Know When Med Containers With Latex May Be a Concern

We're getting questions about how to handle latex allergies.

The concern is with latex from natural rubber, which is in some vial stoppers...or parts of syringes, pens, or auto-injectors.

Document the reaction if a patient reports a latex allergy.

Mild reactions, such as contact dermatitis, are most common. In these cases, don't worry about med packaging that may contain latex.

In fact, evidence is mixed about whether the small exposure from latex parts can cause a reaction...even with a severe allergy.

But to be safe, avoid exposure in the RARE patient with a history of anaphylaxis from natural rubber latex.

To find out if vaccines have latex, use CDC's table, "Latex in Vaccine Packaging." For example, Adacel or Boostrix syringes may have latex...but not the vials.

Or check the med label. Feel comfortable using meds labeled with statements such as "not made with natural rubber latex." Call the manufacturer if labels don't specify.

Explain contamination of the drug is unlikely if latex is only in the cap or needle shield. But if practical, suggest a non-latex alternative...or avoiding contact with latex-containing parts.

If a latex-containing med is needed...or latex content can't be confirmed...suggest giving the first dose in a prescriber's office.

If a stopper is the culprit in this situation, recommend the "one-stick rule"...poking vials just once limits latex exposure. Don't advise popping out stoppers...due to risk of contamination.

Ensure patients with severe latex allergies have an epinephrine auto-injector on hand...in case of accidental exposure.

Get more strategies in our checklist, Latex Allergies.

• Checklist: Latex Allergies