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Food allergy prevalence

Food allergies are on the rise, especially food allergies in children. As many as 15 million Americans, or 4.6% of the US population, have food allergies. The most common food allergies that cause anaphylaxis include:

  • Peanuts (peanut allergy is the main cause of anaphylaxis in children)
  • Tree nuts (such as walnuts, pecans and cashews)
  • Shellfish (such as shrimp and lobster—the main cause of anaphylaxis in adults)
  • Fish
  • Cow’s milk
  • Eggs
  • Wheat
  • Soy

Severity is linked to many variables.

The severity of a food-triggered life-threatening allergic reaction depends on a number of factors—the amount eaten, the food form (cooked, raw or processed) and the co-ingestion of other foods. Other variables include the person’s age, the sensitivity at the time of ingestion, how fast the food is absorbed by the body and whether the person has another condition, such as severe or uncontrolled asthma.

Allergen avoidance means careful planning.

If you or your child has a food allergy, you’ll need to be careful to avoid allergic triggers. This means careful menu planning, avoiding cross-contact, reading food labels for alternative ingredient names to make sure you are aware of any “hidden” triggers and developing a food allergy action plan in the form of an anaphylaxis action plan.

Allergens aren’t always easy to avoid.

Food triggers can be difficult to avoid, particularly if the allergen is hidden in the meal or mislabeled in the ingredient list. In particular, children with potentially life-threatening food allergies, such as peanut allergies, may inadvertently eat a trigger food at school. In this case, it’s important that the child and his or her family, caregivers and teachers know how to recognize the signs and symptoms of anaphylaxis and know what to do in the event of a life-threatening allergic reaction: administer EPIPEN® (epinephrine injection, USP) or EPIPEN JR® (epinephrine injection, USP) Auto-Injector (or their authorized generics) immediately and seek emergency medical care. Be prepared with an anaphylaxis action plan.

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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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