Epipens-Jr. and Adult.

Posted on: Fri, 08/10/2001 - 4:31am
Xena66's picture
Joined: 08/10/2001 - 09:00

The doctor who advised to use a Jr. epipen on a child between the weight of the Jr. and an adult epipen, and then see if they require more, really scares me.
The trick to this dilemma of when to switch them is to remember that if the epipen is required at all, we are probably dealing with a life and death situation. In which case, it is far better to give a bit too much, then not enough. Because time is of the essence, there is certainly NONE available to see if the amount in the Jr. is enough to do the trick.
My well-respected allergist said to switch my daughter to an adult Epipen at 33 lbs. which is 15 kg and exactly what it says the Jr. is suitable up to. And there really isn't any other option.
The problem to this is that there is no epipen to suit children who are just over the weight of the Jr. but under the weight of the adult. And the epipen manufacturers here in Canada (who are the worst people to deal with!) insist that there is not enough of a market to manufacture them. Hello????!!!!
Having said that however, because it is rare that there are repercussions from injecting epinephrine even when it isn't needed, it is more favorable to give too much from the adult Epipen then not enough from the Jr. We are trying to save the child's life here.
Good luck! :-)

Posted on: Fri, 08/10/2001 - 10:30am
Joined: 03/17/2001 - 09:00

I agree 100% with you Xena66!! My son never had an epi jr. He always had an adult epi. His allergist felt that the seriousness of my sons only reaction to pb (contaminated jelly, never ate pb reacted to trace amount) ie, severe angioedema of face eyes and hands that lasted for 3 days even with benedryl and cortisone, an epi jr would never cover him. So I do believe better to be safe than sorry. A little tachycardia is easier to deal with than a child that is in the midst of full blown anaphylaxis and is not responding to epi. jr. and you are 15-20 minutes away from the nearest ER. (thankfully, we have a hospital 2 blocks from our condo)
Blessings and B-well! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] Fran

Posted on: Mon, 08/13/2001 - 3:05am
Xena66's picture
Joined: 08/10/2001 - 09:00

Thanks Fran! It is nice to know some people are getting the right information out there. I can't believe the lack of knowledge some GP's have when it comes to allergies. It is understandable but not when they do not pass you along to an allergist and instead choose to deal with it themselves. That is when people aren't informed properly.
Thanks for your reply!

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