Allergy Shmallergy

Simplifying life for families with food allergies.

Prep Your Meds for School: Refill Options July 28, 2017

Time to get your emergency medications ready for school.  Don’t worry:  there’s still lots of summer fun to be had!  But to maximize summer fun over back-to-school frenzy, there are a few things you can do.

img_5770

  1. Check the Date:  Check the expiration dates on your epinephrine auto-injectors.  If they are due to expire between now and December, it may be a good time to consider refilling your prescription.
  2. Know Your Options:
    • There are several choices of epinephrine auto-injectors these days and they all efficiently deliver the same life-saving drug (epinephrine) in different ways.  I’ll outline those different auto-injectors below.
    • Talk to your doctor and consider your lifestyle when choosing your auto-injector.
    • Be sure you, your school nurse, caretaker, and child are all familiar with how to operate the auto-injector(s) you choose to stock at home, school and elsewhere.
  3. Update Your Emergency Action Plan:  Your doctor may have provided you with one or you can take Allergy Shmallergy’s Emergency Action Plan to your doctor on your next appointment.  Make a copy for home, your car, on-the-go, and school.
  4. Ask Directly:  You may need to ask your doctor specifically for the auto-injector you wish to use.  Some doctors prescribe only one without discussion, but are certainly willing to write a prescription for the auto-injector that works best for you.

 

What ARE the options for epinephrine auto-injector:

img_3973

Auvi-Q:

Yes, it’s back on the market and better than ever.  Auvi-Q delivers epinephrine via a compact package that speaks to you.  You heard that right: it talks you through an injection, even counting down the length of time you are supposed to hold the device in place.  Plus, the needle automatically retracts, reducing the possibility of post-injection injury.  Each Auvi-Q is about the size of a deck of playing cards, easy to carry for everyone (especially teens, young adults and fathers – who can fit them in their pockets).

 

*Auvi-Q automatically ships and delivers their auto-injectors directly to you.  Initiate this process with your doctor.  To read more about their direct delivery service as well as their cost-coverage programs, refer to the Affordability program page.

 

img_4709

Adrenaclick:

Adrenaclick has a slimmer profile than the well-know EpiPen, but is about the same length. Adrenaclick is a no frills epinephrine auto-injector, often used as a generic for EpiPen.  In fact, responding to the rising costs of brand name epinephrine auto-injectors, CVS pharmacies (among others) replaced its stock of auto-injectors with Adrenaclick. In their words, “Patients can now purchase the authorized generic for Adrenaclick®… This authorized generic is a Food and Drug Administration (FDA)-approved device with the same active ingredient as other epinephrine auto-injector devices.”

 

*IMPORTANT, Adrenaclick operates differently than EpiPens and they DO NOT come with a trainer.  If you choose to use this useful auto-injector, be sure to also place an order for an Andrenaclick trainer.  And, do your research for best pricing locally.

 

EpiPen:

EpiPens are the most widely used and most familiar of the epinephrine auto-injectors.  In fact, its familiarity is what keeps many customers coming back.  School nurses and even non-allergic individuals may be more accustomed to its look and how to use it.  In addition, EpiPens are substantial – making them easy to find in a backpack or purse.  In 2016 Mylan, the manufacturers of EpiPen, released a generic of its own product in response to public pressure over its pricing.  Both products contain the same medication and use the same or similar injector mechanisms.  EpiPen’s price has not been reduced in any way and is the most expensive auto-injector on the market.  The generic version is less expensive, but still a price worth considering for many.

*Mylan does offer coupons which can be found on their website.

 

Food Allergy Education: Allergy and Asthma Today Spring 2016 March 8, 2016

 

As you all know, I strongly support the need for food allergy education in school.  The non-profit Allergy and Asthma Network (AANMA) recently picked up one of my articles on the subject for their publication, “Asthma and Allergy Today.”

asthma allergy today spring 2016

Here’s a link to my article in their Spring 2016 issue:  Thank You For Being a Friend.

 

Or, read it below. And in the meantime, I’d love to hear from you!  Comment below, on our Facebook page, or email me: erin@allergystrong.com:

  • I’d love to hear your thoughts on:
  • What your school is doing right;
  • Any issues you or your child has faced as a result of insufficient food allergy information/education;
  • Suggestions you have for schools/teachers to create a safer, more inclusive school environment;
  • General comments.

Thank you as always for your support!

 

Thank You For Being a Friend
published in Allergy & Asthma Today – Spring 2016
By Erin Malawer

 

Walking through the halls of an elementary school, you might see inspirational bulletin boards, posters promoting “School Spirit Week,” perhaps a donation box for clothes or backpacks.

 

You would not expect to see a whole walnut rolling around on the floor. That’s what some students at my son’s elementary school found recently. At first they didn’t even know what it was.

 

One of the students bent down to inspect it. “Hey,” he yelled to my 10-year- old son, who is allergic to tree nuts. “Come over here. Is this a walnut?”

Feeling a little nervous, my son backed away, explaining that he, of all people, is not qualified to be a nut inspector. A classmate, a girl also diagnosed with food allergies, stepped in to remind everyone about my son’s allergies. Soon after, the kids began to file into their classroom. Somehow the nut followed them.

 

My son’s deskmate grabbed the walnut and teased him with it, waving the walnut close to his face saying, “Oooooh … A walnut.”

 

My son began to speak up – we had practiced for these types of situations at home. The same girl quickly interjected, “Are you crazy? He’s ALLERGIC to nuts! He could go to the hospital!”

 

My son wasn’t harmed. But he WAS upset when I picked him up from the bus.

 

“Mom,” he said, “I know I seem really tough – like my feelings are as thick as a wall. But inside, they can be as thin as paper.”

 

We discussed what he was feeling, things he would have liked to have said, how thankful he was to have a friend like the girl who stood up for him. He felt sure his classmates acted out of misunderstanding or lack of education, rather than malice.

 

This incident was innocent enough. The first boy was curious; the second boy truly didn’t understand the potential consequences of his actions. He thought my son would join in on the joke because they are friends.

 

I asked the school if I could come into the classroom to teach the kids about food allergies – and they agreed. The students were attentive and engaged, and had intelligent questions. They were very sympathetic to how difficult it is to manage food allergies.

 

Both boys apologized to my son, explaining they had no idea about the severity of allergic reactions.

 

In the end, the incident brought my son and his classmates closer together. Looking back, it’s very easy to imagine a different outcome. But as my husband rightly points out, “Kids WANT to do the right thing and be supportive. Sometimes they don’t have enough facts to know how.”

 

Statistically, there are two students in every classroom with food allergies.  But that number is growing.  We need to teach our kids the facts about this condition, so they can act appropriately. And we need to teach them to be supportive of each other.  A lesson in food allergies is a lesson in empathy – and it just might save a life.

 

If your school doesn’t include food allergy education in their health curriculum, I encourage you to volunteer your time to do it yourself.

 

 

Expired EpiPens? EpiPhany! October 21, 2011

After being inspired to clean out some spaces in my house that haven’t received much attention recently, I amazingly stumbled upon a large stash of expired EpiPens.  I was holding on to them with the thought that they might be useful in some way or in need of special disposal, but instead they simply sat in the back of a closet.

 

Suddenly I had an epiphany (an EpiPhany if you will).   Instead of throwing them out, I brought the EpiPens into our school nurse to help train other teachers, assistants, interns and substitutes on the administration of an EpiPen.  More than 15% of food allergic children experience a food allergy reaction while at school.  Given that statistic, emergency training with real EpiPens is only to everyone’s benefit (not least of which is my own son).

 

So, consider donating your expired EpiPens to your local school, preschool, camp or daycare facility and spread the word to any allergic adults you may know.  Our nurse was excited to use our old EpiPens and to store our old trainers for faculty food allergy training and I felt great putting them all to good use.