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Posted on: Wed, 01/14/2004 - 10:25am
Anonymous's picture
Anonymous (not verified)

First, after reading this thread I checked my epi-pens. And one has expired. So, thank you for raising a topic that brought this to my attention.
I just checked my son's epi jr. It says "for patients wighing 15 kg and less only".
Now, how many pounds is 15 kg?

Posted on: Wed, 01/14/2004 - 10:40am
erik's picture
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Joined: 05/15/2001 - 09:00

1 kg = 2.2 pounds
15 kg = 33 pounds?
my guess anyway........... [img]http://uumor.pair.com/nutalle2/peanutallergy/tongue.gif[/img]

Posted on: Wed, 01/14/2004 - 1:14pm
Naer74's picture
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Joined: 11/03/2003 - 09:00

I contacte my pharmacy tonight and they have Epi's still in stock. Now, I do know someone up above that posted in the US that also said they were having problems.
I also checked the information that came with the Epi Pen. I have a question re: yours stating for patients under 15 kg. Mine states that "EpiPen Jr., which provides a dosage of 0.15 mg, may be more appropriate for patients weighing less than 30 kg." Which area did you read that it was for 15 kg? It also states, "However, the prescribing physician has the option of prescribing more or less than these amounts, based on careful assessment of each individual patient and recognizing the life-threatening nature of the reactions for which this drug is being prescribed."
Cindy, not sure if it is only doctors in Canada who prescribe Epi's to patients under the weight limit. My ds weighs about 55 and he has been prescribed Epi's also.

Posted on: Thu, 01/15/2004 - 1:15am
Anonymous's picture
Anonymous (not verified)

Quote:Originally posted by Naer74:
[b]Which area did you read that it was for 15 kg? [/b]
It is written on the epi-pen jr. Not on the case, or paper with directions, but right on the pen.
On my epi-pen I couldn't find anything about weight.

Posted on: Thu, 01/15/2004 - 1:18am
momma2boys's picture
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Joined: 03/14/2003 - 09:00

copied from the Pediatric journal:
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.

Posted on: Thu, 01/15/2004 - 4:26am
solarflare's picture
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Joined: 02/07/2002 - 09:00

Quote:Originally posted by Alternative to Mainstream:
[b]solarflare, are you American? I know there has been discussion here before because I think most Canadians are carrying regular size Epi-pens for their children. Jesse only clocks in at 52 pounds (maybe 54) and he has had a adult dose Epi-pen since he was 2-1/2 years of age. I know there was some debate about it here.
[/b]
Yeah, I'm American.
Jason is small for his age. At almost 6 1/2 he weighs in at 42 lbs. He's always had the epi-pen jrs for the 3 years we've been carrying them. He's well under the 66 lbs that dey's website says so I'm not too worried.
I've been planning on asking his pediatrician when we should bump him up to the regular epi-pens when I take the baby in for her next appointment.
------------------
Cheryl, mom to Jason (6 PA/TnA/other FAs and EAs),Joey (4 NKA) and Allison (1 suspected milk allergy)

Posted on: Thu, 01/15/2004 - 5:04am
leers's picture
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Joined: 07/09/2001 - 09:00

I hate to sound like I am complaining but this forum is talking about the shortage of epi-pens not the dosage we need to take...I was hoping to hear from others and their experience thus far.....sorry I am having a bad day. So cold and lots of snow.......

Posted on: Thu, 01/15/2004 - 5:47am
erik's picture
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Joined: 05/15/2001 - 09:00

I don't think we have gone on a tangent - I think the postings so far have been very informative and related to the original question. I think the two topics are definitely related. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
If there is a shortage of epi-pens, the epi-pen junior might be the only other option, and it is good to know what dosage an epi-pen junior gives for those of us who can't find epi-pens. I find all of the information in the thread quite useful so far. I think it is valuable for those who can not find an epi-pen anywhere to know whether an epi-pen junior would be a suitable alternative for their child [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
[This message has been edited by erik (edited January 15, 2004).]

Posted on: Thu, 01/15/2004 - 5:53am
momma2boys's picture
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Joined: 03/14/2003 - 09:00

Sorry, didnt mean to post anything "off-topic", just trying to answer someones questions. Just noting that you did get at least 20 direct responses to your question, and since the article posted states you should look to alternative sources, such as EpiPen jr., then some people want to know what that dosage is for that and if it will work, etc. Dont think anyone was trying to take over the thread.
Again , I apologize.

Posted on: Thu, 01/15/2004 - 6:18am
erik's picture
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Joined: 05/15/2001 - 09:00

Quote:Originally posted by momma2boys:
[b]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.[/b]
I don't think you were "off topic" at all. If people are having trouble finding epi-pens, the info you posted is very helpful at giving us an alternative (epi-pen junior) so I thought your posting was beneficial and related to the topic, and it could even save a life if someone who was unable to fnd an epi-pen was to order an epi-pen junior based on your posting. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

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