Epinephrine
Since accidents are never planned, it is important to be prepared. Make sure you have an epinephrine auto-injector with you at all times (e.g., EpiPen® or Twinject®) in case of an emergency. You and everyone you see on a regular basis -- your family and friends, your teachers or co-workers -- should know what to do in an emergency.

Epinephrine is the drug of choice to treat anaphylaxis. Do not be afraid to use an auto-injector. It is easy to use and will not harm a healthy person even if it was given and not needed. Some people worry that the needle may hurt but remember, any discomfort is short lived and this drug can save your life. 

For more information on epinephrine go to Anaphylaxis 101. To learn how to use an auto-injector go to epipen.ca or twinject.ca.

Five emergency steps:
  1. Give epinephrine (e.g., EpiPen®/Twinject®) at the first signs of an allergic reaction.
  2. Call 9-1-1 or your local emergency medical services and tell them that someone is having an anaphylactic reaction.
  3. Give a 2nd dose of epinephrine in 5-15 minutes IF the reaction continues or gets worse.
  4. Go to the nearest hospital right away (ideally by ambulance), even if symptoms are mild or have stopped. The reaction could get worse or come back after using epinephrine. You should stay in the hospital to be observed (generally about 4 hours).
  5. Call the emergency contact person (e.g., parent, guardian, or spouse).

Must-Know Tips:
  • ALWAYS carry epinephrine. Make it part of your daily routine to double check that you have your auto-injector before you go anywhere.
  • Know when to use your auto-injectors. See Signs & Symptoms.
  • Know how to use your auto-injector and practice with a training device. A training device looks like a real device but does not contain a needle or medication. You can buy a training device through our product catalogue.
  • Keep your auto-injector within easy reach. Epinephrine is temperature sensitive. It should not be locked up or stored in very hot or very cold temperatures (e.g., your car, fridge, or direct sunlight).
  • Know the expiry date of your auto-injector and replace it before the expiry date. You can also sign up for the expiration reminder service at epipen.ca or twinject.ca to help you keep track.
  • The liquid in your auto-injector should be clear. If for any reason the colour has changed it should be replaced even if it is not expired.
  • Do not throw your used or expired auto-injectors in the garbage. Return them to your local pharmacy or doctor's office for safe disposal.
  • Teach your family and friends how to use an auto-injector.
  • Wear medical identification such as a MedicAlert® bracelet.