Do You Have An Epi-pen or Epi-pen Jr. for Your PA Child?

Posted on: Wed, 01/14/2004 - 8:58am
Anonymous's picture
Anonymous (not verified)

Do you have an Epi-pen or Epi-pen Jr. for your child?

What country are you in?

How old is your child?

How much does your child weigh?

(Please see Epi-pen Crisis thread under Main Discussion to see why I'm asking).

I have a regular sized Epi-pen for Jesse. He has had the regular sized Epi-pen since he was 2-1/2 years old.

We are in Canada.

Jesse is just 8. He weighs, if I'm lucky, 52 pounds.

Many thanks and best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

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Posted on: Wed, 01/14/2004 - 9:13am
cynde's picture
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Joined: 12/10/2002 - 09:00

Quote:Originally posted by Alternative to Mainstream:
[b]Do you have an Epi-pen or Epi-pen Jr. for your child?
What country are you in?
How old is your child?
How much does your child weigh?
(Please see Epi-pen Crisis thread under Main Discussion to see why I'm asking).
I have a regular sized Epi-pen for Jesse. He has had the regular sized Epi-pen since he was 2-1/2 years old.
We are in Canada.
Jesse is just 8. He weighs, if I'm lucky, 52 pounds.
Many thanks and best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
[/b]
DS has a regular Epi-pen since he was about 4. He is only about 60 pounds and 9 years old. We live in Canada.
With his second anaphylactic reaction (over 3 years ago) I even got ready to use a second (regular) epi, because his symptoms were so severe and the epi did not seem to be helping although it turned out just to take a little longer than I wanted.

Posted on: Wed, 01/14/2004 - 10:22am
Anonymous's picture
Anonymous (not verified)

cynde, thank-you. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] I do think there is a difference between what Americans are prescribed and what we're prescribed. I have to check the insert yet tonight (after The West Wing and Law & Order, oh, wait, after kids are in bed and then those things) and see what it says.
When Jesse was 3-1/4 and had the near fatal reaction, we administered the regular size Epi-pen. Twenty minutes later he started to "go" again and that was when we realized that DUH, we had to get him to a hospital. There, he was administered more ephinephrine and a lot of other meds.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Wed, 01/14/2004 - 10:38am
Anonymous's picture
Anonymous (not verified)

I checked the Epi Jr. and it says "for patients weighing 15 kg and less only". But how many pounds is 15 kg?
And, obviously, my son has an epi jr. He is 5 3/4, but I have no idea how much he weighs. He is smaller than most of his classmates, and definitely slim.
And, I'm in Canada.
[i]Ooops! Just re-read the thread title. ds is not pa - he has insect allergy, but, I'll leave the info here anyway (unless you want it out Cindy).[/i]
[This message has been edited by AnnaMarie (edited January 14, 2004).]

Posted on: Wed, 01/14/2004 - 10:55am
synthia's picture
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Joined: 10/05/2002 - 09:00

Cindy
Hi,Little V weight is 33lb and has a Epi-Pen jr.She is 4 1/2 years old.We are in the US.
AnnaMarie, 15 kg=(33lb)
-----------30kg= (66lb)
this info is from the Epi-pen insert paper work.
HTH
Love this site
Synthia

Posted on: Wed, 01/14/2004 - 10:56am
Anonymous's picture
Anonymous (not verified)

Anna Marie, you may find this hard to believe, but when I posted this question, I thought about your son. I know he carries an Epi-pen. Why would I want the information out?
15 kg.? Okay, remembering that I had to take Level 4 Math in High School because I couldn't do Level 5 Math and had difficulties with math since time began, here goes.
2.5 pounds = 1 kg. (or roughly). Is that it?
So, if that is correct, 15 + 15 = 30 plus .5 plus .5 = 1, so the total would be 31 pounds.
Or, is it the reverse? 2.5 kgs. = 1 pound?
I don't know this metric crap at all and date myself every time I go to the deli and ask for a pound of black forest ham.
I'm thinking my first equation is correct and that's why Jesse had an Epi-pen (regular, adult size) since he was 2-1/2. My soul, he is only weighing in at 52 pounds now and at 2-1/2 I would have been lucky if he was 35 pounds.
Actually, I think that was it. After his anaphylactic reaction, he came in just on the border between an Epi-pen Jr. and an Epi-pen, so the 31 pounds does make sense.
However, if that equation is all wrong, please someone let me know and I will remove it so I don't confuse anyone.
I know when I go to the doctor's office or any time I have the children weighed (I am never weighed [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img] ), I always have to ask them to translate it into pounds for me.
I just noticed tonight that Ember is a bit taller than Jesse but so as not to depress Jess, since I did say it out loud [img]http://uumor.pair.com/nutalle2/peanutallergy/redface.gif[/img] , I said that it was common at his age for girls to be taller. I didn't say anything about his sister being two years younger. Poor guy. [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]
No, Anna Marie, I really did think about your son when I raised the question and Chrikey, it's information about an Epi-pen, I would never think to ask you to remove the information. Do I come across as that bad of a control freak or what? [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]
I have to get and watch The West Wing. I am going to go bonkers.
Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
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Posted on: Wed, 01/14/2004 - 11:10am
momma2boys's picture
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Joined: 03/14/2003 - 09:00

My son is 5, weighs 45lbs. and has Epi-pen Jr. We are in the US. This is what the pediatric journal says for dosages:
In the United States, the EpiPen provides a disposable drug delivery system with a spring-activated, concealed needle used for a single intramuscular injection. It is available in 2 forms: the EpiPen (0.3 mg, which is recommended for individuals who weigh > 66lbs) and the EpiPen Jr. (0.15mg for individuals who weigh 33-66 lb.) The recommended dose of epinephrine for treatment of anaphylaxis is 0.01 mg/kg/dose. Therefore EpiPen Jr is ideal for children who weigh 30 kg (66 lb). Most allergists will prescribe the EpiPen Jr for children who weigh from 10kg to 20kg (22lb-44lb) and the EpiPen for children >28kg(62lb). In some cases, patients who weigh <10 kg (22lb) may need self injectable epinephrine. In children who weigh 21kg to 28kg, the use of the EpiPen or the EpiPen Jr will depend on the physicians judgment as to the risk of the patients experiencing a severe anaphylactic reaction. Simons et al found that 5 of 5 children who weighed an average of 25.4 kg (56lb) developed pallor, tremor, anxiety, and palpitations or other cardiovascular effects after using the 0.3mg EpiPen and several developed headache and nausea. In general, if a patient in this weight range has experienced a severe anaphylactic reaction previously and/or is at high risk for such a reaction, ie, history of asthma or allergic to peanut, tree nut, or seafood, then the 0.3 mg EpiPen is probably the appropriate choice. However if the patient has never experienced a severe allergic reaction and is not in the higher risk group, then the physician may continue the 0.15 mg EpiPen Jr until the patient is .28kg (62 lb).
It also states that addition epinephrine may be administered every 15 to 20 minutes if necessary.
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So technically since he is peanut allergic and has asthma my ds should have a regular strength EpiPen. Guess I need to talk to the allergist.
Cindy, I think 1 kg = 2.2 lb.
[This message has been edited by momma2boys (edited January 14, 2004).]

Posted on: Wed, 01/14/2004 - 12:00pm
anonymous's picture
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Joined: 05/28/2009 - 16:42

Cindy,
My son, who will be 6 in April, has a regular strength EpiPen.
His pediatrician switched him from the jr to regular when he was 4-1/2 years old.
I questioned him about it and he said he should be using the regular strength.
My pharmacist also called his office because they though it was a mistake. My son weighted about 42 lbs at the time.
We are in the US.

Posted on: Thu, 01/15/2004 - 4:40am
attlun's picture
Offline
Joined: 06/13/2003 - 09:00

My ds has an Epi-pen Jr. and is almost 2 1/2, and weighs 29 lbs. We are in the USA.
------------------
Tina
Trevor 8/6/01
Harmony 1/22/03
Baby #3 due June 24, 2004!

Posted on: Thu, 01/15/2004 - 6:54am
Anonymous's picture
Anonymous (not verified)

Quote:Originally posted by Alternative to Mainstream:
[b]No, Anna Marie, I really did think about your son when I raised the question and Chrikey, it's information about an Epi-pen, I would never think to ask you to remove the information. Do I come across as that bad of a control freak or what? [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]
[/b]
hee-hee.
No Cindy, but February is coming. Believe it or not - I am trying soooo hard not to take threads OT (not always successful), and not to step on toes. And yet - still have fun here. [img]http://uumor.pair.com/nutalle2/peanutallergy/wink.gif[/img]
Also, adding information relating to momma2boys post - my son (prescribed epi jr) has never had an anaphylactic reaction and does not have a history of asthma. I feel [i]for him[/i] the jr. is appropriate until he is bigger. [i]Just my opinion, about my child, not offering advice to others.[/i]
And, honestly Cindy, you have [b]never[/b] made me feel posts I've made regarding children or schools or anything else was inappropriate. You [b]have[/b] let me know they were appreciated. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Thu, 01/15/2004 - 8:25am
leers's picture
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Joined: 07/09/2001 - 09:00

My son is 6 years old and was diagnosed with a peanut allergy when he was 2 1/2 years old. My doctor right from the start prescribed a adult epi-pen. He weighs about 50lbs. It sounds very confusing and would be interested why there is such a difference in prescription and living in Canada and US.... My son has a doctor's appt coming up I may question what is going on.......

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