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Medication Safety Group Date: Early Alert Number 2 26/01/05 Peanut allergy A hospital pharmacy in Yorkshire recently had a near miss with an outpatient. The prescription did not have the allergy box completed. Colpermin capsules were prescribed and dispensed. The patient returned the next day to the pharmacy and explained that she had an allergy to peanuts. She had read the patient information leaflet which clearly states not to be taken if allergic to peanuts as contains extracts of arachis oil. Allergy boxes should be included on outpatient prescriptions. Allergy boxes must be completed Care needed with both oral and topical preparations See enclosed list “Products that contain Arachis Oil” which has been produced by a different hospital pharmacy. Products that contain Arachis Oil (List obtained from BNF.org January 2005) Central Nervous System Paraldehyde – Status epilepticus Ear & Nose Cerumol ear drops – Removal of ear wax Naseptin cream – Nasal preparation for infection Endocrine system Deca-Durabolin – Osteoporosis in postmenopausal women SustanonPreparations Gastro-Intestinal System Arachis Oil – Faecal softener laxative Arachis Oil enema – Faecal softener laxative Fletcher’s Arachis Oil Retention Enema – Faecal softener laxative Colpermin – Antispasmodic Gynaecology Ortho-Gynest Intravaginal Cream – Topical HRT Sultrin Cream – Preparation for vaginal infection Nutrition Abidec multivitamin drops Alfacalcidol – Vitamin D deficiency Analog (XLeu Analog) AT 10 – Vitamin D deficiency Calogen – Disease related malnutrition and malabsorption states Vivioptal – supplement to synthetic diet Skin Calamine oily lotion BP – Topical antipruritic Dermovate-NN cream – Topical corticosteroid Hewletts Cream – Emollient Polytar liquid – Scalp disorders Polytar AF shampoo – Scaly scalp disorders Polytar Emollient Bath additive – Topical preparation for psoriasis Polytar Plus liquid – Scalp disorders Siopel cream – Barrier preparation Zinc cream BP – Barrier preparation Zinc and Castor oil ointment BP – Barrier preparation Treatment of Poisoning Dimercaprol – Heavy metal poisoning antidote