Reactions 1500, p2 - 10 May 2014

Morphine sulfate: packagingupdate following dispensing errorThe UK Medicines and Healthcare Products

Regulatory Agency (MHRA) has announced a packagingupdate of some morphine sulfate products to betteremphasize the strength of the medicine on the pack. Thenew packaging will start to appear from April 2014. Thisfollows a recent fatal dispensing error, in which 60 mginstead of 10 mg capsules of morphine sulfate weresupplied due to confusion between the capsule strengthand the quantity of capsules in the pack. The MHRA asksmedicines users to ’please be aware when dispensingmorphine sulfate preparations’.MHRA. Morphine sulfate preparations: new packaging to help ensure correctstrength is dispensed. Drug Safety Update 7: S1, No. 9, Apr 2014. Available from:URL: http://www.mhra.gov.uk/home/groups/dsu/documents/publication/con404453.pdf 803102621

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Reactions 10 May 2014 No. 15000114-9954/14/1500-0001/$14.95 Adis © 2014 Springer International Publishing AG. All rights reserved