That is referenced in the article:
One of the plastic boxes is piled with EpiPens devices that automatically inject epinephrine to treat severe allergic reactions. They run almost $300 each. These are from emergency kits that are rarely used, which means they often expire. Berkowitz counts them, tossing each one with a clatter into a separate container, thats 45, 46, 47 He finishes at 50. Thats almost $15,000 in wasted EpiPens alone.In May, Cantrell and Gerona published a study that examined 40 EpiPens and EpiPen Jrs., a smaller version, that had been expired for between one and 50 months. The devices had been donated by consumers, which meant they could have been stored in conditions that would cause them to break down, like a cars glove box or a steamy bathroom. The EpiPens also contain liquid medicine, which tends to be less stable than solid medications.
Testing showed 24 of the 40 expired devices contained at least 90 percent of their stated amount of epinephrine, enough to be considered as potent as when they were made. All of them contained at least 80 percent of their labeled concentration of medication. The takeaway? Even EpiPens stored in less than ideal conditions may last longer than their labels say they do, and if theres no other option, an expired EpiPen may be better than nothing, Cantrell says.
“The takeaway? Even EpiPens stored in less than ideal conditions may last longer than their labels say they do, and if theres no other option, an expired EpiPen may be better than nothing, Cantrell says.”
Don’t take this as medical advice, but on a bad day, with old EpiPens, maybe taking a second one (or part of it) could make the difference if the first one is not potent enough.
Again - NOT MEDICAL ADVICE - but if no other choice, I would consider it.