What is wrong with sublingual epinephrine?

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Okay, I give up!

It was years ago that I was told about sublingual epinephrine tablets for bee stings. I learned that they're part of any good first aide kit.

As I browse the web, I notice an obsession with making patients carry an injectable dose of epinephrine instead of tablets.

So what if some people do not know how to give a shot!

So what if some are afraid of the needle!

News about the EpiPen from Mylan and the inflated price is all over the web.

How a senator’s daughter became CEO of the company at the center of the EpiPen controversy - The Washington Post

I did some research on Google and read that sublingual tablets are just as good as the shots.

All they would have to remember is to keep them under their tongue and yet this is not even being talked about. Instead, I see this constant obsession with giving shots.

I keep asking people what would be wrong with tablets and get no real answer.

I'm wondering how many companies must sell the sublingual tablets and also wonder if patients and their families would not save money this way.

Can someone please explain this to me? Am I missing something?

Specializes in retired from healthcare.
I am highly allergic to bee stings as was my father ending up in emergency rooms on several occasions in the mid sixties. We were given pills which I am assuming are the ones talked about here. One was sublingual with a second to follow by mouth. These were small and easy to carry and were used several time with no serious reaction resulting from the stings. They worked! I've asked my doctors several times over the years but all I hear about is the pen. One doctor told me they aren't available because they are too toxic. If the alternative is dying I'll live with toxic. Why can't we get them?

Someone told me that Benadryl works if you don't have epinephrine. I do not know if this this information was valid or not.

Specializes in retired from healthcare.

Here is another thing.

"Yes, Your Really Can Make Your Own EpiPen for $30"

Yes, you really can make your own EpiPen for $3

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Someone told me that Benadryl works if you don't have epinephrine. I do not know if this this information was valid or not.

Two totally different medications — both are commonly used to treat allergic reactions, but one really is not a substitute for the other.

Specializes in Complex pedi to LTC/SA & now a manager.
Here is another thing.

"Yes, Your Really Can Make Your Own EpiPen for $30"

Yes, you really can make your own EpiPen for $3 - ScienceAlert

Making their own epipens is not a risk anyone should consider if they have a risk of anaphylaxis.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Making their own epipens is not a risk anyone should consider if they have a risk of anaphylaxis.

To make things more interesting, I believe there is a worldwide recall of Mylan's EpiPen. I received a Medscape alert email a couple of days ago about it.

Specializes in Complex pedi to LTC/SA & now a manager.
To make things more interesting, I believe there is a worldwide recall of Mylan's EpiPen. I received a Medscape alert email a couple of days ago about it.

Yep and Mylan tried to sue another company for attempting to put forth a generic epipen. I know quite a few that went for the equivalent of old Ana kits with a syringe and vial of epinephrine once the prescriber felt comfortable in the skill level. AviQ is still off the market. But Mylab's CEO gave herself a huge raise with the price gauging.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Yep and Mylan tried to sue another company for attempting to put forth a generic epipen. I know quite a few that went for the equivalent of old Ana kits with a syringe and vial of epinephrine once the prescriber felt comfortable in the skill level. AviQ is still off the market. But Mylab's CEO gave herself a huge raise with the price gauging.

Yes, I remember that whole debacle. Here is the recall notice, issued Friday: FDA alerts consumers of nationwide voluntary recall of EpiPen and EpiPen Jr

In the situation when anaphylaxis is present, I generally would give im epi and iv Benadryl, steroids and Pepcid. The oral/ sublingual method may be less reliable and speed of action my be lessened.

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