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Saturday, March 1, 2025

Guidance for parents on when to use a child's EpiPen

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Ruth M. O'Regan Chair, Department of Medicine | University Of Rochester Medical Center

Ruth M. O'Regan Chair, Department of Medicine | University Of Rochester Medical Center

Parents of children with allergies face difficult decisions when their child experiences an allergic reaction. Dr. Emily Weis, Clinical Director and Regional Director of Allergy and Immunology at UR Medicine, provides guidance on recognizing severe allergic reactions and the appropriate use of an EpiPen.

An EpiPen is a device that administers epinephrine to treat severe allergic reactions or anaphylaxis. Other similar devices include Auvi-Q and Adenaclick. Epinephrine should be administered to the prescribed patient during a severe allergic reaction.

Signs of a severe allergic reaction can manifest in various ways, including tightness or swelling of the throat, wheezing, persistent coughing, widespread hives, fainting, dizziness, irregular heartbeat, and lowered blood pressure. Immediate medical attention is necessary for symptoms like difficulty breathing or swallowing, chest tightness, or severe dizziness.

Dr. Weis emphasizes the importance of using an epinephrine injector if these symptoms occur after contact with a known allergen. After administering epinephrine, it is advised to call 911 immediately and have a second dose ready if needed.

Families are encouraged to maintain an allergy action plan reviewed regularly with healthcare providers to ensure quick and effective treatment in case of an emergency.

Research at Golisano Children's Hospital's Allergy & Immunology teams focuses on diagnosing, treating, and preventing allergic diseases. The hospital has been designated a World Allergy Organization Center of Excellence.

URMC advises that while Benadryl may help relieve mild allergy symptoms like itching or hives, it does not treat anaphylaxis. An EpiPen is the first-line treatment for anaphylaxis due to its rapid action in reversing life-threatening symptoms such as throat swelling and difficulty breathing.

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