Return Those Auvi-Q's!

By now you undoubtedly know about the Auvi-Q recall. If you need to carry an epinephrine injector, be sure you've gotten a prescription from your healthcare provider for a prescription for EpiPen or Adrenaclick. 

I participated in a phone call last week with a representative from Sanofi (maker of Auvi-Q) and their Chief Medical Director, Dr. Chew.  While they are unclear about

the future of the Auvi-Q device, they are clear that customer safety is their top priority. They've asked us to get the word out that they want everyone to return their Auvi-Q devices so they can check them. Even if you used the $0 co-pay card and didn't pay a dime for them, please call Sanofi (1-877-319-8963 or 1-866-726-6340, 8 am-8 pm ET) for a pre-paid mailer to return them. They will also refund costs for the devices or issue reimbursement for new injectors. 

This recall has been a challenge for many in the food allergy community. Let's keep working together to keep all at risk for anaphylaxis safe.

Generic Epi Injectors for Allergic Reactions

 There is growing concern among those in the food allergy community about the rising number of epinephrine auto-injectors coming into the market. Now, you may remember that I expressed much excitement when Auvi-Q joined EpiPen as another option for people requiring an epi-injector. I liked the idea of choice and competition. I'm not going back on that, but with two more units ready to hit store shelves, we need to make sure that parents, teachers, school nurses, coaches and others are educated about what an epi-injector looks like and how to use it.

 To start, I'd like to direct you to a well-written post over at Kids With Food Allergies. "Important News about Epinephrine Auto Injectors", written by Dr. Angela Nace, of Jefferson University School of Pharmacy, clearly outlines the differences between the types of auto-injectors that will be available. I particularly appreciate the easy-to-read chart included in the report.

  
After you've digested the information by Dr. Nace, there are a few other things to consider:

• which epinephrine injector works best for your family?
• will you have more than one type of injector on hand?
• what are the out-of-pocket costs associated with each type?
• how will you make sure that care-takers are aware of the different types and how to use them?

One other thing to think about is that with the availability of a generic epi-injector, doctors and pharmacies may be obliged to give out the generic, depending upon insurance or the way the prescription is written. Be clear with the doctor and pharmacy about the type of epinephrine auto-injector you want.

Angela Nace is Field Coordinator for Experiential Education, Department of Pharmacy Practice, at Jefferson University School of Pharmacy. - See more at: http://community.kidswithfoodallergies.org/blog/available-epinephrine-auto-injectors-new-generic#sthash.Q0OaWZpA.dpuf

Angela Nace is Field Coordinator for Experiential Education, Department of Pharmacy Practice, at Jefferson University School of Pharmacy. - See more at: http://community.kidswithfoodallergies.org/blog/available-epinephrine-auto-injectors-new-generic#sthash.Q0OaWZpA.dpufAngela

Angela Nace is Field Coordinator for Experiential Education, Department of Pharmacy Practice, at Jefferson University School of Pharmacy. - See more at: http://community.kidswithfoodallergies.org/blog/available-epinephrine-auto-injectors-new-generic#sthash.Q0OaWZpA.dpuf

Angela Nace is Field Coordinator for Experiential Education, Department of Pharmacy Practice, at Jefferson University School of Pharmacy. - See more at: http://community.kidswithfoodallergies.org/blog/available-epinephrine-auto-injectors-new-generic#sthash.Q0OaWZpA.dpuf

Angela Nace is Field Coordinator for Experiential Education, Department of Pharmacy Practice, at Jefferson University School of Pharmacy. - See more at: http://community.kidswithfoodallergies.org/blog/available-epinephrine-auto-injectors-new-generic#sthash.Q0OaWZpA.dpuf

Food Allergy and Why Two Doses of Epinephrine May Be Necessary

A recent study reported in the Journal of Pediatrics determined the need for people with food allergies to carry multiple doses of epinephrine.The study followed 605 children (median age 5.8) to find out how many of them needed a second dose of life-saving medication after suffering a food related allergic reaction. Twelve percent of patients needed the second dose, causing the researchers to support the recommendation of carrying two doses of self-injectable epinephrine.

Now, 12% doesn't seem like a high number to me, but how are you to know if you or your child require that second dose? At this point my child carries one epi to school. A second one is in the nurse's office. When traveling, we carry multiple epis and there are several in our house.

For those interested in two dose medications, Twinject® offers a back-up dose. Their site suggests that 20% of reactions require a second dose. Since both doses are in one pen, the Twinject can be used in a single with carrying pouch. Our allergist has always prescribed the Epi Pen®, but I plan to discuss other options.

It's on the list...

What brand of epi do you use? How many pens do you have?