The treatment for a serious allergic reaction
is adrenaline (also known as epinephrine). Because this must
be administered without delay, patients known to be at risk
often carry their own adrenaline injection kits for use in
an emergency.
The injection many doctors prescribe is the EpiPen,
an easy-to-use device with a concealed needle. The EpiPen
is available on prescription and distributed by ALK -Abelló,
2 Tealgate, Hungerford, Berkshire RG17 0YT. Tel 01488 686016.
A relatively new adrenaline injection kit called the Anapen,
is also available on prescription. It is manufactured and
distributed by UCB Pharma Ltd, 208 Bath Road,
Slough, Berkshire SL1 3WE. Tel 01753 534655.
Both companies provide trainer pens for practice purposes.
For information on how to administer the EpiPen, visit the
EpiPen website at www.epipen.co.uk.
December 2004: New instructions for administering the EpiPen have
been approved by the Governments Medicines and Healthcare products
Regulatory Agency (MHRA).
The original instructions provided on the label tell the user to remove
the grey safety cap, place the black tip against the thigh and press
hard until the auto-injector mechanism functions.
The new instructions tell the user to remove the grey safety cap and
then "jab firmly" into the muscle in the thigh. After the
EpiPen fires, the injector is then held against the thigh for ten
seconds. The way the EpiPen is held in the fist does
not change.
The manufacturers this new method is easier to learn and remember,
and there is also less chance of anyone failing to exert enough pressure.
There will be a period of time during which there is an overlap. This
is because the EpiPen has a "shelf life" of up to two years
and for some time there are bound to be EpiPens in circulation that
carry the old instructions, as well as those carrying the new instructions.
If you have an EpiPen bearing the old instructions, we advise you
to continue to follow these instructions for now unless otherwise
directed by your GP or consultant. This is still, and always was,
a perfectly effective and safe way of administering the EpiPen.
If you have two EpiPens one carrying the old instructions and
the other the new stick with the method you are accustomed
to using until your training can be updated.
If your child carries an EpiPen with the old instructions, and another
child at school has one with the new instructions, advise the school
to follow the management plan for each specific individual child.
Dont get too concerned about this. Both methods of administering
the injection are safe and effective.
Our revised training video, "Action for Anaphylaxis", shows
a demonstration of the new jab method.
But we advise you to contact your local surgery or your allergy consultant
and discuss getting some hands-on training. Buy a trainer pen from
ALK-Abello and practice regularly (tel: 01488 686016). To buy our video call: 01252 373793.
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