LLIS Best Practice: Strategic National Stockpile Distribution Planning: Dispensing Special Doses   [open pdf - 71KB]

"The SNS [Strategic National Stockpile] includes an amount of ciprofloxacin and doxycycline oral liquids and amoxicillin chewable tablets for children and adults unable to take certain drugs or who are unable to swallow whole tablets. Amoxicillin tablets can be given to individuals unable to take ciprofloxacin and doxycycline. This includes pregnant women and people who are allergic to ciprofloxacin and doxycycline. State and local SNS planners should ensure they have provisions in place to screen for such individuals at dispensing sites, and that dispensing sites are able to dispense these special doses medications. State and local SNS planners may need to establish procedures to compound-breaking tablets into a powder and adding water-pharmaceuticals that arrive in the push packages. This is necessary due to limited supplies of oral liquids and chewable tablets to provide children or other patients requiring special doses. It is also necessary because the SNS program is planning to phase out the supplies of chewable tablets. Chewable tablets are expensive, have a relatively short shelf life, and have limited use in the private sector, making them difficult to rotate."

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