MSOS Discussion Board

Sublingual tacrolimus

Alexandra Perreiter's picture

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Our hospital would like to start giving tacrolimus via the SL route for patients unable to swallow the capsule.
Does anyone administer tacrolimus sublingually in their hospital and has a policy or process to share on how it is being administered, respecting that it is listed as a Group 2 hazardous medication on NIOSH's hazardous drug list?

Thank you! Alex

Pharmacy prepared inhaled unit dose meds

Julie Kindsfater's picture

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How do you supply non-commercially available unit doses of meds for inhalation like amikacin - parenteral or sterile oral syringe w/aux label, other?

I believe doses need to be prepared in sterile containers which leaves few options. I am aware of the 2018 ISMP article but this isn't specifically addressed, and there weren't many responses to this in an older MSOS thread but I bet a lot of us deal with this.

Thanks!

NIOSH Table 2

Ashley Tortorici's picture

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Hello,

I am currently updating our Assessment of Risk for USP <800> and was wondering if anyone would be willing to share how they are addressing NIOSH table 2 drugs within the pharmacy (e.g., compounding, delivery). Are you treating all Table 2 medications the same?

Thanks in advance!

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