EpiPen (Epinephrine)

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EpiPen® - Canada Product Information

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A video recording of the medication may be seen here

What is EpiPen®?

EpiPen® is a medical device that provides an emergency dose of a medication called epinephrine. It is used to treat severe allergic reactions (anaphylaxis).

EpiPen® comes in two forms:

• EpiPen®: Contains 0.3 mg of epinephrine, for adults and children weighing 30 kg or more.
• EpiPen Jr®: Contains 0.15 mg of epinephrine, for children weighing between 15 kg and 30 kg.

When to Use EpiPen®?

EpiPen® should be used immediately when experiencing a severe allergic reaction. Symptoms include:

• Swelling of the throat, lips, tongue, or eyes
• Difficulty breathing or swallowing
• Wheezing and cough
• Hives or itching
• Stomach cramps, nausea, vomiting, or diarrhea
• Sudden feeling of weakness, fainting, or a sense of doom

Common triggers of severe allergic reactions include certain foods (like peanuts or shellfish), insect stings, medications, and latex.

How Does EpiPen® Work?

EpiPen® contains epinephrine, which helps to:

• Open up airways to make breathing easier
• Increase blood pressure to prevent fainting
• Reduce swelling and hives

How to Use EpiPen®?

1. Prepare:
   • Remove the EpiPen® from its carrier tube.
   • Hold the EpiPen® in your hand with the orange tip pointing downward. Do not place your fingers over the orange tip.
   • Remove the blue safety cap by pulling it straight up. Do not twist or bend the cap.
2. Administer:
   • Place the orange tip against the middle of the outer thigh, at a right angle to the thigh.
   • Swing and push the auto-injector firmly until it clicks. Hold it in place for 3 seconds to deliver the medication.
   • Remove the EpiPen® and massage the injection site for 10 seconds.
3. After Use:
   • Seek immediate medical attention, even if symptoms appear to be improving.
   • Give the used EpiPen® to emergency responders or hospital staff.

Important Safety Information

• Do not inject: Into a vein, buttocks, hands, feet, or other body parts.
• Hold firmly: If administering to a young child, hold their leg firmly to prevent movement during the injection.
• Seek Help: Always call 911 or go to the emergency room after using EpiPen®.
• Carry two: It is recommended to carry two EpiPen® devices in case a second dose is needed.

Storage Instructions

• Store at room temperature (77°F). Do not refrigerate or expose to extreme temperatures.
• Keep EpiPen® in its carrier tube to protect from damage. The carrier tube is not waterproof.
• Regularly check the solution in the viewing window; it should be clear and colorless. Replace if discolored or contains particles.

When to Contact a Healthcare Provider

• If you or your child experience any side effects such as paleness, dizziness, weakness, shaking, headache, or irregular heartbeats.
• If there are signs of infection at the injection site, such as redness, warmth, swelling, or tenderness.
• For a replacement EpiPen® after use or if it has expired.

Remember

EpiPen® is a life-saving device for severe allergic reactions. Always carry it with you if you are at risk, and educate family members or caregivers on how to use it. Regularly review the instructions and practice with a trainer device if available. Seek immediate medical attention after use.

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Reference: Epipen Canada product monograph

Product Video: Canadian EpiPen & EpiPen Jr.

To use the EpiPen®, first remove it from the carrier tube and hold it with the orange tip pointing downward. Pull off the blue safety cap. Press the orange tip against the outer thigh and push until it clicks. Hold it in place for 3 seconds, then remove it and massage the injection site for 10 seconds. Seek immediate medical attention afterward.