Epinephrine autoinjectors for individuals with food allergy: Who, how many, and when to use

Abstract

Background: Anaphylaxis is a serious allergic reaction that is effectively treated with epinephrine. Epinephrine autoinjectors are devices that contain fixed doses of medication that can be carried by patients at risk for anaphylaxis so that ready access to first line medication is available outside the medical setting. Methods: This review will discuss recent studies evaluating patient characteristics to consider when prescribing epinephrine autoinjectors. Results: Decisions regarding who should be prescribed epinephrine autoinjectors will depend on the type of allergy, as well as co-morbidities and other risk factors that can increase a patient’s risk for poor outcomes. Conclusion: Shared decision-making is essential when developing guidance regarding post-epinephrine management. Regular education during routine follow-up visits can reinforce knowledge and skills for managing food allergy reactions.