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very recent review PMID 27555092, arguing that autoinjectors should be covered under obamacare's prevantative care provisions. authors disclose that they were paid by Mylan. I won't be citing this. [[User:Jytdog|Jytdog]] ([[User talk:Jytdog|talk]]) 19:03, 25 August 2016 (UTC)
very recent review PMID 27555092, arguing that autoinjectors should be covered under obamacare's prevantative care provisions. authors disclose that they were paid by Mylan. I won't be citing this. [[User:Jytdog|Jytdog]] ([[User talk:Jytdog|talk]]) 19:03, 25 August 2016 (UTC)
:The authors have disclosed their conflicts and was published after undergoing peer review. By not including it you are in fact introducing your own bias here. [[User:EditorDownUnder|EditorDownUnder]] ([[User talk:EditorDownUnder|talk]]) 20:09, 25 August 2016 (UTC)

Revision as of 20:09, 25 August 2016

Old comment

  • If injecting someone else with an Epi-pen, be extremely careful not to accidentally inject yourself; this would needlessly endanger two lives: your own, and the person in need of the medicine.
I am skeptical of the "usage notes" section even after my reformatting. I'm just not sure they belong in an encyclopedia. In any case, I don't think that the bullet above fits. I would never give my self an epi-pen shot for kicks (that needle hurts) but I don't think you can easily make the case that an accidental usage is life threatening under normal circumstances. Rossami 22:49, 13 Jul 2004 (UTC)
I also find the usage notes a little interesting, and unnecessary. Most if not all Epi-Pens have the instructions for use directly on the auto-injector. — Wheresmysocks 07:38, Dec 24, 2004 (UTC)
I did some EpiPen training today. Apparently accidental self-injection is very common, because people assume that the needle will come out of the end with the safety cap. As for the part about endangering your own life... it's adrenaline - it won't kill you. In fact, we're encouraged to jab first and ask questions later if we see the symptoms.Dazcha 11:59, 26 October 2006 (UTC)[reply]

Intraveneous

is this to be applied intraveneous, subcutaneous or intramuscular? --Abdull 8 July 2005 19:20 (UTC)

intramuscular! i just got an epi-pen prescribed to me, and it says NEVER use it intravenously, it could basically kill you if you do. -dan 25 July 2005 9:49 (EST)

I just added information to back up the claim that IV use can kill or seriously maim. It has actually resulted in amputation due to the vascular constriction cutting off blood flow to extremities, especially in people who accidentally inject into their thumb :P. The claim is that the injection is intramuscular, and the needle length of 5/8 of an inch backs up this claim, but the main competitor to the EpiPen, the Anapen, has a 1/2 inch needle, closer to Sub-Q than IM in my opinion, and I'm a drug delivery systems engineer. -Dom 19 March 2007 11:52 (EST)

Epi-pen or Epipen?

From a google search, it seems that Epipen should be the title of the page. Jameshfisher 16:57, 27 July 2005 (UTC)[reply]

It is "EpiPen" (http://www.epipen.com) but for some reason I can't log in tonight so I can't move the page. I changed "Epi-Pen" to "EpiPen". --24.42.200.222 05:02, 9 August 2005 (UTC)[reply]

That's a brand name, there are generics, and all are epinephrine autoinjectors; compare Motrin, Bayer and ibuprofin.Acdcrocks (talk) 17:21, 2 November 2011 (UTC)[reply]

Can someone give an example with a reference where EpiPen is not used as the common name? We call them EpiPen in first responder training. Alan.ca (talk) 01:27, 12 January 2014 (UTC)[reply]

Refridgeration

Hello can you please tell me what damage if any that can be caused by refridgeration of an epipen 210.8.150.249 02:40, 7 August 2007 (UTC)Tangles[reply]

POV?

  • After administering the device, the company's lawyers advise patients to seek immediate medical attention. Patients with experience—who carry preloaded syringes of epinephrine, diphenhydramine, and dexamethasone—can generally go home instead of the emergency room. However, these are not EpiPen customers.

This appears to be unsourced POV or original research along with medical advise. Does anyone else have an opinion about it? ·:· Will Beback ·:· 09:48, 16 December 2007 (UTC)[reply]

It's utter nonsense. The article is about the EpiPen, so why mention people who are not EpiPen customers? And no, patients who have just injected themselves can't go straight home - I say this out of personal experience. Farslayer (talk) 11:00, 18 May 2008 (UTC)[reply]
I disagree. This article refers to the injection of epinephrine in an emergency situation. The aforementioned quote seems necessary to me as a mechanism to relay to readers (perhaps curious potential victims) what the general protocol looks like following an emergency. When reading this sentence, I understand to a better degree the severity of the situation. I know that I'm likely to spend a few hours in the emergency room recovering to soon return home, rather than imagining myself being hospitalized, constantly struggling for breath. NOWHERE does it suggest to the patient to go straight home. The real issue I have with above is that it is referring to experienced patients who self-administer using a syringe rather than the autoinjector. While the article is specifically about the autoinjector, it adds valuable imagery and understanding of an injection of epinephrine. The sentence also helps people understand what a typical pharmacological protocol might look like at an ER. Calling it ″utter nonsense″ is simply non-constructive and naïve. I suggest the following revision:
  • After administering the device, patients are advised to seek immediate medical attention. Some experienced patients—who carry preloaded syringes of epinephrine, diphenhydramine, and dexamethasone—do not always require emergency services. These patients are trained to mitigate symptoms on their own and do not use autoinjectors. Because autoinjectors contain only epinephrine, emergency medical attention is critical after an injection to ensure anaphylaxis has ended by the time the effects of epinephrine wear off.Jess4less (talk) 20:12, 11 February 2015 (UTC)[reply]
I wouldn't really call it "utter nonsense", as I can see where the original writer was going with it. When trying to give a comparison, they simply, for lack of a better word, messed it up. Mastrchf (t/c) 14:03, 18 May 2008 (UTC)[reply]

They sometimes can go home. But EpiPen definitely does not recommend it. JBFrenchhorn (talk) 04:00, 21 February 2010 (UTC)[reply]

epipen picture

the picture for the epipen is outdated new ones look different like this the picture matches a pdf made by the epipen company here — Preceding unsigned comment added by Treyofdenmark (talk • contribs) 00:23, 15 April 2011 (UTC)[reply]

Over-the-counter?

Does anyone have an overview of where one can buy this autoinjectors over-the-counter? Is it only in underdeveloped worlds where there is no working prescription system, and all medicines are basically over-the-counter? Runarb (talk) 16:04, 3 January 2014 (UTC)[reply]

I purchase a new one every year at the local pharmacy in Ontario. I do not have a prescription as I keep it handy for emergencies. You never know when a guest could be stung by a bee or have some unexpected allergy emergency. I did a quick google search, but could not find any references to back up this information for you. Alan.ca (talk) 01:25, 12 January 2014 (UTC)[reply]
While Visiting Ljubljana, Slovenia, we had to visit a pharmacy, and the pharmacist there told us that while it did not require a prescription, it had to be purchased from a pharmacist. — Preceding unsigned comment added by 68.71.189.106 (talk) 18:25, 10 September 2014 (UTC)[reply]
It is over-the-counter in BC, Canada: Epinephrine and it salts (in pre-filled syringes intended for emergency administration by injection in the event of anaphylactic reactions to allergens) — Preceding unsigned comment added by 206.116.250.230 (talk) 23:06, 20 January 2015 (UTC)[reply]

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The generic term "epipen"

The article currently begins "An epinephrine autoinjector or epipen is a...." I've never seen the word "epipen" used in a generic context. No citation is given, and I couldn't find it in a rudimentary search of online English dictionaries. EpiPen is listed as a trademark (e.g., http://www.macmillandictionary.com/us/dictionary/american/epipen ). I'm removing the term, and hopefully if it was correct, someone will restore it with a citation. -68.42.243.74 (talk) 18:28, 10 July 2016 (UTC)[reply]

In the U.S., the Mylan EpiPen dominates the market, and many doctors, nurses and patients use it as a generic term. I try to avoid brand names, but I don't want to be pedantic. It can be confusing, misleading or wrong to simply replace "EpiPen" with "epinephrine autoinjector". For example, the section on "Design" indiscriminately refers to EpiPen and Anapen.
Americans are interested to know about the situation in other countries, where it is much cheaper. Rather than deleting U.S.-specific content, it would be better follow Wikipedia policy to add international information. Some of the information here about international products is outdated and some of them are no longer available.--Nbauman (talk) 13:15, 18 August 2016 (UTC)[reply]

NYT Aaron Carroll on EpiPen costs

This article by Aaron Carroll, an MD and contributor to several peer-reviewed journals, has a better account than most and adds a few critical details on costs and competition of the EpiPen.

http://www.nytimes.com/2016/08/24/upshot/the-epipen-a-case-study-in-health-care-system-dysfunction.html
The EpiPen, a Case Study in Health Care System Dysfunction
Aaron E. Carroll
New York Times
AUG. 23, 2016
--Nbauman (talk) 18:46, 23 August 2016 (UTC)[reply]

Medical uses

How come there is nothing about the medical uses of this device in the Medical uses section? Kendall-K1 (talk) 13:52, 25 August 2016 (UTC)[reply]

you added it. Thanks. Jytdog (talk) 18:37, 25 August 2016 (UTC)[reply]

Auto-injector or autoinjector?

We should probably pick one and stick to it. Kendall-K1 (talk) 14:15, 25 August 2016 (UTC)[reply]

yes, consolidated to autoinjector per our Autoinjector article in this dif. Jytdog (talk)

What happened to reference to Emerade?

http://www.emerade.com/adrenaline-auto-injector In classic Wikipedia, sloppy editing style, someone just deleted the reference? Is there a reason? I understand Emerade is available in Europe and this isn't en.wikipedia.usonlyinformation.org — Preceding unsigned comment added by Mgunn (talk • contribs) 18:34, 25 August 2016 (UTC)[reply]

In this dif I replaced unsourced content with sourced content. That is what we do here. We follow sources. I'll see what I can find on Emerade. The source you provide is not what we prefer Jytdog (talk) 18:48, 25 August 2016 (UTC)[reply]

In France, two EpiPens cost $85.

The above needs a reliable source. Moved it here to Talk per WP:PRESERVE. Jytdog (talk) 18:49, 25 August 2016 (UTC)[reply]

NOTHOWTO/MEDMOS

The below...

Consumer reports said that another, cheaper option was using standard syringes and filling them manually from vials of epinephrine. This requires training by a doctor, and the shelf-life of an epinephrine vial is only three months compared to 12 to 18 months for the EpiPen and Adrenaclick. (sourced to here)

This provides medical advice to readers. In my view this violates WP:NOTHOWTO. We don't do this here. Perhaps others differ but lets talk about that. Jytdog (talk) 18:52, 25 August 2016 (UTC)[reply]

I'm not sure it's quite medical advice but it is howto and I say leave it out. Plus CR doesn't exactly say this is another option, they say "some have turned to using manual syringes". There is a difference between "some people do this" and "you can do this". Kendall-K1 (talk) 19:11, 25 August 2016 (UTC)[reply]

PMID 27555092

very recent review PMID 27555092, arguing that autoinjectors should be covered under obamacare's prevantative care provisions. authors disclose that they were paid by Mylan. I won't be citing this. Jytdog (talk) 19:03, 25 August 2016 (UTC)[reply]

The authors have disclosed their conflicts and was published after undergoing peer review. By not including it you are in fact introducing your own bias here. EditorDownUnder (talk) 20:09, 25 August 2016 (UTC)[reply]
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