Epi-pen or Epi-pen jr. for your child?

Posted on: Wed, 06/11/2003 - 3:50am
Tamie's picture
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Joined: 09/23/2002 - 09:00

My dd will be 7 in the fall and weighs about 64 pounds, her allergist just changed her epi-pen jr. to the regular one after I had asked about the weight on it? Is this correct? It just makes me a little nervous since this is the same dose as my dh. Thanks
Tamie

Posted on: Wed, 06/11/2003 - 4:12am
anonymous's picture
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Joined: 05/28/2009 - 16:42

My DD was switched to adult dose from the epi-jr at 2 1/2 years old - go figure!
Her weight (35lbs at the time)justified it in the mind of her ped. allergist. He is of the philosophy that it is better to receive a slightly larger dose (which will not over dose you) than too small a dose requiring repeated injections for her serious reactions.
I wasn't comfortable, so during our next appointment (a few months later, I pointed out the exact weight stuff on the boxes of the epi & epi-jr to him, and I asked him if I was carrying the wrong dose for her weight, as I felt she had been switched much too soon to the adult dose. He stated he wanted her definitely on the adult dose and confirmed that some ped. allergists switch doses right at the recommended weight requirements on the carton, and some use the "40lbs" rule - he increases to adult dose at 35lbs, and now that she's 40lbs now at 3 1/2 years old, I'm more comfortable carrying the adult doses (still have two at all times)for her reactions.
Hope this gives you alittle piece of mind that it isn't a bad thing to have an adult dose prescribed for a child. Warm regards, [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Wed, 06/11/2003 - 6:17am
tgab's picture
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Joined: 06/24/2000 - 09:00

Our allergist also switched dd to the adult dose a while back. I think she was 4, and probably around 40 pounds. He would rather her have a little too much than not enough.

Posted on: Fri, 06/13/2003 - 1:09am
Tamie's picture
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Joined: 09/23/2002 - 09:00

Thank you, I feel better now! I also talked to the pharmacist and she said it was fine also. I trust our pharmacist more than any of our doctors!
tamie

Posted on: Fri, 06/13/2003 - 7:13am
Lidia's picture
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Joined: 04/25/1999 - 09:00

As I recall the epi insert suggests 30 KG not Pounds as the limit for the epi jr. That is approximately equivalent to 65 pounds. I would check that with your allergist/Pediatrician before administering. My son weighs close to 60 pounds and he still has a epi jr. I have specifically asked this question. I fear that a doctor would stand by his decision just not to show he made a mistake when not realizing the weight recommendation was in kg.

Posted on: Sun, 06/15/2003 - 8:27pm
nancy023's picture
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Joined: 12/12/2002 - 09:00

At a conference I attended a few years ago this was discussed. Dr. Wood said to change to epi at 40 lbs. to err on the side of stopping the reaction. The Dey representative said to stick to the written recommendations in the package. I think it's a matter of opinion and a little controversy.

Posted on: Sun, 06/15/2003 - 9:13pm
MeCash's picture
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Joined: 04/18/2001 - 09:00

My son was 5 and about 60lbs when he was dx'd PA. He was prescribed a regular EpiPen. He is now 7 and 95lbs. (He's also really tall). My 2 year old daughter is only about 28lbs, so on EpiPen Jr.
~Melanie

Posted on: Sun, 06/15/2003 - 11:15pm
Sandra Y's picture
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Joined: 08/22/2000 - 09:00

My son just switched to the adult Epi at his last dr. visit. He is 7 yrs and weighs 42 lbs.

Posted on: Mon, 06/16/2003 - 6:26am
California Mom's picture
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Joined: 07/14/2000 - 09:00

Now I'm really ticked off. I just asked our advice nurse (at the allergist's office) and she said the switch happens at 88 pounds! MY dd is about 60 pounds now and I was thinking it might be time to switch to the regular. 88 pounds just didn't sound right, but I hadn't bothered to check the reccomendation on the package. Miriam

Posted on: Mon, 06/16/2003 - 12:41pm
Renee111064's picture
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Joined: 07/05/2001 - 09:00

Our Allergist stated 65 to 70 lbs to go to the adult dosage of epi.
best wishes,
Renee [img]http://uumor.pair.com/nutalle2/peanutallergy/wink.gif[/img]

Posted on: Mon, 06/16/2003 - 8:36pm
anonymous's picture
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Joined: 05/28/2009 - 16:42

Our allergist made the switch at 45 pounds. He said it's better to have too much, than too little.

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