Adults and children weighing 30 kilograms (kg) or more—0.3 to 0.5 milligram (mg) injected under the skin or into the muscle of your thigh. A few ampules of epinephrine and some syringes can be purchased from most pharmacies for around $20. The syringe is overfilled; more than half of the solution remains in the syringe after use and CANNOT BE REUSED. If the carrier case or prefilled syringe is dropped, check for damage and leakage. Unlike the others, Symjepi is a manual syringe, rather than an autoinjector. Melanie Martinez. Get Help. Follow your doctor's orders or the directions on the label. If you use the Symjepi® prefilled syringe: Do not remove the needle cap until you are ready to use it. Inform patient they are going to receive an injection, side effects may include feeling shaky or heart racing. Get emergency medical help now. d. Using sterile 3 ml IM syringe, remove needle protector from syringe e. Draw plunger back to 1ml (cc) mark (syringe now contains 1ml of air) f. Pierce the center of the stopper of the vial containing the diluting solution with the needle of the syringe g. Turn the vial upside down and inject the 1 ml of air from the syringe into the vial h. Remove the syringe and massage the injection area for 10 seconds. You should get emergency medical care right away after using SYMJEPI. It is given through a needle placed into one of your veins. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Unlike EpiPen and Adrenaclick, you must manually inject … Medical Warehouse, Inc. 72 Grays Bridge Road Brookfield, CT 06804 United States of America 800-969-6945 Use second syringe if necessary. Drs. More than two sequential doses should only be administered under direct medical supervision. Clip 5-3 How and why to buffer lidocaine with epinephrine. The needle cap on the SYMJEPI prefilled syringe helps to prevent needle sticks and accidental injection of epinephrine. The Epinephrine Syringe The Epinephrine Syringe™ allows for easier dosing in anaphylactic emergencies. SYMJEPI features a safety guard to keep you protected. Carrying a pre-filled syringe everywhere you go can solve some of these problems, Dr. Lanier says, but they bring up additional concerns. Do not place patient information or any other foreign objects in the carrier case with the prefilled syringe, as this may prevent you from removing the prefilled syringe for use. Ask your doctor or pharmacist if you have any questions. in Sodium Chloride solution for injection To place an order today, please speak to your Hospital Account Manager or contact Customer Service at: 888.339.0874 or Customer.Service@QuVaPharma.com 0620A R.E.C.K. If more than 2 injections are needed for 1 reaction, however, those should be given only under medical supervision. This medicine is injected into the muscle of your outer thigh only. You should not use the autoinjector if the expiration date has passed. Each SYMJEPI 0.15 mg pre-filled syringe delivers a single dose of 0.15 mg of epinephrine from epinephrine injection, USP (0.15 mg/0.3 mL). USWMSYMJ-00075   10/20. Store the injection kits at room temperature, away from heat, moisture, and direct light. Do not remove the needle cap until you are ready to use it. Each SYMJEPI (epinephrine injection, USP) syringe contains 0.8 mL of sterile aqueous solution of epinephrine for intramuscular or subcutaneous administration. For more information, ask your healthcare provider or pharmacist. 9. If you are using the epinephrine injection in a child, make sure to hold his leg firmly in place and limit movement before and during an injection. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The information contained in this section is intended for US healthcare professionals only. This signals that the injection has started. Inject the Epinephrine . Tell your healthcare provider if you have any side effect that bothers you or that does not go away. Needle insertion site anesthesia (eg, topical freezing spray and/or injectable 1% lidocaine without epinephrine, in a 3-mL syringe) Optional: For therapeutic injection, 5- to 10-mL syringe with 2 to 3 mL 1% lidocaine without epinephrine , rarely with injectable depot corticosteroid (eg, … Epinephrine is cheap, and so are syringes. There is also a new pre-filled syringe device that you can use to inject epinephrine. Do not remove the blue safety release (EpiPen® or EpiPen Jr®), the gray end caps (Adrenaclick®), or the red safety guard (Auvi-Q®) on the autoinjector until you are ready to use it. Tell your healthcare provider of all known allergies. Unfortunately, during a stressful emergency situation, this has sometimes led to the erroneous administration of the full 1 mg dose IV, which could prove harmful to some patients. *Patent Pending This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Please see full Prescribing Information for SYMJEPI. The syringe is overfilled for stability purposes; more than half of the solution remains in the syringe after use and CANNOT BE REUSED. If giving epinephrine auto-injector and prefilled syringe to your child, hold the leg still to prevent injury. This content does not have an English version. See how to give a SYMJEPI injection in this short video. This may activate the device by accident (a "click is heard, the orange needle is extended, and the window is blocked), making it unusable in case of an emergency. Mayo Clinic does not endorse companies or products. To report SUSPECTED ADVERSE REACTIONS, contact Adamis Pharmaceuticals Corporation at 1-800-230-3935 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Know the medicines you take. All rights reserved. It is most often used for the treatment of anaphylaxis.The first epinephrine autoinjector was brought to market in 1983. Do not touch or bend the needle. An injection of synthetic epinephrine through a spring-loaded syringe can act as … 2Steady. This medicine may be given through clothes if needed. In the past, Symjepi was only found in hospitals and clinics, but it is now available in retail pharmacies nationwide. During the SYMJEPI injection, hold your child’s leg firmly in place and limit his or her movement. Slowly inject the syringe into the thigh while sitting down. Dispose of the prefilled syringe and carrier case, and replace if damage or leakage is noticed or suspected. 1, 2. Especially tell your healthcare provider if you take certain asthma medicines. You may need a second SYMJEPI injection if symptoms continue or recur. This … Inspect the autoinjector from time to time before needing it to ensure the blue safety release (EpiPen® or EpiPen Jr®) is not raised and that the autoinjector can be easily remove from the carrier tube. Hold it for 2 seconds. Epinephrine can be self-administered from an autoinjector. Nearly 650 agencies participated in a pilot program using the new kits. Melanie Martinez. Do not store the medicine in the refrigerator or freezer, or into your vehicle's glove box. Epinephrine is a lifesaving medication in the treatment of anaphylaxis. EPINEPHrine 0.1 mg/mL in 10 mL syringes have a 3.5 inch needle for intracardiac use, which is not removable and not compatible with needleless tubing/systems. Otherwise, please include your State License number in the comments section of the order. Epipen Injection Auto Injector Syringe 0.3mg Adult Twin Pack 2/Pk 3451926 | Mylan Specialty LP - 49502050002 The concern with 1 mg ampuls or vials of EPINEPHrine is that the contents must be drawn into a syringe. Use this medicine only as directed by your doctor. Read and follow these instructions carefully. The autoinjector trainer has a grey color (for Auvi-Q®, EpiPen® or EpiPen Jr®) or beige color (for Adrenaclick®) and does not contain any medicine or needle. It comes in a two-pack and is available in 0.15 mg and 0.3 mg. If you accidentally drop it, check for damage or leakage. Do not give into the buttocks. It is also used to treat anaphylaxis caused by unknown substances or triggered by exercise. Do not put your thumb, fingers, or hand over the black base (Auvi-Q®), orange (EpiPen® or EpiPen Jr®), or red (Adrenaclick®) tip of the autoinjector or over the needle of the Symjepi® prefilled syringe. This medicine comes with patient information and instructions leaflet. SYMJEPI can be injected through your clothing if needed. Tell the healthcare professional that you have given yourself an injection of epinephrine. Carry this medicine with you at all times for emergency use in case you have a severe allergic reaction. Epinephrine injection is used for emergency treatment of severe allergic reactions (including anaphylaxis) to insect bites or stings, medicines, foods, or other substances. Do not remove the needle cap until you are ready to use it. A SYMJEPI training device that features a fake needle is available for practice. Do not use this medicine if the liquid has changed its color (pinkish or brown in color), has become cloudy, or if there are particles in it. Tell healthcare provider that you received an injection of epinephrine. iStock Woman Injecting Epinephrine Using Autoinjector Syringe Stock Photo - Download Image Now Download this Woman Injecting Epinephrine Using Autoinjector Syringe photo now. Also, tell your doctor if you or your caregiver has severe arthritis of the hands. You may need further medical attention and may need to use the second device if symptoms continue.*. If you are using the epinephrine injection in a child, make sure to hold his leg firmly in place and limit movement before and during an injection. No, manually drawing epinephrine from a vial or ampule into a syringe and then administering is NOT the same as using an autoinjector. Do not inject into the vein, buttocks, fingers, toes, hands, or feet. (Ropivacaine, Epinephrine, Clonidine, and Ketorolac) 50 mL in Sodium Chloride 60 mL Syringe R.E.C.K. If you inject a young child with SYMJEPI, hold their leg firmly in place before and during the injection to prevent injuries. The pen can inject right through clothing. Go to the emergency room right away if you accidently inject epinephrine into any part of your body other than your thigh. Check the injection kits regularly to make sure that the liquid has not changed its color. Product #: gm1184225816 $ 12.00 iStock In stock Using a syringe epinephrine kit, prepare a correct pediatric dose of epinephrine Deliver an intramuscular injection into a training device. 10. Ask your healthcare provider to show you how to properly hold the leg of a young child during injection. SYMJEPI may affect the way other medicines work, and other medicines may affect how SYMJEPI works. An epinephrine autoinjector (or adrenaline autoinjector) is a medical device for injecting a measured dose or doses of epinephrine (adrenaline) by means of autoinjector technology. Image of allergic, auto, medicine - 182262397 Each SYMJEPI (epinephrine injection, USP) syringe contains 0.8 mL of sterile aqueous solution of epinephrine for intramuscular or … SYMJEPI may cause serious side effects. Inject and hold for as long as you were told. Conveniently, a 10 ml syringe actually holds 11 ml, and a 20 ml syringe holds 22 ml. Holding by the finger grips, and while in a seated position, face the needle downward and slowly insert the needle into the thigh. Independent and simulated use studies suggest that color-code syringes may significantly reduce critical dosing errors. Children weighing less than 7.5 kg—Use and dose must be determined by your doctor. Also, it is best not to use an anesthetic with epinephrine on persons with heart problems. Massage the injection site to help disperse the epinephrine into the bloodstream. This contains the correct dose of medicine your doctor has prescribed. This might seem complicated, and indeed, it does take longer to deliver the product than with an autoinjector like the Epipen unless you keep some small syringes prefilled with the medication. The dose of this medicine will be different for different patients. On the other hand, if you use a syringe that holds 15 cc, it will be harder to see the cc markings and measure 3 cc accurately. Use second syringe if necessary. Get helpSeek medical attention immediately after using SYMJEPI. The Hospira Epinephrine 0.1MG/ML 10ML pre-filled syringe comes in three packaging options: available by a box of 10, or a case of 50. Once the injection has been administered, using one hand with your fingers behind the needle, slide the safety guard up until it clicks to cover the needle. There are other options that do not auto-inject the epinephrine. Insert the needle into the rubber top. Slowly inject the syringe into the thigh while sitting down. Do not inject this medicine into your buttocks, hands, fingers, toes, or feet. Hold the EpiPen in place while slowly counting to 10. Get emergency medical help now. Adverse Reactions Epinephrine auto-injectors are the preferred method of epinephrine administration, but are not universally available or affordable. Keep in mind: Instructions for giving an injection with either SYMJEPI 0.3 mg or SYMJEPI 0.15 mg are exactly the same, so you only need to remember one set of steps. For example, if you're supposed to give yourself 3 cc of a drug, you would want to use a syringe that holds precisely 3 cc (or just a little more). Children weighing 15 to 30 kg—0.15 mg injected under the skin or into the muscle of your thigh. Remove syringe and massage the area for 10 seconds. Despite using considerable pressure and attaching the syringe to various ports and then a peripheral line, we could not inject the epinephrine. Push the plunger all the way down until you hear a "clicking" sound. If your State License number is on file we can ship this item to you. Children weighing less than 15 kg—Use and dose must be determined by your doctor. are breastfeeding or plan to breastfeed. It is designed for health care provider use when administering subcutaneous or intramuscular epinephrine 1 mg/ mL to an adult or pediatric patient in an anaphylactic emergency. Holding by the finger grips, and while in a seated position, face the needle downward and slowly insert the needle into the thigh. Tell healthcare provider that you received an injection of epinephrine. This pre-filled syringe is latex-free, sterile, and comes in a LifeShield™ Abboject™ glass syringe. This will reduce the risk of an injection-related injury. Follow these steps to fill the syringe with medicine: Hold the syringe in your hand like a pencil, with the needle pointed up. Following the lead of King County, Washington, Cushman and his team designed a standard syringe with special markings for adult and child doses of epinephrine, and worked with a manufacturer to assemble a kit with the syringe, medication, alcohol pads, etc. When ready to use SYMJEPI, pull cap off to expose needle.To ensure no accidental epinephrine leakage, do not touch the plunger until the needle is fully inserted. If you have any questions about this, check with your doctor. Click here to view Indication and full Important Safety Information, For any supply questions, please call 1-800-230-3935. Get Help. Place a tourniquet above the injection site and, after IM epinephrine is administered, inject up to 0.1 mL of epinephrine into the large local reaction site to slow absorption. You may need a second SYMJEPI syringe if symptoms continue or recur. An epinephrine autoinjector (or adrenaline autoinjector) is a medical device for injecting a measured dose or doses of epinephrine (adrenaline) by means of autoinjector technology. Be aware The needle cap on the SYMJEPI prefilled syringe helps to prevent needle sticks and accidental injection of epinephrine. Discard needle properly in sharps container if additional needles are available. ©2020 USWM, LLC. Inject the orange tip of the epinephrine auto-injector firmly into the middle part of the child’s upper thigh. Never put your thumb, fingers, or hand over the exposed needle. It should be clear and colorless. You may repeat the injection every 5 to 10 minutes as needed. This medicine comes with an autoinjector trainer and a separate trainer instructions for use. King County Washington EMS system, which uses the “Check and Inject” program, estimates they have saved $335,000 annually by switching to a syringe method. 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