More on Stinging Insects

The insects most commonly associated with triggering severe allergic reactions belong to the Hymenoptera order. Members include bees, wasps, yellow jackets, hornets, and ants, including the fire ant, an increasingly common, harmful pest that is spreading throughout the United States, where it is now the leading cause of insect stings.

Although you can take steps to avoid insect stings, you should also know what to do if someone is stung.

A Growing Threat

It is believed that fire ants entered the United States via steamships bringing agricultural products from South America to Mobile, Alabama, in the 1930s. Once in the United States, northern frosts and western deserts proved effective barriers to widespread fire ant migration for many years. However, recent warm, wet weather conditions, including the El Niño weather system of 1998, seem to have helped the ants advance north and west. They now live in more than 260 million acres and pose a serious health risk to humans, wildlife, and domesticated animals.¹

Reactions to fire ant stings range from localized skin itching and swelling with pussy formations, to severe, life-threatening anaphylaxis.

Hymenoptera Members⁷

Indications

EpiPen® and EpiPen Jr® Auto-Injectors (0.3 and 0.15 mg epinephrine) are for the emergency treatment of severe allergic reactions (anaphylaxis) caused by allergens, exercise, or unknown triggers; and for patients who are at increased risk for these reactions.

EpiPen and EpiPen Jr Auto-Injectors are designed for you to use immediately in an emergency, to treat an allergic reaction fast and give you time to get to a hospital or medical center. EpiPen and EpiPen Jr Auto-Injectors are not a substitute for emergency medical treatment.

Important Safety Information

Each EpiPen Auto-Injector contains a single dose of a medicine called epinephrine, which you inject into your outer thigh. DO NOT INJECT INTRAVENOUSLY. DO NOT INJECT INTO YOUR BUTTOCK, as this may not be effective for a severe allergic reaction. In case of accidental injection, please seek immediate medical treatment.

Epinephrine should be used with caution if you have heart disease or are taking certain medicines that can cause heart-related (cardiac) symptoms.

Side effects may include an increase in heart rate, a stronger or irregular heartbeat, sweating, nausea and vomiting, difficulty breathing, paleness, dizziness, weakness or shakiness, headache, apprehension, nervousness, or anxiety. These side effects usually go away quickly, especially if you rest. If you have high blood pressure or an overactive thyroid, these side effects may be more severe or longer lasting. If you have heart disease, you could experience chest pain (angina). If you have diabetes, your blood sugar levels may increase after use. If you have Parkinson's disease, your symptoms may temporarily get worse.

Talk to your healthcare professional to find out if you should be prescribed an EpiPen and EpiPen Jr Auto-Injector.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

For additional information please contact us at 800-395-3376