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EpiPen use in children with food allergies

Clare W Allen, Dianne E Campbell and Andrew S Kemp
Med J Aust 2007; 187 (9): . || doi: 10.5694/j.1326-5377.2007.tb01402.x
Published online: 5 November 2007

To the Editor: The Australian Pharmaceutical Benefits Scheme records 35 657 prescriptions (for either one or two devices) for EpiPen autoinjectors (CSL Limited, Melbourne, VIC), the self-injectable form of adrenaline, in 2006. This is a 650% increase on the 4758 prescriptions for EpiPens in 1998. The increase is much greater than the increase in the rate of food allergy.


  • 1 Department of Allergy, Immunology and Infectious Diseases, The Children’s Hospital at Westmead, Sydney, NSW.
  • 2 Discipline of Paediatrics and Child Health, University of Sydney, Sydney, NSW.


Correspondence: andrewk5@chw.edu.au

  • 1. Kemp A. EpiPen epidemic: suggestions for rational prescribing in childhood food allergy. J Paediatr Child Health 2003; 39: 372-375.
  • 2. Gold MS, Sainsbury R. First aid anaphylaxis management in children who were prescribed an epinephrine autoinjector device (EpiPen). J Allergy Clin Immunol 2000; 106: 171-176.
  • 3. Mehr S, Robinson M, Tang M. Doctor — how do I use my EpiPen? Pediatr Allergy Immunol 2007; 18: 448-452.
  • 4. Arkwright PD, Farragher AJ. Factors determining the ability of parents to effectively administer intramuscular adrenaline to food allergic children. Pediatr Allergy Immunol 2006; 17: 227-229.
  • 5. Hu W, Grbich C, Kemp A. Parental food allergy information needs: a qualitative study. Arch Dis Child 2007; 92: 771-775.

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