EPI Jr. VS. Adult EPI Pen

Author:
Updated:
Original:

We went to a new allergist last week. He changed my 6 yr. old daughter's EPI Pen prescription from Jr. to Adult. He told me he changes over at 40 lbs. A friend of mine checked with the manufacturer who says the cut off is 60 lbs. What do you use? For what weight?

On Nov 14, 2002

My daughter is 53 lbs. She got a regular epi-pen prescription from the allergist. At the last visit, he told me that the jr. pen is not enough for her weight, but that she is not quite the 60-pound recommendation for a regular epi-pen. He said it's better to give her a regular epi than two jr. shots if it comes to that.

On Nov 14, 2002

My oldest was switched at 40lbs. also, but my younger PA dd is still w/Jr. at 45lbs. Her Dr. didn't want to switch her yet. I didn't realize the man. suggested switching at 60lb. Probably why I had to call the new Dr. at the beginning of the school year when he gave oldest dd the Jr. for her school perscription when we had the regular Epi at school for her in the past. The regular ones usually have longer expirations. Rachel

On Nov 14, 2002

Syd's ped. allergist switched her at 30lbs! She's closing in on 40lbs now, so I'm abit more comfortable carrying around the adult dose for Syd (always have two with us).

On Nov 14, 2002

I asked our allergist at DS's last appt. He weighed 47 lbs, and the Dr. kept him at the jr., but told me to check with him next time. (my guess is that he will change at 50 lbs)

[This message has been edited by ACBaay (edited May 18, 2004).]

On Nov 15, 2002

There have been several discussions on the board about this. The problem is that there is a gray area between 40 and 60 pounds. The Jr. pen is effective up to 40 lbs., but the Adult pen is for over 60 lbs. (Not sure why the manufacturer devised them this way.) So if your child is over 40 lbs. there is a possibility that the Jr. dosage will not be enough. Some doctors have told parents here to use a second junior pen if the first isn't working, others have switched to the adult. Our doctor switched at 40 lbs. Since there is very little risk in giving a slightly high dose of epinephrine, I would rather go that route than leave my daughter open to the possibility that the first dose would be insufficient.

On Nov 15, 2002

My daughter's doctor switched her from Epi jr. to regular at 45 pounds. I had to get special instructions written up for school stating exactly "why".

He said better too much than not enough.

On Nov 17, 2002

Wow, our pharmacist switched us over at 33 pounds!! When he was hovering around that weight, I always carried two on the assumption that I may need both. (Now I carry two anyway, because I worry about one not mis-firing or not working or the ambulence not arriving before he may need another.)

On May 17, 2004

raising to go with other thread on Epipen

On May 18, 2004

My pharmacist also switched at 30 pounds

Related