A small study has been carried out in Poland to check the concentration of adrenaline after being left in a hot car.
Official advice is to keep an EpiPen stored below 25 °C (77 °F) and do not expose it to extreme heat.
Study
Nine adult dose EpiPens were left in a car on a hot day:
- Three were left in the glove compartment;
- Three in the trunk/boot and;
- Three on a shelf underneath the rear window.
Each of the EpiPens were placed so that the were not under direct sunlight.
The EpiPens were removed after 12 hours and tested.
Results
The solution appearance in all 9 injectors did not have any significant visual changes. They functioned correctly when injected.
When analysed, the adrenaline concentration had reduced in all nine.
Location | Average Reduction in Concentration of Adrenaline |
---|---|
Boot/Trunk | 3.3% |
Shelf | 13.3% |
Glove Compartment | 14.33% |
According to the researchers, these changes are unlikely to make the dose ineffective but further research is needed to see if the exposure is progressive or cumulative, i.e if further exposure to high temperatures could reduce the adrenaline concentration even further.
The study clearly shows the importance of making sure you don’t leave your EpiPen or other adrenaline auto-injector in your car or in any other place they are likely to get too hot.
Source:
EpiPens May Lose Potency Within Hours When Stored in Heated Car
EpiPen® Auto-Injector 0.3 mg Adrenaline
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