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PSNet: Patient Safety Network
Press Release/Announcement

Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection.

Institute for Safe Medication Practices; ISMP; American Society of Health-System Pharmacists; ASHP.

Misunderstanding prescription drug labels is a recognized source of errors in ambulatory care. This announcement raises awareness of new packaging for existing medications that may cause confusion due to similarities in color and layout. Recommendations are outlined to prevent mistakes associated with use of these medications.