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What You Should Know About EpiPens

For individuals with severe allergies, an EpiPen can be a life-saving tool in an emergency. These auto-injectors deliver a dose of epinephrine, a hormone that helps reverse the symptoms of a severe allergic reaction, also called anaphylaxis. Here, we'll cover the basics of the EpiPen and what you need to know. 

What is an EpiPen?

An EpiPen is a brand of epinephrine auto-injector designed to deliver a single, premeasured dose of epinephrine quickly and easily in case of an allergic emergency. The medication can rapidly reverse the symptoms of anaphylaxis, including swelling, difficulty breathing, and blood pressure drops. EpiPens are typically prescribed to individuals with severe allergies to foods, insect stings, medications, or any other allergens that could trigger a life-threatening reaction.

How Does an EpiPen Work?

EpiPens are designed for ease of use in emergency situations. The device features a spring-loaded mechanism that automatically injects the epinephrine into the thigh muscle when activated. The needle is concealed within the device, reducing the risk of accidental needle sticks. Epinephrine works by constricting blood vessels, relaxing smooth muscles in the airways, and helping to alleviate symptoms of anaphylaxis within minutes.

Who Needs an EpiPen?

EpiPens are typically prescribed to individuals who have a history of severe allergic reactions, known as anaphylaxis. Common triggers for anaphylaxis include certain foods (such as peanuts, tree nuts, shellfish, and eggs), insect stings (from bees, wasps, or hornets), medications (such as penicillin or certain antibiotics), and latex. People with allergies to these substances are often advised to carry an EpiPen with them at all times, especially when traveling or participating in activities where exposure to allergens is more likely.

Important Considerations:

  • Prescription and Training: EpiPens are available by prescription only, and it's essential for individuals who are prescribed EpiPens to receive proper training on how to use them correctly. Healthcare providers can demonstrate the proper administration technique and provide guidance on when and how to use the device.

  • Storage and Expiration: EpiPens should be stored at room temperature and protected from light. It's crucial to check the expiration date regularly and replace the device before it expires. Expired EpiPens may not deliver the full dose of epinephrine, reducing their effectiveness in an emergency.

  • Emergency Action Plan: Individuals with severe allergies should have an emergency action plan in place that outlines steps to take in case of an allergic reaction. This plan may include using the EpiPen, calling emergency services, and seeking medical attention promptly.

  • Follow-Up Care: After using an EpiPen, seeking medical attention immediately is important, even if symptoms improve. Anaphylaxis can be life-threatening, and additional treatment may be necessary to prevent a recurrence or complications.

Cost

Over the years, the price of EpiPens has risen significantly, leading to affordability issues for some patients. These days, a two-pack of EpiPens can cost several hundred dollars without insurance coverage, making them unaffordable for many people.

However, various factors, including insurance coverage, manufacturer discounts, and generic alternatives, can influence individuals' out-of-pocket costs. It's essential for patients to explore all available options, including patient assistance programs and insurance coverage, to help relieve some of the financial burden.

Opting for the generic options can cut your costs by nearly half. A savings program can shave off a few hundred dollars. Ultimately, it will be most affordable if you have insurance. However, it will depend on your plan. For instance, with Medicare, it can cost you anywhere from $15 to over $700 for the name brand. If you go generic, however, you may have a $0 copay or up to $164.

Of course, you can’t really put a price on your life. Epinephrine auto-injectors are essential lifesaving devices for individuals with severe allergies. If you or someone you know has severe allergies, consult a healthcare professional to determine if an EpiPen is right for you.

Last Updated: February 12, 2024