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Everyone—and every allergic reaction—is different.

Consult a healthcare professional if you or your child has had even a mild reaction to an allergen, because a mild reaction is not an indicator of the severity of future reactions. A mild allergic reaction can progress and become life-threatening within minutes. Your healthcare professional may then recommend that you or your child go through allergy testing.

Allergy Testing for potentially life-threatening allergens

In individuals who have experienced anaphylaxis, it is important to confirm the allergic trigger (or triggers). Several tests are available to help identify triggers of anaphylaxis:

  • Allergy skin tests identify allergies that may be a trigger for anaphylactic reactions, such as from food, medications and biting or stinging insects. In the case of a skin prick/puncture test, a positive result is indicated by the size of the inflammation when compared to placebo.
  • In vitro tests determine the presence of allergen-specific antibody levels and identify anaphylactic reactions triggered by food, biting or stinging insects, medications and natural rubber latex.
  • Challenge tests are incremental tests monitored by healthcare professionals to determine the clinical relevance of positive allergy skin tests or in vitro tests.

These tests can be done for children or adults. Test results alone do not diagnose allergies, so all test results must be interpreted together with your medical history. Your healthcare professional will determine which test, if any, is right for you.

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Antihistamines are not recommended for the life-threatening symptoms of anaphylaxis.

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IMPORTANT SAFETY INFORMATION (the following information applies to both EPIPEN and its Authorized Generic)

Use EPIPEN (epinephrine injection, USP) 0.3 mg or EPIPEN JR (epinephrine injection, USP) 0.15 mg Auto-Injectors right away when you have an allergic emergency (anaphylaxis). Get emergency medical help right away. You may need further medical attention. Only a healthcare professional should give additional doses of epinephrine if you need more than two injections for a single anaphylactic episode. EPIPEN or EPIPEN JR should only be injected into the middle of your outer thigh (upper leg), through clothing if necessary. Do not inject into your veins, buttocks, fingers, toes, hands or feet. Hold the leg of young children firmly in place before and during injection to prevent injuries. In case of accidental injection, please seek immediate medical treatment.

IMPORTANT SAFETY INFORMATION (the following information applies to both EPIPEN and its Authorized Generic)

Use EPIPEN (epinephrine injection, USP) 0.3 mg or EPIPEN JR (epinephrine injection, USP) 0.15 mg Auto-Injectors right away when you have an allergic emergency (anaphylaxis). Get emergency medical help right away. You may need further medical attention. Only a healthcare professional should give additional doses of epinephrine if you need more than two injections for a single anaphylactic episode. EPIPEN or EPIPEN JR should only be injected into the middle of your outer thigh (upper leg), through clothing if necessary. Do not inject into your veins, buttocks, fingers, toes, hands or feet. Hold the leg of young children firmly in place before and during injection to prevent injuries. In case of accidental injection, please seek immediate medical treatment.

Rarely, patients who have used EPIPEN or EPIPEN JR may develop an infection at the injection site within a few days. Some of these infections can be serious. Call your healthcare professional right away if you have any of the following at an injection site: redness that does not go away, swelling, tenderness, or the area feels warm to the touch.

Tell your healthcare professional about all of your medical conditions, especially if you have asthma, a history of depression, thyroid problems, Parkinson’s disease, diabetes, high blood pressure or heart problems, have any other medical conditions, are pregnant or plan to become pregnant, or are breastfeeding or plan to breastfeed. Be sure to also tell your healthcare professional all the medicines you take, especially medicines for asthma. If you have certain medical conditions, or take certain medicines, your condition may get worse or you may have longer lasting side effects when you use EPIPEN or EPIPEN JR.

Common side effects include fast, irregular or “pounding” heartbeat, sweating, nausea or vomiting, breathing problems, paleness, dizziness, weakness, shakiness, headache, feelings of over excitement, nervousness or anxiety. These side effects usually go away quickly if you lie down and rest. Tell your healthcare professional if you have any side effect that bothers you or that does not go away.

Indications (the following information applies to both Epipen and its Authorized Generic)

EPIPEN and EPIPEN JR  Auto-Injectors are for the emergency treatment of life-threatening allergic reactions (anaphylaxis) caused by allergens, exercise, or unknown triggers; and for people who are at increased risk for these reactions. EPIPEN and EPIPEN JR are intended for immediate administration as emergency supportive therapy only. Seek immediate emergency medical help right away.


Please see the full Prescribing Information and Patient Information for EPIPEN.

Please see the full Prescribing Information and Patient Information for the Authorized Generic for EPIPEN.

For additional information please contact us at 800-796-9526.

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.

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