Epinephrine injection pen refills
When should I obtain a refill for my EpiPen?
An EpiPen, both a brand name and a generic term for an auto-injector containing epinephrine, employs epinephrine—a chemical that constricts blood vessels and opens airways in the lungs. This is crucial for reversing the effects of severe allergic reactions (anaphylaxis) triggered by various sources, including foods, insect bites or stings, medications, and other allergens.
For those with a history of severe allergic reactions, it's imperative to have two doses of an EpiPen available at all times. Additionally, obtaining an EpiPen refill is necessary before it reaches its expiration date or if it has been used and requires replacement. EpiPens typically expire approximately 18 months after their production date, with the expiration date indicated on both the EpiPen's box and the auto-injector itself.
If you have a history of anaphylactic reactions, it is essential to consistently keep an EpiPen on hand and regularly check its expiration date. If the expiration date is approaching, it is advisable to request a refill before it expires.
What happens during an EpiPen refill?
Cohen Care providers are proficient in refilling prescriptions for epinephrine auto-injectors. This service can be provided during various visits, such as sports or camp physicals or allergy testing. Your Cohen Care provider will address any questions you may have regarding the use of epinephrine auto-injectors, ensuring that you are well-prepared and protected.
Why do I need epinephrine?
Over-the-counter allergy remedies like antihistamines are insufficient substitutes for adrenaline when dealing with anaphylaxis. These remedies cannot save lives, as they do not reverse airway swelling or address low blood pressure.
For individuals with food allergies, allergists recommend carrying an epinephrine auto-injector at all times, especially for those with a history of anaphylactic reactions to fish, peanuts, shellfish, or tree nuts. Two doses should always be available in case of a recurring severe reaction requiring repeated epinephrine administration.
In the event of a suspected ingestion of an allergy-causing food or the onset of an allergic reaction, it is crucial to administer epinephrine promptly. Delays in using epinephrine are a common cause of fatalities in severe food allergic reactions. Even if uncertainty exists about the severity of a reaction, immediate use of epinephrine is recommended, as the safety benefits far outweigh the risk of an unnecessary dose. After administering, call 911 immediately and inform the dispatcher of the epinephrine use to ensure emergency responders are prepared for additional treatments if needed.
What causes allergic reactions?
Allergic reactions occur when the immune system reacts excessively to a substance harmless to most people but triggers an overreaction in sensitive individuals—referred to as an allergen.
The immune system produces antibodies specific to the allergen, and upon subsequent exposure, these antibodies can release immune system chemicals like histamine, leading to allergy symptoms. Symptoms can affect airways, sinus and nasal passages, skin, and the digestive system, ranging from mild to severe.
Common allergy triggers include:
Airborne allergens: Such as mold, animal dander, dust mites, and pollen
Certain foods: Especially peanuts, tree nuts, eggs, milk, wheat, soy, fish, and shellfish
Insect stings: From insects like bees or wasps
Latex or other materials: On contact, can trigger allergic skin reactions
Medications: Particularly penicillin or penicillin-based antibiotics