitted.

Haven't heard of that one. But neffy uses 3 mg of epinephrine.

Whoa, I had no idea epinephrine was OTC! 0.125mg per spray but 160 sprays per bottle. I guess 25 sprays would be a bit much all at once...

That also assumes you need the same dosage via the lungs as via the nose

Re: US FDA approves nasal spray alternative to EpiPen for allergic reactions

#85

Post by ezoe »

viraptor wrote: post #63
ezoe wrote: post #54

Earlier quoted context omitted.

The needle-less part is important. In my country, injecting a drug via needle is a medical activity only the patient himself, doctor and the nurse instructed by doctor can perform by law. For EpiPen, the regulation is slightly relaxed so the paramedics, parents/childcare workers/school teachers responsible for the child patient can also use it. But when the EpiPen is needed, the patients often can't administer himsel…

Which country is that?

Japan.
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