If the Epi wasn\'t an injection....

Posted on: Wed, 06/14/2006 - 10:39pm
momma2boys's picture
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Joined: 03/14/2003 - 09:00

Another post made me curious about this. If the epinephrine wasn't in the form of an injection and was, say, a sublingual tablet to just put under your childs tongue, would you be more apt to use it? So many of us seem to really be hesitant to use the Epi-Pen, and use Benedryl instead. I really do think more people would use it if not in injection form.

So, thinking back, I'm pretty sure that for a couple reactions, I would've given an epi sublingual without hesitation.

Another obstacle to us using the Epi, in my opinion, is the calling 911 and going by ambulance to the hospital, only to be looked at like we have two heads, because by that point they are fine.

What do you think?

Posted on: Wed, 06/14/2006 - 10:44pm
jtolpin's picture
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Joined: 05/28/2003 - 09:00

Would you still need to go to the ER afterwards?
(shrugging shoulders).
It's been used in our house already. We know the drill now. In the past, we didn't. We should have used it once before. We didnt know.
Now we do. And we will again, Im sure.
So, no. No hesitation. If ingestion occurs, and reaction starts, epi and 911. thats our plan.
Jason
------------------
[b]* Obsessed * [/b]

Posted on: Wed, 06/14/2006 - 10:47pm
mommyofmatt's picture
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Joined: 03/12/2004 - 09:00

Yep, the whole injection ER thing isn't at the top of my list of things I want to do as a parent.
And here's a weird one...for me, I think using the epi admits that he could actually die from his allergy. I know this logically...but the hope that it isn't "that bad" is there. BAD REASON NOT TO GIVE EPI, I know, but I'm being honest here.
I'm always kind of mentally preparing myself to give the epi when I need to, and I better do it! Meg

Posted on: Wed, 06/14/2006 - 11:27pm
mommamia8's picture
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Joined: 11/13/2005 - 09:00

I was just thinking about this the other week. I absolutely think people would use it more!!! I was looking for an article about Epi in dissolvable strip but I can't find it now. I think the research was still in progress. Anyone have that info?

Posted on: Thu, 06/15/2006 - 12:08am
Adele's picture
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Joined: 01/31/2005 - 09:00

My reason for avoiding EPI is not 'the shot' but the expense. I have a $2700 deductible - but hopefully the expense won't make me think twice before using EPI.
Meg has brought up a good point. Getting ready to use EPI acknowledges that it can become a life-threatening situation.
[This message has been edited by Adele (edited June 15, 2006).]

Posted on: Thu, 06/15/2006 - 12:35am
starlight's picture
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Joined: 01/16/2004 - 09:00

I'm sure I saw an article on here that research was done into this and it was just as effective or more so than the epi-pen.
I've never had to use the epi, but with sublingual stuff, I'm sure people wouldn't let themselves get to the point where epi is no longer effective. Epi. is harmless, so if you could just pop one of those disolving strips under your tongue, more people would take it at the first sign of a reaction, like they do the benedryl, instead of waiting until it's too late to be effective.

Posted on: Thu, 06/15/2006 - 1:50am
Peg541's picture
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Joined: 12/29/2002 - 09:00

Has anyone ever read "The Perfect Storm?"
Book about fishing in the Atlantic and a gigantic storm with an entire boat of men lost.....
There is one chapter in that book that tells what it feels like to drown and die. Sure I don't know how the guy got his research but it sounded and felt so familiar and accurate.
The guy is drowning and he is thinking "this looks so bad, I am so stupid, I do not want to make a fuss, is my underwear clean?" all the way to his death.
This is how I feel at the very second I think something is wrong enough to ask for help. "Don't make a fuss, don't draw attention to yourself." There is real research on how people act in these situations and it is scary. Like those people who watched that girl get murdered outside of their windows and no one called the police or went to help her. It is part of our nature.
I think that with anaphylaxis we have to rise above that.
Every time I see the firemen/paramedics shopping at my grocery I stop them and talk aobut PA. I want to be sure that when my son calls them he is not going to be brushed off as a kook or over reactor.
Those same paramedics/firemen came to my house twice to pluck my MIL off of the floor. They all came in the house, maybe 10 of them and took the whole situation very seriously. I sent them home with 5 dozen fresh baked chocolate chip cookies.
So if they can pluck my MIL off the floor with aplomb they can treat and transport my son to the ER just as seriously and I want to be sure they will and know I expect that.
I don't know why I said all of the above but I'll leave it in.
Epi pen. When I was learning to give injections in nursing school I saw so many different techniques it curled my hair. The worst was my head nurse who used to SCREW the needle into the arm or bottom. Some jabbed like a dart and some were agonizingly slow. I found my best technique was to steady the arm with one hand and just hold the needle there and matter of factly push it in, not jab, not swing and jab.
So when the epi pen came to our home so many years ago I taught my son with the trainer the least threatening way I know. He holds the epi in the correct spot on his outer thigh. He sits it there and pushes. No swing, no jab, no violence. It is just slow and matter of fact.
I think that method made it possible for all of us in our family to relax around the epi and JUST DO IT knowing what wonders it will do.
So yes many of us don't want to even fathom giving a "shot" to our kids but a slow lay it on the leg and push approach works just as well as the violent "swing and jab." It's not a shot then, it's a well thought out life saving act.
If my son found out there was a sub lingual epi he'd throw a party! Some day some day but right now JUST DO IT.
Peg

Posted on: Thu, 06/15/2006 - 2:19am
Momcat's picture
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Joined: 03/15/2005 - 09:00

For me, it's not the injection that makes me hesitate, it's having to go to the emergency room. It's such an ordeal!
Cathy

Posted on: Thu, 06/15/2006 - 2:28am
Corvallis Mom's picture
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Joined: 05/22/2001 - 09:00

Quote:Originally posted by Peg541:
[b]This is how I feel at the very second I think something is wrong enough to ask for help. "Don't make a fuss, don't draw attention to yourself." There is real research on how people act in these situations and it is scary. Like those people who watched that girl get murdered outside of their windows and no one called the police or went to help her. It is part of our nature.
I think that with anaphylaxis we have to rise above that.
[/b]
Thank you for saying this Peg-- I have also experienced that... it is this sensation of time slowing down and hysteria all at once, almost. That moment when you (figuratively, of course) find your brain working about as well as it did when you were four or five years old and something terrible had happened and you just wanted your mom to come and take charge... You want to curl up into a ball and make the world stop in that moment. You know-- "stop the world, I want to get off..." It is hard to explain. But it can result in totally irrational behavior-- because your every impulse is to avoid any additional "sensory input" or something. I recall thinking "If I call 911, what will the neighbors think?? It is very late, and it is a weeknight."
But anyone who has felt it knows what you are talking about. Clear as day.

Posted on: Thu, 06/15/2006 - 3:24am
krasota's picture
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Joined: 04/24/2000 - 09:00

It's the ER that makes me hesitate. I have a life-threatening latex allergy, in addition to life-threatening food allergies. And if that's not enough, my benadryl allergy (diphenhydramine) is also life-threatening. Emergency services could kill me a lot faster than anything I might eat in my own home.
I've used epinephrine. I've never gone to the ER after, which I know is a HUGE mistake. I do call my doctor and talk to him after and I always get chastised for not going to the ER, but he also says he understands why I don't go.
I've taken my husband to the ER after giving him epinephrine. And I nearly needed my own epi-pen on more than one occasion after being exposed to his treatments (latex gloves EVERYWHERE). Until ERs go NRL-free, I just can't trust them.
ygg

Posted on: Thu, 06/15/2006 - 3:25am
Anonymous's picture
Anonymous (not verified)

I do think if the epi was not a shot it would be used more - but I wonder if it would be abused. I feel more comfortable leaving my son with an adult that knows they might have to give him a shot, rather then if they were to just put something under his tongue. I'd be afraid he'd be given it for a mosquito bite.

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