I am curious how other sites are interpreting this or have found other guidance. We use the Aerogen syringes for some of our continuous inhalation products and they currently are not manufactured as sterile and we have not identified a sterile, safe substitute.

1.1
Scope
1.1.1 CSPs affected:
• Aqueous preparations for pulmonary inhalation.

Other than use of auxiliary labels, what other mitigation strategies have you used to ensure the correct route of administration when Ciprodex Otic Drops are being used off-labeled for inhalation? How do you prepare / dispense from pharmacy?

I'm looking for some feedback on how other institutions are dispensing pharmacy-compounded syringes for inhalation. Some examples we're dispensing here are: amikacin, albuterol, amphotericin B, polymyxin B, and colistimethate.

What syringes are you dispensing in? (IV vs. oral)

Do inhalation syringes (other than the 60 mL Aerogen syringe) exist? Specifically, smaller volumes?

Any other additional preparation steps to ensure proper administration route (labeling, bagging, etc)?

Thanks!

How do you dispense pentamidine for inhalation?

Does the pharmacy prepare this? Does Respiratory prepare this?

If pharmacy prepares, how is it dispensed? In a syringe, vial, other?

Thank you,
Tina