FAQS About Impax’s Epinephrine Auto-Injector

FAQS About Impax’s Epinephrine Auto-Injector


The epinephrine auto-injector is used to treat life-threatening allergic emergencies including anaphylaxis in people who are at risk for or have a history of serious allergic emergencies. Although it can help save patients’ lives, use of an epinephrine auto-injector must be followed by emergency medical care.

What are some of the allergic reactions that can cause anaphylaxis and require the use of epinephrine auto-injector?

Allergic reactions can be caused by stinging and biting insects, allergy injections, food, medicines, exercise, or other unknown causes. Epinephrine injection, USP auto-injector is a disposable, prefilled automatic injection device (auto-injector) used to treat life-threatening, allergic emergencies including anaphylaxis in people who are at risk for or have a history of serious allergic emergencies.

How do I know when my epinephrine auto-injector expires?

You should check the expiration date often and obtain another auto-injector before it expires. You’ll find the expiration date in two places: on the auto-injector itself and on the side panel of the package in which your auto-injector came. Please refer to the training video to see the exact location.

Examine the contents in the clear viewing window of your auto-injector periodically. The solution should be clear. If the solution is discolored (pinkish or brown), cloudy or contains solid particles, replace the unit.

Does the epinephrine auto-injector deliver the same medicine as other epinephrine auto-injectors?

Yes. All epinephrine auto-injectors use the same medicine, called epinephrine. It’s important to note that some devices may have unique features. It is essential that you become familiar with the features of your device so you are prepared in an emergency. Please consult your healthcare provider, and then refer to the training video to become familiar with how to inject the epinephrine auto-injector.

Is the epinephrine auto-injector a substitute or authorized generic for other “branded” epinephrine auto-injectors?

The epinephrine auto-injector from Impax is the authorized generic of Adrenaclick®. As to substitution, drug and generic drug substitution regulations are overseen by individual states. Since each state has its own laws and rules governing drug substitution, you should discuss the issue of substitution of an epinephrine auto-injector with your pharmacist and physician. Did you know that in many states, epinephrine injection, USP auto-injector can be substituted for EpiPen® auto-injector by pharmacists? In all states, you or your pharmacist can request a prescription from your healthcare provider for Impax’s epinephrine auto-injector.

Can I reuse my epinephrine auto-injector?

No, the epinephrine auto-injector is designed for a one-time use only.

Can I travel with my epinephrine auto-injector?

Yes in fact, it’s recommended that you always keep your epinephrine auto-injector with you. Whenever traveling with your epinephrine auto-injector, ensure that you follow the proper storage instructions. If you will be traveling by plane, it’s suggested that you carry the epinephrine auto-injector in the original packaging and bring a letter from your physician that confirms your need to carry the auto-injector.

After I used my auto-injector, I still see medicine remaining in my epinephrine auto-injector. Did I get my dose?

It is normal for some of the medicine to remain in the auto-injector after the dose is injected. The correct dose has been administered if you see the needle sticking out of the red tip. The remaining liquid that is left after this fixed dose cannot be further administered and should be discarded. Promptly seek medical attention and give your device to a healthcare provider for proper disposal.

Why is the epinephrine auto-injector available in two dosage strengths?

Selection of the appropriate dosage strength is determined according to a patient’s body weight. Each epinephrine auto-injector can deliver one dose of epinephrine in either 0.15 mg or 0.3 mg. The 0.15 mg dose is for patients who weigh approximately 33-66 pounds (15-30 kilograms). The 0.3 mg dose is for patients who weigh approximately 66 pounds or greater (30 kilograms or greater). Your healthcare provider will carefully consider the dose that is right for you.

Who is at risk for a life-threatening allergic reaction?

Anyone can experience a severe allergic reaction including anaphylaxis at any time. However, some people have risk factors that make them vulnerable to such a reaction. Consult your healthcare provider to see if you could be at risk for a severe allergic reaction, and if you should have a prescription for an epinephrine auto-injector.

If anaphylaxis is a risk, should my child keep an epinephrine auto-injector at school?

Yes, your child, as well as appropriate school personnel (such as a nurse), should have access to an epinephrine auto-injector while at school. School personnel should always be informed of your child’s health status, history of allergic reaction and any specific triggers. School procedures vary, so be sure to understand the requirements for accessing your child’s epinephrine auto-injector at school. It is important that you understand the school’s policy with regard to the supply, storage, and expiration tracking, so the epinephrine auto-injector is readily available in an emergency.

Are trainer devices available for this product?

Yes. Training devices are available and free. You may order a trainer two different ways:
You may click on Order Product Trainers to order via the web.
You may call 1-855-EPINEPH (1-855-374-6374) to order directly.

What if I accidentally inject myself?

If you accidently inject yourself, go to the nearest emergency room right away. Tell the healthcare provider where on your body you received the accidental injection.

Where should I inject epinephrine auto-injector?

Epinephrine auto-injector should be injected into the middle of the outer thigh (upper leg) at a 90° angle (perpendicular) to the thigh. It can go through clothes. Never inject into your veins, buttocks, fingers, toes, hands or feet. Make sure your healthcare provider shows you how to use the device. You should also view the training video for complete instructions.

Where should I keep my epinephrine auto-injector?

It is recommended that you keep your epinephrine auto-injector with you at all times. However, be mindful that the auto-injector should be kept at room temperature (68°-77°F). There may be brief excursions to 59°-86°F. Do not refrigerate or freeze your auto-injector. Avoid extreme heat. For example, do not keep your auto-injector in your car.

Important Safety Information

What is the most important information I should know about epinephrine injection, USP auto-injector?

  1. Epinephrine injection, USP auto-injector contains epinephrine, a medicine used to treat allergic emergencies (anaphylaxis). Anaphylaxis can be life-threatening, can happen within minutes, and can be caused by stinging and biting insects, allergy injections, foods, medicines, exercise or other unknown causes. Symptoms of an anaphylaxis may include:
    • trouble breathing
    • wheezing
    • hoarseness (changes in the way your voice sounds)
    • hives (raised reddened rash that may itch)
    • severe itching
    • swelling of your face, lips, mouth, or tongue
    • skin rash, redness, or swelling
    • fast heartbeat
    • weak pulse
    • feeling very anxious
    • confusion
    • stomach pain
    • losing control of urine or bowel movements (incontinence)
    • diarrhea or stomach cramps
    • dizziness, fainting, or “passing out” (unconsciousness).
  2. Always carry your epinephrine injection, USP auto-injector with you because you may not know when anaphylaxis may happen. Talk to your healthcare provider if you need additional units to keep at work, school, or other locations. Tell your family members, caregivers, and others where you keep your epinephrine injection, USP auto-injector and how to use it before you need it. You may be unable to speak in an allergic emergency.
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