1. Prescribing adrenaline auto-injectors Changing practice within UHL Left click / down arrow for next slide

2. Adrenaline auto-injectors • Prescribed for patients at future risk of a life-threatening allergic reaction • Prescribed for both children and adults – doses are different • Require training and education of patients: • How to use the device • When to use the device Left click / down arrow for next slide

3. Currently in the UK there are 3 different adrenaline auto-injector devices THEY ARE NOT INTERCHANGEABLE Left click / down arrow for next slide

4. For new patients both adult and paediatric allergy services at UHL are now prescribing Jext Left click / down arrow for next slide

5. Left click / down arrow for next slide

6. Why have we changed? Longer shelf life; better value for money Better heat stability, only restriction is ‘not to freeze’ click here for 'Summary of Product Characteristics' link Self-sheathing needle: safer for patients Left click / down arrow for next slide

7. Only new patients requiring auto-injectable adrenaline will be prescribed Jext Patients already prescribed adrenaline auto – injectors may have their prescription changed in primary care ANY change in device needs specific training for the patient (and their carers) Are all patients changing? Left click / down arrow for next slide

8. What should we do in primary care? Please prescribe future adrenaline auto-injectors by brand e.g. Jext , Epipen, Anapen Left click / down arrow for next slide

9. What should we do in primary care? Please ensure that ALL your patients know how to use the adrenaline-autoinjector prescribed for them Left click / down arrow for next slide

10. What should we do in primary care? Please ensure that if there is a swap patients receive full training in how to use the new device Left click / down arrow for next slide

11. How can I find out more? http://www.jext.co.uk/what-is-jext.aspx(general information) http://www.jext.co.uk/jext-video-demonstrations.aspx(instructional video) http://www.epipen.co.uk/(general information) http://www.anapen.co.uk/(general information) (click over link to view site) Dr Alexandra Croom 0116 256 3397 Allergy and asthma Specialist nurses (Glenfield hospital; 0116 258 3557) Left click / down arrow for next slide

12. Thank you for your attention End