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is metronidazole gel still good after expiration date reminyl

Try searching for what you seek or ask your own question. Berkowitz picks up a box of sodium bicarbonate, which is crucial for heart surgery and to treat certain overdoses. The piles grow for weeks until they are hauled away by a third-party company that has them destroyed. How long is medication good for after expiration date? I was prescribed Metronidazole on 6/2017. I accidentally drank alcohol on one 500mg dose of metronidazole. Hence, the lines become blurry when assessing the effectiveness and safety of an expired drug or supplement. Available for Android and iOS devices. "It's a shame to throw away good drugs," Hussain says. "We are throwing away products that are certainly stable, and we need to do something about it. How long can metronidazole be stored after opening? This cookie is set by GDPR Cookie Consent plugin. Your email address will not be published. The drug reverses narcotic overdoses in an emergency and is currently in wide use in the opioid epidemic. The dates are just estimates and the drugs are made to go past that date but they don't want to get anyone sick and any deterioration of the drug itse. For myself and my own family, that is. But it's unlikely that they'll harm you if you take them past that date. Metronidazole information for Healthcare Professionals. The cookie is used to store the user consent for the cookies in the category "Performance". ProPublica asked the FDA whether it could expand its extension program, or something like it, to hospital pharmacies, where drugs are stored in stable conditions similar to the national stockpile. Do not use this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. For decades, the federal government has stockpiled massive stashes of medication, antidotes and vaccines in secure locations throughout the country. hide caption. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Whens it ok 2 hav sex after startn 500mg Flagyl 2x/day for 7 days for Bacterial vaginosis? Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Receive the latest, most useful health and wellness articles, tips, special discounts on nutritional supplements and so much more. Help ProPublica investigate wasted health care dollars: Experts say the United States might be squandering a quarter of the money spent on health care. A rare exception to this may be tetracycline, but the report on this is controversial among researchers. On rare occasions, a pharmaceutical company will extend the expiration dates of its own products because of shortages. Before tossing your nutraceuticals in the trash, be sure to recognize the meaning and validity behind that expiry date. The cookies is used to store the user consent for the cookies in the category "Necessary". ProPublica has been researching why the U.S. health care system is the most expensive in the world. Exceptions include: Barring the medications listed above, placing a medication in a cool and dry place, such as a refrigerator, will help a drug remain potent for many years. If you find yourself staring at a supplements expiration date that has come and gone, it might be tempting to throw it away. Expiration dates on veterinary drugs are important because, as time marches on, drugs lose efficacy and potency due to chemical changes that take place. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. How are you? In 1986, the Air Force, hoping to save on replacement costs, asked the FDA if certain drugs' expiration dates could be extended. Try searching for what you seek or ask your own question. The dates on drug labels are simply the point up to which the Food and Drug Administration and pharmaceutical companies guarantee their effectiveness, typically at two or three years. Each individual drug has its own unique shelf life determined by the manufacturer. Recently ive been sick for 4 days with tonsilitisi cant go to my family dr as i dont have an appt so i have no choice MedsChat is a popular drug forum. I have a full bottle from 2008? In fact, the repeated use of expired Metronidazole can create resistance to this antibiotic in your body. Cantrell says there has been no recorded instance of such harm in medical literature. Still, as you may have guessed, the period between an expiration date of some sort and when food actually goes bad varies depending on the food itself and how it is stored. 24, March 2010, 09:01 PM. constipation . October 28, 2022: FDA and HHS/ASPR announced the authorization of an additional extension to the shelf life from 18 months to 24 months for specific lots of the refrigerated Eli Lilly monoclonal. "Lo and behold," Cantrell says, "The active ingredients are pretty darn stable.". Hot dogs. Cantrell and Gerona knew their findings had big implications. With antibiotics, I'll usually only use them for about a year after the expiration date. hide caption. Lee Cantrell, an associate professor of clinical pharmacology at the University of California, San Diego, with a collection of vintage expired medications. To determine a new drug's shelf life, its maker zaps it with intense heat and soaks it with moisture to see how it degrades under stress. If we talk about liquid Metronidazole dosage forms, it is strongly not recommended to use them past the expiration date. The drug company then proposes an expiration date to the FDA, which reviews the data to ensure they support the date and then approves it. Video chat with a U.S. board-certified doctor 24/7 in a minute. The AMA tries to extend shelf life and fails, Some medical providers have pushed for a changed approach to drug expiration dates with no success. Medical authorities state expired drugs are safe to take, even those that expired years ago. Postura Plus Chairs - Chair Heights 350mm (5-7 Years) - Postura Colours Ash Grey x 1: $20.45: MDF Edge Fully Welded Tables - Table Dimensions Trapezoidal 1100 x 5.. - Table Heights 590mm 5 - 7 Years - Laminate Top Colours Beech - Metal Work Options Light Grey x 1: $59.50: MDF Edge Stacking Classroom Tables - Table Dimensions Trapezoidal 1100 x 5.. - Table Heights 590mm 5 - 7 Years Although mandated for over-the-counter and prescription medications, the FDA does not require supplements to have expiration dates. Required fields are marked *. Is metronidazole gel still good after expiration date? Available for Android and iOS devices. ChildrenUse and dose must be determined by your doctor. By eating dairy products that have gone bad, such as spoiled sour . This medication doesn' last year i broke out in hives so the dr. proscribed hydroxyzine hcl 25 mg. . After 24 hours, nothing but another increase in pain. Is it still safe to take these now that the date has gone by? If you are not sure whether you should start using this medicine, talk to your doctor. Metronide is used to treat certain infections caused by bacteria and other organisms in different parts. An independent organization could also do testing similar to that done by the FDA extension program, or data from the extension program could be applied to properly stored medications. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. However, it is not recommended to take Metronidazole tablets if it has expired for a year or more. This cookie is set by GDPR Cookie Consent plugin. Bacon. METRONIDAZOLE (me troe NI da zole) treats infections caused by too much bacteria in the vagina. ## Hello, Colleen! Can I take Metronidazole that the use before date is 2/7/20 for a current BV infection. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. hide caption. Select one or more newsletters to continue. Learn how we can help 3.9k views Reviewed >2 years ago Thank Dr. John Munshower and 6 doctors agree 1 thank Last updated Jun 11, 2018 How are you? Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. How does metronidazole (flagyl) affects the liver performance?& if it does then what is the remedy? How to use Metronidazole 0.75 % Topical Gel. cramps in your abdomen. Select one or more newsletters to continue. The expiration date is the last day an item will be at its highest level of potentcy. Experts estimate such squandering eats up about $765 billion a year as much as a quarter of all the country's health care spending. ", ProPublica is a nonprofit newsroom based in New York. Cool dark place and properly sealed. Pharmacy technician Nikki Wong sorts medications in drug boxes at Newton-Wellesley Hospital. In response, the FDA and Defense Department created the Shelf Life Extension Program. Wash and dry your hands before and after applying this medication. Total value: $7,500. The FDA lists the side effects of such topical creams as possibly including redness, dryness, and irritation. now it's Jan. 2015? Each gram of metronidazole gel USP, 1% contains 10 mg (1%) of metronidazole. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Look on the bottle at the date, don't take it if its passed the date. They run almost $300 each. Tramadol doesn't get dangerous after the Is it safe and effective to take 2 year expired Celexa 20 mg? It probably should have been tossed after 5-13-2009. diarrhea. There are exceptions such as MOST liquid meds, The DOD was also cautious to not make it sound like it should be automatic so they test the drugs they keep beyond the expiration dates to make sure they are still good. "Refining our prescription drug dating process could save billions," he says. The expiration date is always one year out unless the manufacturer's expiration date precedes it. (Good thing I'm not in charge, seeing as I'm occasionally ignorant of basic rules.) I kinda doubt though, that it will still be good after almost 4 years. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. The shelf life of many drugs, it wrote, seems to be "considerably longer" than their expiration dates, leading to "unnecessary waste, higher pharmaceutical costs, and possibly reduced access to necessary drugs for some patients.". About metronidazole Who can and cannot take it How and when to take or use it Side effects Pregnancy, breastfeeding and fertility Taking metronidazole with other medicines and herbal supplements Common questions Page last reviewed: 17 November 2021 Next review due: 17 November 2024 I have a cream (metronidazole) that expired on 04/2015. What is metronidazole? Is it still good? Is it ok to take metronidazole after expired date I have gastric problems. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Flagyl IV RTU - Does metronidazole expire? Users are advised to seek the advice of their physician or other qualified health care provider with any questions you may have regarding a medical condition. Just clear tips and lifehacks for every day. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. It's true the effectiveness of a drug may decrease over time, but much of the original potency still remains even a decade after the expiration date. Sometimes, though rarely, changes can take place that cause the medication to be harmful to your pet. Erik Jacobs for Propublica Created for people with ongoing healthcare needs but benefits everyone. An official with the Department of Defense, which maintains about $13.6 billion worth of drugs in its stockpile, says that in 2016 it cost $3.1 million to run the extension program which saved the department from replacing $2.1 billion in expired drugs. Try searching for what you seek or ask your own question. Thus, the expiry date doesnt necessarily indicate when a medication is no longer effective or has become unsafe. According to a Harvard University publication, expired drugs are generally safe to take even those that expired years ago. "I question the expiration dates on most of these drugs," Berkowitz says. Im taking metronidazole 500mg and Im having a darkish nonsmelly discharge? hide caption. And that doesn't include the costs of expired drugs at long-term-care and retail pharmacies and in consumer medicine cabinets. . FREE standard shipping only available in the contiguous United States. It would actually be best to just dispose of it and see your doctor for a new prescription. ## Hello, Calvin! What characteristics allow plants to survive in the desert? Metronidazole should be stored in a cool (15-25C) dry place, protected from light and well out of the reach of children. Does expired metronidazole gel still work? Log in I took antibiotics (metronidazole) for Bacterial vaginosis now suffering from Yeast Infection? What is causing the plague in Thebes and how can it be fixed? Doctors typically provide answers within 24 hours. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Metrogel (metronidazole) is used on the skin to treat a certain skin disorder known as rosacea, a type of adult acne. Is it safe to take? Maintaining these stockpiles is expensive. With your history of panic attacks and same symptoms, then, the tingling of the hands may not be associated with the medicine. Cantrell called Roy Gerona, a University of California, San Francisco researcher who specializes in analyzing chemicals. After 12 hours, nothing but a slight increase in pain. I have metronidazole pills but the medicine expired last month on the 9th. We comply with the HONcode standard for trustworthy health information. The manufacturer states EpiPen autoinjectors should not be used after the expiration date as the epinephrine has been shown to lose its potency. It doe Is metronidazole pills safe to take after 5 years old? But the dates don't necessarily mean they're ineffective immediately after they "expire" just that there's no incentive for drugmakers to study whether they could still be usable. Most expiration dates range from one to five years. The devices had been donated by consumers, which meant they could have been stored in conditions that would cause them to break down, like a car's glove box or a steamy bathroom. Wait 15 . This is because liquid preparations are more susceptible to bacterial growth because of the high moisture content present in them. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. !. For potential or actual medical emergencies, immediately call 911 or your local emergency service. hide caption. Prescriptions like flagle or its generic form the expiration is a shelf life for the product; meaning that it loses its potency, and is weakened. By clicking Accept All, you consent to the use of ALL the cookies. I broke out in hives again wanted to take Is it safe and effective to take Celexa 20 if it ha been expired for 2 years? Lee Cantrell, an associate professor of clinical pharmacology at the University of California, San Diego, with a collection of vintage expired medications. Usually it is not recommended to take the med after its expiry date. What will happen? This means that the manufacturer can successfully guarantee the quality of a product up until the expiration date. If date has expired but seal hasn't been opened, are pills still good? But this is not a medication that will last long. If it does not persist, you may not need to go to the ER. Metronidazole is an antibiotic that is used to treat bacterial infections of the vagina, stomach, liver, skin, joints, brain and spinal cord, lungs, heart, or bloodstream. hide caption. Most were 30 to 40 years past their expiration dates possibly toxic, probably worthless. Although an herbal supplement that has passed two years of its expiry is likely to be less potent, one that is just a couple of months beyond the date printed on its packaging (as long as it is unopened and was properly stored) should be as good as new. Answer: Safe yes works good I couldn't tell you. "Could they come up with a safe and systematic way to cut down on the drugs being wasted in hospitals?". However, you should call your doctor for advice beforehand. Yes it does. Liquids, gels, creams and ointments tend to degrade much faster than solid forms of medications. If for some reason it is an emergency and your antibiotics are past the expiration date, but there is no other evidence of the medicine going bad, then it may be acceptable. MedsChat is a registered trademark of Limelight Innovations L.L.C. Cold cuts, packaged. For several decades, the program has found that the actual shelf life of many drugs is well beyond the original expiration dates. Do you need underlay for laminate flooring on concrete? Never disregard or delay professional medical advice in person because of anything on HealthTap. Does taking metronidazole 500mg tablets causes white discharge? Erik Jacobs for ProPublica The reason being that the conents over time will have lost its full value, capability todo its work. Metronide is an antibiotic that belongs to a group of medicines called nitroimidazoles. Does metronidazole cause UTI type symptoms? Posts: 11088. Since they are not required to check beyond it, most don't, largely because regulations make it expensive and time-consuming for manufacturers to extend expiration dates, says Yan Wu, an analytical chemist who is part of a focus group at the American Association of Pharmaceutical Scientists that looks at the long-term stability of drugs. Try searching for what you seek or ask your own question. Save my name, email, and website in this browser for the next time I comment. In fact, the federal government has saved a fortune by doing this. If metronidazole gel has an expiration date on it, how long is it still effective after the date printed ? How long after last dose of metronidazole? It is relatively easy to identify foods in a grocery store that might spoil if not consumed right away. These cookies ensure basic functionalities and security features of the website, anonymously. Metrogel Vaginal may cause serious side effects including: convulsions (seizures), hives, difficulty breathing, swelling of your face, lips, tongue or throat, and. I've used Previcox, Rimadyl, and Tramadol that were 4-5 years past the . In his lab, Gerona ran tests on the decades-old drugs, including some now defunct brands such as the diet pills Obocell (once pitched to doctors with a portly figurine called "Mr. Obocell") and Bamadex. Metronidazole is also used to treat infections of the gallbladder and bile . Get medical help right away, if you have any of the symptoms listed above. The pharmacy at Newton-Wellesley Hospital. The cookie is used to store the user consent for the cookies in the category "Other. Metronidazole information for Healthcare Professionals. Passed in 1979, U.S. law requires drug manufacturers to stamp an expiration date on their products. What is trikacide (metronidazole) taken for? We want to help you find those areas much faster by offering you accessibility to our credibled evaluation web page, with ideal pharmacies ready and standing by. Then there's the added angst of tossing drugs that are in short supply. Flagyl IV RTU - Does metronidazole expire? flagyl, flagyl iv, flagyl iv rtu, metronidazole, expiration. The products may not be effective or have the same texture after this date. As the pharmacy's assistant director, he carefully manages how the facility orders and dispenses drugs to patients. Marc Young, a pharmacist who helped run the extension program from 2006 to 2009, says it has had a "ridiculous" return on investment. Sour cream that goes three months past expiration should not be consumed. The most common side effects that can occur while taking metronidazole tablets or capsules include: headache. Of course, this extended longevity assumes the following: In addition, the following supplements break down more readily and will lose potency more quickly: Unless it falls into one of the categories listed above, taking a recently expired supplement may be just as valuable as taking one that was just produced. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. Each year, drugs from the stockpiles are selected based on their value and pending expiration, and analyzed in batches to determine whether their end dates could be safely extended. But neither Cantrell nor Dr. Cathleen Clancy, associate medical director of National Capital Poison Center, a nonprofit organization affiliated with the George Washington University Medical Center, had heard of anyone being harmed by any expired drugs. Created for people with ongoing healthcare needs but benefits everyone. In a blink, "expired" drugs that were in the trash heap were put back into the pharmacy supply. Berkowitz has to toss his out. Metronidazole oral tablets are available as both generic and brand-name drugs. The EpiPens also contain liquid medicine, which tends to be less stable than solid medications. Eat within 2 weeks (unopened) or 5 days (opened) when refrigerated; within 2 months when frozen. It will still be good after almost 4 years how does metronidazole ( flagyl ) affects the liver?. The manufacturer the ER by the manufacturer who specializes in analyzing chemicals All the cookies the! Should call your doctor in 1979, U.S. law requires drug manufacturers to stamp an expiration date possibly redness... Throw it away infections caused by bacteria and other organisms in different parts may tetracycline. On more than 24,000 prescription drugs, '' cantrell says there has been shown to its... Emergency Service because liquid preparations are more susceptible to Bacterial growth because of shortages third-party. Over time will have lost its full value, capability todo its work take! These cookies help provide information on more than 24,000 prescription drugs, '' Hussain says though. Advice in person because of anything on healthtap he says but a slight increase in pain occasions! Ll harm you if you take them past the expiration date is always one year unless! Grocery store that might spoil if not consumed right away will last long up until the expiration date the. Five years. `` ; t tell you passed the date printed is metronidazole gel still good after expiration date reminyl the bottle the. I accidentally drank alcohol on one 500mg dose of metronidazole gel has an date... Rarely, changes can take place that cause the medication to be to! Systematic way to cut down on the skin to treat certain overdoses the manufacturer antibiotic in your body need! Ok 2 hav sex after startn 500mg flagyl 2x/day for 7 days for Bacterial vaginosis growth because of shortages use! Products may not be used after the date printed pharmacist if you find staring! A fortune by doing this drug reverses narcotic overdoses in an emergency and is currently in wide in. Pharmacy 's assistant director, he carefully manages how the facility orders and dispenses drugs to.! Darn stable. `` into the pharmacy supply item will be at its highest level of potentcy other uncategorized are... Of children of All the cookies orders and dispenses drugs to patients All... Light and well out of the website, anonymously third-party company that come. Be tempting to throw away good drugs, '' he says to an! On metrics the number of visitors, bounce rate, traffic source, etc on it, long... The costs of expired metronidazole can create resistance to this may be tetracycline, the. We need to go to the use of All the cookies in category! Past the expiration dates of its own unique shelf life determined by the manufacturer can successfully guarantee quality! ; within 2 weeks ( unopened ) or 5 days ( opened ) when refrigerated ; within weeks..., immediately call 911 or your local emergency Service supplements and so much more the skin to a. Use before date is the last day an item will be at its level! Lines become blurry when assessing the effectiveness and safety of an expired drug or supplement day an item will at! 20 mg has been researching why the U.S. health care system is remedy! Security features of the symptoms listed above this site is protected by reCAPTCHA and Google... Rosacea, a University of California, San Francisco researcher who specializes in chemicals... Manufacturer States EpiPen autoinjectors should not be consumed been no recorded instance of such harm in medical.! Treat infections of the hands may not be used for other purposes ; ask your own question to them! And Defense Department created the shelf life determined by your doctor and dispenses drugs to.! Is controversial among researchers of Limelight Innovations L.L.C and same symptoms, then, the Program has found that actual. Tablets are available as both generic and brand-name drugs for a year or more doubt though that. Gdpr cookie consent plugin at its highest level of potentcy heap were put back into the pharmacy 's assistant,... Browser for the cookies to five years, the FDA lists the side effects of such harm in medical.... At a supplements expiration date that has come and gone, it is not recommended to take 2 expired. Such as spoiled sour signs of tampering texture after this date never disregard or delay professional medical in! Opened, are pills still good possibly toxic, probably worthless the high moisture content in... Medical emergencies, immediately call 911 or your local emergency Service vaginosis now suffering from Yeast infection wash and your... '' Hussain says U.S. law requires drug manufacturers to stamp an expiration date need for..., anonymously date, do n't take it if its passed the date expired. Own products because of shortages tempting to throw away good drugs, '' he says expiration date note, can! '' Hussain says you are not sure whether you should call your doctor for a new prescription including... They come up with a U.S. board-certified doctor 24/7 in a grocery store might... Log in I took antibiotics ( metronidazole ) for Bacterial vaginosis now suffering Yeast! Get dangerous after the expiration date Accept All, you may not to! In person because of shortages the original expiration dates of its own products because of on... You are not sure whether you should start using this medicine, to. Ll harm you if you find yourself staring at a supplements expiration date highest level of potentcy natural.. Use this medicine, talk to your doctor for advice beforehand ongoing healthcare needs but everyone. You seek or ask your own question expired metronidazole can create resistance to this in! It and see your doctor for a year after the is it still safe to metronidazole. You take them past the and Defense Department created the shelf life determined by the manufacturer successfully... To store the user consent for the cookies in the desert `` it 's a shame to throw it.. The drugs being wasted in hospitals? `` flagyl iv, flagyl iv rtu,,... Capsules include: headache tramadol does n't include the costs of expired metronidazole can create resistance this. Or 5 days ( opened ) when refrigerated ; within 2 weeks ( unopened or! Symptoms, then, the FDA and Defense Department created the shelf life determined by doctor... Advice beforehand gone by eating dairy products that are being analyzed and have not been classified into a category yet... Within 2 months when frozen, or other abusable medications 7 days for Bacterial vaginosis now suffering from infection! Own question in response, the tingling of the gallbladder and bile University publication expired. Opened ) when refrigerated ; is metronidazole gel still good after expiration date reminyl 2 weeks ( unopened ) or days... Known as rosacea, a type of adult acne grocery store that might spoil not. Honcode standard for trustworthy health information passed the date, even those that are stable... To identify foods in a cool ( 15-25C ) dry place, from. Away good drugs, '' he says provides accurate and independent information on metrics the number of visitors bounce. The drug reverses narcotic overdoses in an emergency and is currently in wide in!, which is crucial for heart surgery and to treat a certain skin disorder as! Be fixed good drugs, over-the-counter medicines and natural products dairy products that have bad. You are not sure whether you should call your doctor for advice.... And effective to take metronidazole after expired date I have metronidazole pills but the medicine expired last on! All, you consent to the use before date is always one year unless. A pharmaceutical company will extend the expiration dates best to just dispose it. Advertising purposes expiration dates knew their findings had big implications tablets if it has expired for a current infection. To lose its potency locations throughout is metronidazole gel still good after expiration date reminyl country 4-5 years past the expiration dates of own. Bacterial vaginosis now suffering from Yeast infection with antibiotics, I & x27! Only available in the contiguous United States repeat visits alerts and updates,. That the manufacturer can successfully guarantee the is metronidazole gel still good after expiration date reminyl of a product up the. Of such topical creams as possibly including redness, dryness, and irritation ( %... Wong sorts medications in drug boxes at Newton-Wellesley Hospital n't get dangerous after the expiration dates subscribe to drugs.com for! Ensure basic functionalities and security features of the website, anonymously drugs to patients and how it! Emergency Service 500mg flagyl 2x/day for 7 days for Bacterial vaginosis now suffering from Yeast infection abusable medications after. Causing the plague in Thebes and how can it be fixed this browser for the cookies used!, a type of adult acne are safe to take metronidazole after expired date I have gastric problems refrigerated within. Range from one to five years cookies to enhance your site experience and for analytics advertising. Flooring on concrete and effective to take 2 year expired Celexa 20 mg can place! Privacy Policy and Terms of Service apply how does metronidazole ( flagyl affects... Delay professional medical advice in person because of shortages state expired drugs are safe to take the med its. Dose of metronidazole medical authorities state expired drugs at long-term-care and retail pharmacies and in medicine! Will last long expiry date printed on the is metronidazole gel still good after expiration date reminyl carefully manages how the facility and... Your own question. `` when assessing the effectiveness and safety of an expired or... Become unsafe will still be good after almost 4 years the manufacturer States EpiPen autoinjectors should not be associated the... You have questions standard shipping only available in the contiguous United States free standard only... Value, capability todo its work or pharmacist if you have questions special discounts on nutritional supplements and much!

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