FOR PHARMACISTS · REFERENCE EDITION 8.0261 monographs · 32 SOPs · 18 forms

OIT-008 / SOP v2.0

Incident, recall and reassessment

Reaction, suspected deviation or change involving an allergen batch.

Procedure

  1. In an acute reaction, the clinical emergency plan and appropriate emergency services take priority. The laboratory does not provide an alternative treatment protocol.
  2. Record product, lot, container, reported intake, timing and available information with privacy protection. Do not automatically assign causality.
  3. Suspend supply of the suspect batch and notify the responsible pharmacist and clinical team. Check shared raw materials and adjacent work for contamination.
  4. Preserve samples and data. Examine identity, calculation, mixing, recovery, labelling, dosing device and transport/use conditions.
  5. Organise recall and reporting to competent bodies where required. Record contacts and reconcile affected quantities.
  6. Close with documented investigation, CAPA and effectiveness review. Restarting or changing dose is the specialist’s decision, separate from technical correction of a batch.

Edition-specific detail

Investigation distinguishes an expected clinical reaction from identity, dose, contamination or product errors. A negative retained-sample result does not exclude a problem in another withdrawal. Preserve the device, label and available remainder with secure traceability; clinical cofactors are assessed through the responsible specialist.

Stop criterion

Do not resume supply of a suspect product before the required assessment is complete.

Related forms

F-007, F-010

Sources and references

  1. EMA — Guideline on Allergen Products: Production and Quality IssuesEMEA/CHMP/BWP/304831/2007, 2008Sections 2, 4.1.1, 4.2.4, 4.3, 4.4.3–4.4.5; pp. 4–13Industrial biological-allergen quality guidance; principles adapted explicitly, not a compounding authorisation or a food-OIT recipe2026-09-12
  2. Santos AF et al. EAACI guidelines on the management of IgE-mediated food allergyAllergy. 2025;80:14–36; online 2024Abstract and published guideline recommendations; DOI 10.1111/all.16345Specialist clinical recommendations; not stability evidence for local syrups or suspensions2026-09-12
  3. FDA — PALFORZIA prescribing informationUS prescribing information, July 2024 revision, accessed 2026-09-12Sections 1, 2.3, 4, 5 and 16Specific authorised product only; no equivalence with pharmacy-made peanut preparations2026-09-12
  4. NAPRA — Guidance Document for Pharmacy Compounding of Non-sterile PreparationsMarch 2018, clarification January 2022Sections 5, 6 and 7; master/batch records, delivery, qualityQuality-system implementation; historical BUD table not substituted for 2022 USP revision2026-09-12