Epi-Pen, Jr. Dosage

Posted on: Fri, 08/31/2001 - 1:04am
kellyhensl's picture
Joined: 03/23/2000 - 09:00

Well, my son is 11 years old. The Doc just re-ordered his two Epi-Pens for school (we do this every year, of course) and he now ordered the adult dose instead of the Epi-Pen, Jr. I'm glad he was on top of it, but after further questions, I found out that he should have had the adult dose last year, too. It goes by weight and my son was at the weight of an adult dose last year if not two years ago. I'm a little upset that the doc didn't pick that up last year and order the adult dose. Luckily, he never needed it, but I just want to remind all of you that when your child is older, make sure you have the right does of Epi-Pen on hand. I think the cutoff iss 66 pounds, but check with your own doc or pharmacist. This is really important because the Junior is half the dose of the adult and I was told it wouldn't have been enough medicine if he needed it. We do always have two on hand, at school, at daycare, in my purse and in my husband's pouch, but it's important to have the right strength.
Stay well,

Posted on: Fri, 08/31/2001 - 1:39am
Renee111064's picture
Joined: 07/05/2001 - 09:00

Thank you Kelly for that important reminder. My son is on the epi-pen jr and his weight has a way to go before reaching the adult size. But for those of us not knowing the specifics of what it should be I thank you.
Best wishes,
Renee [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Fri, 08/31/2001 - 3:06am
rilira's picture
Joined: 11/11/1999 - 09:00

When to switch epi pens was greatly debated on this board last year sometime. I encourage anyone and everyone to personally consult their doctor on this. My daughter's ped. said their is a formula used to determine how much per pound a child should be getting. They switched my daughter to the adult dose at 4o lbs. I believe in Canada most switch at 33lbs.

Posted on: Fri, 08/31/2001 - 3:29am
Kim M's picture
Joined: 06/09/2001 - 09:00

My doctor also just switched my daughter to adult dose epi after she passed 40 lbs. There is a bit of a gray area between 40 and 60 lbs. If you read the insert (I am going from memory here, so I may not be 100% accurate with the numbers) the epi jr. dosage is indicated for up to about 40 lbs., but the adult is indicated for weights over about 60 lbs. It is calculated based on mg of medicine per pound of body weight. So between 40 and 60 lbs. there is an issue. I think many doctors err on the side of caution and switch at 40, because if you need the medicine you don't want to take the chance that it's not going to be effective. I agree with rilira that you need to talk to your own doctor about what they think is appropriate for your child.

Posted on: Fri, 08/31/2001 - 7:42am
DeeJay's picture
Joined: 07/05/2000 - 09:00

My son weighed 75# and his allergist had him carrying an EpiPen Jr. I did not think a thing about it until I read on this website that he should be in the adult size. So I had to call and ask the allergist to switch him to the adult pen--"Oh yeah, you're right!" This website is a lifesaver--it amazes me the stories of medical personnel that know less about this allergy than we do.

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