Generic name: epinephrine injection (EP i NEF rin)
Brand name: EpiPen
EpiPen is an injection containing epinephrine, a chemical that narrows blood vessels and opens airways in the lungs. These effects can reverse severe low blood pressure, wheezing, severe skin itching, hives, and other symptoms of an allergic reaction.
EpiPen may be kept on hand for self-injection by a person with a history of an severe allergic reaction.
EpiPen is used to treat severe allergic reactions (anaphylaxis).
Seek emergency medical attention even after you use EpiPen to treat a severe allergic reaction. The effects may wear off after 10 or 20 minutes. You will need to receive further treatment and observation.
Before using EpiPen a second time, tell your doctor if your first injection caused a serious side effect such as increased breathing difficulty, or dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).
The EpiPen Auto-Injector (0.3 mg) is for patients who weigh 66 pounds or more (30 kilograms or more).
The EpiPen Jr Auto-Injector (0.15 mg) is for patients who weigh about 33 to 66 pounds (15 to 30 kilograms).
It is not known if EpiPen and EpiPen Jr are safe and effective in children who weigh less than 33 pounds (15 kilograms).
Generics for EpiPen: What Are Your Options?
Learn more about Epipen costs, generics and alternatives for treatment of severe life-threatening allergies (anaphylaxis):
Before using EpiPen
To make sure EpiPen is safe for you, tell your doctor if you have ever had:
- heart disease or high blood pressure;
- Parkinson's disease;
- depression or mental illness;
- a thyroid disorder; or
Having an allergic reaction while pregnant or nursing could harm both mother and baby. You may need to use and EpiPen during pregnancy or while you are breastfeeding. Seek emergency medical attention right away after using the injection.
In an emergency, you may not be able to tell caregivers if you are pregnant or breast feeding. Make sure any doctor caring for your pregnancy or your baby knows you received this medicine.
How should I use EpiPen?
The EpiPen auto-injector device is a disposable single-use system. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Do not give this medicine to a child without medical advice.
EpiPen is injected into the skin or muscle of your outer thigh. In an emergency, this injection can be given through your clothing.
Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.
Do not remove the safety cap until you are ready to use the auto-injector. Never put your fingers over the injector tip after the safety cap has been removed.
To use an EpiPen auto-injector:
- Form a fist around the auto-injector with the black tip pointing down. Pull off the safety cap.
- Place the black tip against the fleshy portion of the outer thigh. You may give the injection directly through your clothing. Do not put your thumb over the end of the unit. Hold the leg firmly when giving this injection to a child or infant.
- With a quick motion, push the auto-injector firmly against the thigh. This will release the spring-loaded needle that injects the dose of epinephrine. Hold the auto-injector in place for a few seconds after activation.
- Remove the auto-injector from the thigh. Carefully re-insert the used device needle-first into the carrying tube. Re-cap the tube and take it with you to the emergency room so that anyone who treats you will know how much epinephrine you have received.
Seek emergency medical attention after any use of epinephrine. The effects of epinephrine may wear off after 10 or 20 minutes. You will need to receive further treatment and observation.
Use an auto-injector only once, then throw away in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Keep this container out of the reach of children and pets.
Do not use the EpiPen if it has changed colors or has any particles in it, or if the expiration date on the label has passed. Call your doctor for a new prescription.
Your medicine may also come with a "trainer pen." The trainer pen contains no medicine and no needle. It is only for non-emergency use to practice giving yourself an EpiPen injection.
Store at room temperature away from moisture, heat, and light. Do not refrigerate this medication, and do not store it in a car.
What happens if I miss a dose?
Since EpiPen is normally used only as needed in an emergency, you are not likely to be on a dosing schedule. Do not use repeat doses without a doctor's advice.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Symptoms of an epinephrine overdose may include numbness or weakness, severe headache, blurred vision, pounding in your neck or ears, sweating, chills, chest pain, fast or slow heartbeats, severe shortness of breath, or cough with foamy mucus.
What should I avoid?
Do not inject EpiPen into a vein or into the muscles of your buttocks, or it may not work as well. Inject it only into the fleshy outer portion of the thigh.
Accidentally injecting EpiPen into your hands or feet may result in a loss of blood flow to those areas, and resulting numbness. If this occurs, seek emergency medical attention.
EpiPen side effects
Before using EpiPen a second time, call your doctor if your first injection caused a side effect such as increased breathing difficulty, or dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).
Call your doctor at once if you notice pain, swelling, warmth, redness, or other signs of infection around the area where you gave an injection.
Common EpiPen side effects may include:
- breathing problems;
- fast, irregular, or pounding heartbeats;
- pale skin, sweating;
- nausea and vomiting;
- weakness or tremors;
- headache; or
- feeling restless, fearful, nervous, anxious, or excited.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect EpiPen?
Tell your doctor about all medicines you use, and those you start or stop using during your treatment with EpiPen, especially:
- a diuretic or "water pill";
- levothyroxine, Synthroid;
- an antidepressant--amitriptyline, doxepin, imipramine, nortriptyline, and others;
- a beta-blocker--atenolol, carvedilol, labetalol, metoprolol, nadolol, propranolol, sotalol, and others;
- cold or allergy medicine that contains an antihistamine;
- ergot medicine--ergotamine, dihydroergotamine, ergonovine, methylergonovine (Methergine);
- heart rhythm medication such as quinidine (Quin-G); or
- an MAO inhibitor--isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, tranylcypromine.
This list is not complete. Other drugs may interact with epinephrine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Tell your doctor about all your current medicines and any medicine you start or stop using.