Medication for food allergy

  1. All food allergic children should have non sedating h1 antihistamines available in liquid form at all times.
  2. The treatment of acute asthma requires spacer device inhaled beta-2-agonists, however for more severe symptoms they cannot be relied on solely
  3. Adrenalin is indicated for:
    Any child with a prior severe allergic reaction to the food.  Children who have had anaphylaxis or who are considered at high risk of anaphylaxis.  Any child with food allergy and more than mild asthma (>BTS step 2).  Children living remote from medical facilities.  Most children with peanut allergy.
  4. The dose of Adrenalin is 150mcg for children 15-30kg and 300mcg for those over 30kg as an intramuscular injection.
  5. A child should always have 2 auto injectors with them in case the first fails or isn’t used correctly.
  6. There are 4 adrenalin auto injectors available on prescription currently in the Republic of Ireland: AnpenEmeradeEpipenJext.  Click on the device name to be redirected directly to the company website.
  7. When any of the above are prescribed there must be a clear explanation of when and how to use them.  Note Anapen presentation is changing from September 2014.
  8. All children with immediate food allergy should have a management plan which can be adapted to the individual. A resource pack for teachers and parents is available from Anaphylaxis Ireland. www.anaphylaxisireland.ie/ called “Managing Chronic Health Conditions at school”.
  9. All those at risk of anaphylaxis should be encouraged to wear/carry some form of Medic Alert identification (e.g. engraved watch, wrist or neck band/ wallet ID card).

Adrenalin autoinjectors (AAI’s):

Click on the device name below to go to the instructional video for each device and to contact the company to request training pens and other resources.

Anapen, EmeradeEpipen, Jext.

Most peanut allergic individuals need to be equipped with Adrenalin autoinjectors.

The dose of Adrenalin is 150mcg for children 15-30kg and 300mcg for those over 30kg as an intramuscular injection.

A child should always have 2 auto injectors with them in case the first fails or isn’t used correctly.

When Adrenalin autoinjectors are prescribed there must be a clear explanation of when and how to use them.

Following diagnosis of a serious food allergy and where the child is at risk of developing anaphylaxis training should be available for parents, teenagers, carers, preschool staff, primary and secondary school staff.

There should be a link between the Allergy Clinic and Community Health Staff to facilitate the making of an emergency plan for each child and to enable the parent to link with staff in the community to arrange training and follow up.