Replied By Doc Mark (Phoenix) on 01/04/2018

If all you have is some aging caps or powder, I would assume that "something is better than nothing" and use it, probably adjusting upwards for dosage until I was giving the patient close to 2 grams of th "old stuff" at a time. But also wait about 4 hours between this large dose to avoid getting an impaction... just in case it's more potent than we think. As soon as you can replace the aging bottle and it's contents, the better, obviously. But if it was me or my family suffering and becoming dehydrated and worse - I'd definitely try the aged A.C., vs doing nothing. Worst case it will not work as well or as quickly as fresh product might. But it will help at least until you can get new product. As always, this is not medical advice, just general knowledge about how medications age and loose their potency. IF YOU SEE dehydration, bloody stools, loss of balance, or change in personality, etc., these can be signs of a serious problem and the patient needs to be evaluated by a med team in an OR or Urgent Care setting if possible. Severe dehydration can be life-threatening if not treated. Do not hesitate to take the patient into the ER if you see that the meds are not working and the dumping of liquids continues.