Updated Pediatric Antiviral Dosing Syringe and Compounding Information for 2009 H1N1 and Seasonal Flu 9_25_2009
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Updated Pediatric Antiviral Dosing Syringe and Compounding Information for 2009 H1N1 and Seasonal Flu 9_25_2009

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      September 25, 2009, 13:51 EST (1:51 PM EST)

      CDCHAN-00098-09-09-25-UPD-N

      As of September 25, 2009 influenza activity is increasing in the United States with 26 states reporting widespread influenza activity. So far, ninety-nine percent of all subtyped influenza viruses being submitted to CDC are 2009 influenza A (H1N1) viruses.

      The current situation will likely affect pharmacies as a greater number of people than usual seek to fill prescriptions for influenza antiviral drugs or antibiotics to treat secondary bacterial infections, in addition to seeking advice on over-thecounter flu medications. This may affect supplies and availability of antiviral medications and other materials that may be needed to fill prescriptions.

      Pharmacists and physicians who care for pediatric patients should be aware of two issues: (1) the possible need to compound TamifluĀ® on site if commercially manufactured pediatric oral suspension formulation is not available, and (2) the need to ensure that the units of measure on the dosing dispenser and the dosing instructions match.

      These situations are addressed in the updated interim recommendations issued by CDC on September 22, 2009 for the use of antivirals in the treatment and prevention of influenza which can be found at http://www.cdc.gov/H1N1flu/recommendations.htm and in the 2009-2010 Influenza Season: Information for Pharmacists available at http://www.cdc.gov/H1N1flu/pharmacist/pharmacist info.htm.

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