EpiPen or EpiPen Jr.

Posted on: Tue, 01/15/2002 - 5:40am
n5vox's picture
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Joined: 04/17/2001 - 09:00

Which pen should a 10 year child have? It seems most people here refer to the Jr. and I have a regular pen? Did my pediatrician prescribe the wrong one? He did not even question me about my sons allergies - just took my word for it and gave me a prescription???

Posted on: Tue, 01/15/2002 - 6:03am
smack's picture
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Joined: 11/14/2001 - 09:00

Hi,
My son is 4, and has had the regular epipen for about a year now. I believe it has to do with weight. Your 10 year old would have a regular epipen so your ped. is right.
[This message has been edited by smack (edited January 15, 2002).]

Posted on: Tue, 01/15/2002 - 6:07am
n5vox's picture
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Joined: 04/17/2001 - 09:00

Thank you for replying to my question! I have ask a lot of questions and for some reason I never seem to get any responses. Do you think it is my username?

Posted on: Tue, 01/15/2002 - 6:13am
BENSMOM's picture
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Joined: 05/20/2000 - 09:00

smack, how much does your 4-yo weigh? I think you get the epi jr under 50 or 60 lbs (but not sure.) Ben is 6 and has the jr still, but he's still under 40 lbs.

Posted on: Tue, 01/15/2002 - 9:21am
smack's picture
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Joined: 11/14/2001 - 09:00

BENSMOM,
You just totally freaked me out, I went up to check and the epipen jr. says 15kg and less so that x2.24=33.6lbs. I called the pharmacist and he wasn't speaking English very well so I passed him on to my husband. He totally freaked me out because he said my son should be on the jr. and I told him "Why the heck have I had regular epipens for a year Now!!!" Anyway, after my husband talked to the pharmacist he concluded they make only 2 epipens. One is for 15kg and under the other is for over 15kg which is 33 lbs and up. My son is 39lbs, so he is on the right one,
Anyway, THANKS for mentioning this because it makes me aware to NEVER use this regular one on a little person if ever I had to, I couldn't anyway.
P.S. N5vox, I wish everyone would go by first names when ending their responses, it would help. I wonder if anyone else feels the same? Thanks for bringing up this post anyway, you kept me on my toes!
[This message has been edited by smack (edited January 15, 2002).]

Posted on: Tue, 01/15/2002 - 9:57am
joeybeth's picture
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Joined: 09/01/2006 - 09:00

smack...okay, now I'm confused. we have several epipen jr's for our two PA daughters ages 3 and 6 (weights about 29 lbs and 40+ lbs respectively). Should I have regular epipens for the older child???? I just assumed 6 was still young enough that an adult sized pen shouldn't be used. If the wt limit is somewhere around 33 or 34 lbs then the jr. is not going to be enough for my 6 yr old. someone please advise me on this one...Joey

Posted on: Tue, 01/15/2002 - 10:05am
Carefulmom's picture
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Joined: 01/03/2002 - 09:00

Actually, the cutoff is not 33 pounds. Epipen Jr. correlates with a weight of 33 pounds, and regular Epipen correlates with a weight of 66 pounds. Between 33 and 66 pounds is a judgment call. Some doctors make the switch at 50 pounds which is right in between. If your child is near 33 pounds, he should be on Junior. If he is around 66, he should be on full strength. In between, you should check with your doctor. My daughter is 6 and three quarters years old and 40 pounds and still on Junior. The person who has a 4 year old should probably be on Junior unless he is really big for his age. There was a discussion about adverse affects of epinephrine, and although I wouldn`t hesitate to give it, I definitely wouldn`t want to give the wrong dose! The doctor should get it right. I have access to a PDR, so I will look up what they say between 33 and 66 pounds and post again.

Posted on: Tue, 01/15/2002 - 10:07am
n5vox's picture
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Joined: 04/17/2001 - 09:00

Thanks for the responses. let me start over - my name is Amy and my sons name is Matthew. All of the user names I picked come up as already being registered. So - I went to my old standby - n5vox is my amatuer radio call sign - it is the one user name that is never used anywhere I go. I will try to remember to sign Amy from now on. Thanks again.

Posted on: Tue, 01/15/2002 - 10:07am
Carefulmom's picture
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Joined: 01/03/2002 - 09:00

Smack, just reread your post. If your son is 39 pounds, he should definitely be on Junior! I say this because 39 is much closer to 33 than it is to 66. Also, the full strength is twice as much epi.

Posted on: Tue, 01/15/2002 - 10:35am
Carefulmom's picture
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Joined: 01/03/2002 - 09:00

Per 2002 PDR, page 1236...usual adult dose is 0.3 mg. For pediatric uses, the appropriate dosage may be 0.15 or 0.30 mg depending upon the body weight...A dosage of 0.01 mg/kg/ body weight is recommended. Epipen Junior which provides a dosage of 0.15 mg may be more appropriate for patients weighing less than 30 kg (66 pounds). However the prescribing physician has the option of prescribing more or less than these amounts, based on careful assessment of each indiviual patient and recognizing the life-threatening nature of the reactions for which this drug is being prescribed....
As far as converting your child`s weight from pounds to kilos, you divide by 2.2. For example, my daughter is 40 pounds, which divided by 2.2 is about 18 kilos. Her dose should therefore be 0.18 mg. Since full strength is 0.30mg, and Junior is 0.15 mg, she is closer to 0.15 and gets Junior. Hope the above is helpful.
[This message has been edited by Carefulmom (edited January 15, 2002).]

Posted on: Tue, 01/15/2002 - 11:14am
smack's picture
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Joined: 11/14/2001 - 09:00

Hi guys,
I just read all the responses, Thanks again Amy for bringing this up.
My son's allergist changed him in October last year...he would have been around 33 lbs then, he is very slender and almost 5 now. I also remember the allergist saying when he was on the jr's that I may need to use 2 juniors if I were to have to use them and found that he wasn't responding with just one.
I agree that 39 lbs is closer to 33 lbs than 66 lbs and would feel more comfortable using the juniors one at a time and if need be using another if I had to rather than giving too much of the epinephrine as may be the case.
Man, either I have a really incompetent allergist, or one that believes that he needs a full blast of epinephrine if he has a reaction. I will definitely ask when we go on Jan 31st.
P.S.--Thank you Carefulmom for all your help, for all your insight! You gave us more info than the pharmacist.
Joeybeth, as you can gather I'm still at lost as to why my son has regular epipens so I would conclude yours is probably safer!
[This message has been edited by smack (edited January 15, 2002).]

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