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EpiPen Jr. Expiry Date Alert Service

It is important that your EpiPen Jr. should be replaced before the expiry date marked on the label. For your safety
and convenience, Meda offers all patients prescribed EpiPen Jr. an expiry date alert service. We will contact you to remind
you when you need to replace your EpiPen Jr. Please fill in the form below and return it to:

Expiry Date:
(see label)

Your Doctor s Name:

Your Doctor s Address:

Postal Code:

Tel No.:

EpiPen Alert Service, Meda Pharmaceuticals Ltd, Skyway House, Parsonage Road, Takeley, Bishop s Stortford, CM22 6PU.

EpiPen Jr. Expiry Date Alert Form

Please print clearly in capital letters.

Lot No.:
(see label)

Your Full Name:

Your Mailing Address:

Postal Code:

Please remember to inform us if you change address.

Blue safety cap

Orange tip

1. Grasp EpiPen Jr. auto-injector in dominant hand,
with thumb closest to blue safety cap.
2. With the other hand pull off blue safety cap.
3. Hold the EpiPen Jr. auto-injector at a distance of
approximately 10 cm away from the outer thigh,
as shown in diagram 2a. The orange tip should
point towards the outer thigh.
4. Jab firmly into the outer thigh so that the EpiPen Jr.
auto-injector is at a right angle (at a 90 degree
angle) to the outer thigh, as shown in diagram 2b
(listen for click).
5. Hold firmly in place for 10 seconds. The injection is
now complete and the window of the auto-injector
is obscured. The EpiPen Jr. auto-injector should be
removed (orange needle cover will extend to
cover needle) and safely discarded.
6. Massage the injection area for 10 seconds.

medication if the orange needle tip is extended and
the window is obscured.
After use, place the EpiPen Jr. safely in the tube
provided and bring it with you when you visit your
doctor, hospital or pharmacy.
If you use more EpiPen Jr. than you should
In case of overdose or accidental injection of the
adrenaline, you should always seek immediate
medical help. Your blood pressure may rise sharply
and it will need to be monitored.

4. Possible side effects
Like all medicines EpiPen Jr. can cause side effects,
although not everybody gets them.
Usual side effects include: irregular heartbeat
(including palpitations and rapid heartbeats), high
blood pressure, sweating, nausea, vomiting,
difficulty breathing, paleness, headache, dizziness,
weakness, tremor and apprehension, nervousness
or anxiety.

Auto-injector from time to time to make sure the
liquid is still clear and colourless. Replace the
Auto-injector by the expiry date or earlier if the
solution is discoloured or contains a precipitate
(solid particles).
Medicines should not be disposed of via drains or
household waste. Ask your pharmacist how to
dispose of medicines no longer required. These
measures will help to protect the environment.
See also section 3 - Directions for use.

6. Further Information
What EpiPen Jr. contains
The active substance is adrenaline 0.15 mg (150
The other ingredients are: Sodium Chloride, Sodium
Metabisulphite, Hydrochloric Acid, Water for
What EpiPen Jr. looks like and contents of the

Accidental injection of the pens in hands or fingers
have been reported and may result in lack of blood
supply to these areas. In case of accidental
injection, always seek immediate medical help.

As the EpiPen Jr. is designed as emergency
treatment only, you should always seek medical
help immediately after using EpiPen Jr., by dialling
999, ask for ambulance and state 'anaphylaxis'.
Make sure that you inform the healthcare
professional that you have received an intramuscular
injection of adrenaline or show them the container
and/or leaflet.

A small air bubble may be present in the EpiPen Jr.
Auto-injector. It does not affect the way the
product works.
Even though most of the liquid (about 90%) remains
in the EpiPen Jr. after use, it cannot be reused.
However, you have received the correct dose of the

Clear and colourless solution in a pre-filled pen
The Auto-injector (single-dose) contains 2 ml
solution for injection.

If any of the side effects get serious, or if you
notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.

Marketing Authorisation Holder and
Marketing authorisation holder:
Meda Pharmaceuticals Ltd, Skyway House,
Parsonage Road, Takeley, Bishop s Stortford,
CM22 6PU
Manufacturer: MEDA Pharma GmbH & Co. KG,
Benzstrasse 1, 61352 Bad Homburg, Germany

5. How To Store EpiPen Jr.
Keep out of the reach and sight of children.
Do not use EpiPen Jr. after the expiry date which is
stated on the label.
Do not store above 25 C. Do not refrigerate or freeze.
Keep container in the outer carton in order to
protect from light. When exposed to air or light,
adrenaline deteriorates rapidly and will become pink
or brown. Please remember to check the contents
of the glass cartridge in the EpiPen Jr.

This leaflet was last revised in October 2011.
For information in large print, tape, CD or Braille,
telephone 0800 1985000



Studio Oberl nder Rubensstrasse 33 60596 Frankfurt am Main Germany
Tel. +49 69 631520-85 Fax +49 69 631520-87 E-Mail:

MEDA Pharma GmbH & Co. KG

Benutzte Farben:


EpiPen Jr 0.15 mg


Adrenaline Auto-Injector





Hersteller-Nr. 44931A


Laetuscode: 430
Land: United Kingdom UK
Gr e:

162 x 378 mm

Korrektur: 7.


8,5 pt / 9 pt


The medicine in the Auto-injector (the pen) is
adrenaline which is an adrenergic drug.
It works directly on the cardiovascular (heart and
circulation) system and respiratory (lung) system, to
stop the possible fatal effects of anaphylactic shock
by very quickly making the blood vessels smaller,
relaxing muscles in the lungs to improve breathing,
reducing swelling and stimulating heartbeat.
The EpiPen Jr. is intended for immediate self
administration by a person with a history or
recognised risk of going into anaphylactic shock. If
you are at risk, you should always keep your
EpiPen Jr. with you. It is designed as an emergency
rescue therapy but you must get medical attention
as soon as possible after its use.
2. Before you use EpiPen Jr.
There is no known reason why anyone should not use
EpiPen Jr. during an allergic emergency.

Take special care with EpiPen Jr.

Adrenaline is essential for the treatment
of anaphylaxis. However, take special care with EpiPen:
particularly if you have heart disease as it may
affect the medicines that you are taking and
may bring on an attack of chest pain (angina)
if you have an overactive thyroid
if you have high blood pressure
if you have diabetes
if administering EpiPen Jr to patients who
weigh less than 15 kg (2 stone 5 lbs)
as there is a greater risk of getting side effects.
Make sure you have discussed this with your doctor
if any of these apply to you.

Patients with these conditions, or anyone who may
be in the position to administer EpiPen Jr. to a patient
having an allergic reaction, should be properly
instructed on how and when to give it.
The instructions for use must be carefully followed in
order to avoid accidental injection.
EpiPen Jr. should only be injected into the outer

07. 05. 2012

thigh. It should not be injected into the buttock due
to the risk of accidental injection into a vein.
Accidental injection into the hands or fingers may
result in reduced blood supply to these areas. If
there is an accidental injection into these areas, you
should go immediately to the nearest hospital
casualty department for treatment.
Taking other medicines
When being prescribed EpiPen Jr., please tell your
doctor or pharmacist if you are taking, or have
recently taken, any other medicines, including
medicines obtained without a prescription as they
may affect how the adrenaline works.
This is especially important if you take any of the
Antidepressants such as tricyclic antidepressants
or monoamine oxidase inhibitors (MAO
inhibitors), since the effects of adrenaline may be
Medicines that may make the heart sensitive to
uneven beats (arrhythmias), such as digitalis,
mercurial diuretics or quinidine.
Diabetic patients should carefully monitor their
glucose levels after use of EpiPen Jr. as adrenaline
can reduce the amount of insulin made by the
body, thus increasing the blood glucose level.
Ask your doctor or pharmacist for advice before
taking any medicine.
There is limited experience of the use of adrenaline
during pregnancy. If you are pregnant, do not
hesitate to use EpiPen Jr. in an emergency, since
your and your baby s lives may be in danger.
Discuss this with your doctor if you are pregnant.
Driving and using machines
The ability to drive or use machines is unlikely to
be affected by the administration of an adrenaline
injection but may be affected by an anaphylactic
reaction. If affected do not drive.

Important information about some of the
ingredients of EpiPen Jr.
EpiPen Jr. contains sodium metabisulphite, which
may rarely cause severe allergic reactions
(hypersensitivity) or breathing difficulty
(bronchospasm). However, you should still use the
EpiPen Jr. as there are no satisfactory alternatives.

3. How to use EpiPen Jr.
When your doctor prescribes EpiPen Jr., you must
make sure you understand the reason it has been
prescribed for you. You should be confident that you
know exactly how and when to use it. Always use
EpiPen Jr. exactly as your doctor has told you. If you
are at all unsure about how to use it, ask to have the
instructions repeated by your doctor, nurse or
If you have been stung by an insect, try to remove
the stinger with your fingernails do not squeeze,
pinch or push it deeper into the skin. If possible, put
an ice pack on the area of the sting. Keep warm and
avoid exercise. For allergic reactions caused by foods
make sure you remove any remaining food from the
mouth immediately.
EpiPen Jr. is intended to be used by children with a
body weight between 15-30 kg (2 stone 5 lbs 4
stones 9 lbs). For persons weighing more than 30 kg
(4 stone 9 lbs) EpiPen may be more appropriate for
The dose will be decided by your doctor, who will
adjust it individually for you. The usual dose for
children is 0.15 mg or 0.3 mg adrenaline for
intramuscular injection depending on the body
weight of the patient (0.01 mg/kg body weight).
If you notice the signs of an acute allergic reaction,
use EpiPen Jr. immediately, through your clothing if
Each EpiPen Jr. Auto-injector delivers one single
dose of 0.3 ml liquid which is equal to 0.15 mg (150
micrograms) adrenaline. After use a volume of 1.7 ml

will remain in the Auto-injector but this cannot be
Sometimes a single dose of adrenaline may not be
sufficient to completely reverse the effects of an
allergic reaction. For this reason, your doctor may
prescribe more than one EpiPen Jr. for you. Repeated
injections may be administered after 5-15 minutes if
the symptoms are still there and the doctor has told
you that you can do this. For this reason it may be a
good idea to carry more than one EpiPen Jr. with
you at all times.
Method of administration
The EpiPen Jr. is designed to be used easily by
people without medical training. EpiPen Jr. should
simply be jabbed firmly against the outer portion of
the thigh from a distance of approximately 10 cm (4
inches). There is no need for precise placement in the
outer portion of the thigh. When you jab the EpiPen
Jr. firmly into your thigh, a spring activated plunger
will be released, which pushes the hidden needle
into the thigh muscle and administers a dose of
adrenaline. If you are wearing clothes the EpiPen Jr.
can be injected through the clothes.
The instructions for use of the EpiPen Jr. given below
must be carefully followed.
EpiPen Jr. should only be injected into the outer
thigh. It should not be injected into the buttock
(your bottom).
Directions for use
Before you ever need to use it, fully familiarise
yourself with the EpiPen Jr., when and how it should
be used (refer to diagram 1).
Follow these directions only when ready to use.
Hold the EpiPen Jr. by the middle, never by the
ends. For proper administration, look at the diagrams
and follow these steps:
- Never put thumb, fingers or hand over the orange tip.
- Do not remove blue safety cap until ready to use.


EpiPen Jr. Auto-Injector


0.15 mg

Read all of this leaflet carefully before you start
using this medicine.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor
or pharmacist.
- This medicine has been prescribed for you. Do
not pass it on to others. It may harm them, even
if their symptoms are the same as yours.
- If any of the side effects gets serious, or if you
notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.

In this leaflet:
1. What EpiPen Jr. is and what it is used for
2. Before you use EpiPen Jr.
3. How to use EpiPen Jr.
4. Possible side effects
5. How to store EpiPen Jr.
6. Further information

1. What EpiPen Jr. is and what it is used for
EpiPen Jr. contains a sterile solution for emergency
injection into the muscle (intramuscular injection).
EpiPen Jr. is to be used for the emergency
treatment of sudden life threatening allergic
reactions (anaphylactic shock) to insect stings or
bites, foods or drugs or exercise. The reaction is the
result of the body trying to protect itself from the
allergen (the foreign substance that causes the
allergy) by releasing chemicals into the blood
stream. Sometimes the cause of the allergic
reaction is not known.
Symptoms that signal the onset of an anaphylactic
shock occur within minutes of exposure to the
allergen and include: itching of the skin; raised rash
(like a nettle rash); flushing; swelling of the lips,
throat, tongue, hands and feet; wheezing;
hoarseness; shortness of breath; nausea; vomiting;
stomach cramps and in some cases, loss of

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.