What are other facilities doing in regards to epinephrine IV infusion compounding since the IMS brand of epinephrine 1 mg/ml, 30 ml for IV dilution has been discontinued by the manufacturer?

Currently, the only large vial of epinephrine available is the Adrenalin 1 mg/ml, 30 ml vial by PAR and it is very specifically listed for Intramuscular or Subcutaneous Use only. The FDA has not approved for IV infusions and the company cannot provide any off-label use for IV infusion as well.

Current ASHP list serve responses do not indicate anyone currently using the PAR product, but does raise the question that pharmacy has had to make these decisions in the past for other medications administered off-label.

Thanks,