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Everything you need to know about EpiPens?

What is an EpiPen?

EpiPen is the brand name of an auto-injectable device that delivers the drug epinephrine. Epinephrine is a life-saving medication used when experiencing a severe allergic reaction, known as anaphylaxis or anaphylactic shock.

An EpiPen is just one of the brand names of devices known generically as Epinephrine Auto-Injectors. This medication acts on the whole body to block the progression of the allergic response. It constricts the blood vessels, leading to increased blood pressure, and decreased swelling. This allows the muscles around the airways to relax, causing the lungs to open. Epinephrine also prevents the release of more allergic chemicals, which stops the progression of the allergic response. 

Epinephrine is the only medication that works on the entire body, multi-system, multi-organ, for anaphylaxis, which is why it is the only drug recommended.


How should this medication be used?

The recommended dose of epinephrine is based on body weight. The usual dose for children and adults who weigh at least 30 kg is 0.3 mg. For adults and children who weigh between 15 and 30 kg, the dose is 0.15 mg. For children weighing less than 15 kg, other forms of epinephrine may be prescribed.

Calculate your child’s Epinephrine dose  

The medicine is injected into the thigh using a special device that looks like a pen. 

To use the device or injection pen:

  1. first, remove it from its packaging. 
  2. Hold the device with the orange tip facing down, 
  3. Remove the blue safety cap by pulling it straight up. Do not bend or twist the cap. Removing the safety cap activates the pen. 
  4. Press the end of the pen against the thigh and hold it there for 10 seconds. 

The plunger will then be activated, and the needle pushed into the thigh muscle, where it will inject a dose of epinephrine. There will be some solution left in pen after the injection. Seek immediate emergency medical help. If your symptoms do not improve over the next 10 minutes, take another dose of epinephrine (make sure to have 2 EpiPens with you).

This medicine must be used according to the instructions from your doctor. It is also essential to know how to use the injection pen correctly. Mishandling the device or improperly removing the safety cap may prevent the device from acting correctly. If you are unsure whether you can use the device correctly, ask your doctor, nurse, or pharmacist to demonstrate to you.

Several factors can be considered in determining the dose a person needs: their weight, health, and taking other medications. If your doctor has recommended a dose other than those listed here, do not change the way you use the medicine without consulting your doctor.

Store the pen injector in its original tube (protect it from light) at room temperature. Do not use if the solution is brown or contains suspended particles. Keep this medicine out of the reach of children.

Do not dispose of medicines in the wastewater (e.g., not in the sink or the toilet bowl) or household garbage. Instead, ask your pharmacist how to dispose of unused or expired medicines.

Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a drug when taken in regular doses. It can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

At least 1% of people taking this medicine reported the following side effects. However, many of these side effects can be managed, and a few may go away on their own over time.

Consult your doctor if you experience these side effects and if they are severe or bothersome. Your pharmacist may be able to give you advice on what to do if these side effects: restlessness, anxiety, throbbing pain, dizziness, weakness, headaches, nausea, pallor, tremors, marked tremors, vomiting.

Most of the side effects listed below are uncommon, but they could cause severe problems if you do not see your doctor or receive medical attention.

If any of the following side effects occur, tell your doctor or emergency medical care staff immediately: irregular heartbeat, chest pain, difficulty breathing, increased heart rate or the heart-pounding very fast, symptoms of a stroke (e.g., sudden onset of blurred vision, difficulty speaking, dizziness, headache, or weakness).

Some people may experience side effects other than those listed. See your doctor if you notice any symptom that worries you while you are using this medicine.

Before using any medication, be sure to tell your doctor about any medical conditions or allergies you may have, the medications you are using, and any other significant facts about your health. For example, women should mention if they are pregnant or breastfeeding. These factors could influence how you should use this medicine.

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What Our Clients Say

Meticulous in their preparations

During our recent visit to Israel, we really struggled to find food for our son who has anaphylactic level allergies to egg and sesame. We approached both restaurants and hotels and were told they were unable or unwilling to take responsibility for preparing his food.

 After learning about Dr. Eliana on-line, we contacted her in the hopes that she could provide a ‘normal’ restaurant experience for our family.

 Both she and Shani were meticulous in their preparations with the restaurants to ensure that our son had a wonderful and safe experience.

 We truly appreciate their efforts to take care of our son, and to provide us with a lovely vacation experience.

T.M., Chicago, USA

Comfortable, calm, and at ease

We want to thank you from the bottom of our hearts for the amazing gift you have given us over this Pesach- the gift of having you with us!!!!

We have NEVER felt more comfortable, calm, and at ease than we did these past 10 days. Your warmth, professionalism, kindness, and care shown through in all that you did.

My children are so grateful that they were able to be with you this Pesach. You made sure that they were so well looked after and they felt so at ease and comfortable with you! You were so amazing and approachable to them! And they LOVED all the food you so amazingly prepared (supervised allergy-free food preparation, managed menus) for them!

It’s very difficult for us to trust people when it comes to our kids and allergies. You magically were able to take away ALL of our anxieties, and nervousness (and we don’t give that away so easily!!)

We can never fully thank you enough. We truly feel that you instantly became part of our family and we look forward to G-d willing being able to be with you and plan amazing trips with you many many many more times!!!! 

CO, Canada
April 2016

Very Helpful

Thank you and may Hashem bless you for the work you do. My son Jacob said your allergy card has been very helpful. I am so grateful- beyond words.

Yasher Koach!
L.R., NY, NY

Delicious and Safe

Thank you for delivering our allergy free baked goods to our hotel.  We just tasted the focaccia and it was delicious!

All the best,

S.C., New Jersey

Thank You

We can't thank you enough for assembling this top-notch team of specialists to work with our daughter while she is in Israel.

T.G., Philadelphia, PA

The Allergy Card was Extremely Helpful

"Food Allergy Concierge assisted us with a very helpful, detailed customized allergy card in Hebrew.  The Allergy card was extremely helpful for multiple allergies and allowed us to eat safely in several eateries and hotels. Highly recommended.”

G.A. Illinois USA

Allergy Free baked goods for the lockdown

My family ordered a week's worth of food from Food Allergy Concierge during the most recent lockdown. Having the food on hand, and knowing that it was safe for everyone in the family to eat, helped turn the lockdown into a stay-cation! We were still able to take a break from cooking and worrying, and we look forward to using FAC's services again in the future.

Very easy to order and communicate your needs

We are so lucky we found this company to help us while our son was traveling. They provided allergy-safe baked goods and delivered them to his hotel so he could have bread and pastries on his month-long Israel trip. It was very easy ordering and communicating his needs. I would definitely use the food allergy concierge again the next time he travels to Israel.

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