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Preferred post-epipen medication?

To followup on a conversation that was archived while I was gone...

The prefered post epi med? That depends on the situation. If you still have significant symptoms the prefered post epi med is more IM epi. And then if you are not better it is more IM epi again. And then if you are still not better one might move to iv epi or if you are on beta blockers glucagon. You can thrown in some diphenydramine, ranitidine, and steroids but are not to fool yourself that these at any time replace epi. At least that is my reading of the literature. Doc James (talk · contribs · email) 07:43, 2 August 2016 (UTC)[reply]

So I believe the advice I got in my "advanced remote areas first aid training" was that Benadryl would indeed *follow* administration of Epipen medication. I guess that correlates with the current statement in the Benadryl page:

By injection it is often used in addition to epinephrine for anaphylaxis.^[1] Its use for this purpose had not been properly studied as of 2007.^[2] Its use is only recommended once acute symptoms have improved.^[3]

The situation(s) I am expecting (but obviously not hoping for) are when I travel in a remote area without access to proper medical facilities. IV, extra epi, any assistance is out of the question. The best case scenario is that the allergic person was smart enough to bring *one* epipen, but considering evacuation might take hours, I want to be able to keep the person stable in the long term. My understanding of the Epipen is that it lasts long enough to bring the patient to the hospital for further treatment, which is often impossible (in the short term) in the situations I end up with. My hope is that Benadryl pills might provide the necessary stabilization until we evacuate properly. But maybe that's naïve? In any case, I guess I should talk this over the counter with my pharmacist instead of asking Wikipedia. ;) Thanks for the references anyways, the drugs.com^[3] and ^[2] literature review are especially interesting: from what I understand, they "neither confirm nor deny" the practice, but it's still a commonly used pattern to treat severe allergic reactions... --TheAnarcat (talk) 20:34, 6 July 2019 (UTC)[reply]

If one still has significant symptoms 5 min after a dose of epi, one gives more epi. Doc James (talk · contribs · email) 04:56, 7 July 2019 (UTC)[reply]

Inaccuracies in "Management"

Several allergy medications are described as being substitutes in beer. This is misleading and does not make sense. 72.134.116.163 (talk) 00:51, 2 September 2020 (UTC)[reply]

The word "beer" does not occur in the text - I think you might have misread! JFW | T@lk 15:00, 2 September 2020 (UTC)[reply]

^ Young WF (2011). "Chapter 11: Shock". In Humphries RL, Stone CK (eds.). CURRENT Diagnosis and Treatment Emergency Medicine,. LANGE CURRENT Series (Seventh ed.). McGraw–Hill Professional. ISBN 978-0-07-170107-5.
^ ^a ^b Sheikh A, ten Broek VM, Brown SG, Simons FE (January 2007). "H1-antihistamines for the treatment of anaphylaxis with and without shock". The Cochrane Database of Systematic Reviews (1): CD006160. doi:10.1002/14651858.CD006160.pub2. PMID 17253584.
^ ^a ^b American Society of Health-System Pharmacists. "Diphenhydramine Hydrochloride". Drugs.com. Archived from the original on 15 September 2016. Retrieved 2 August 2016. {{cite web}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)

[Current_EM-1] Young WF (2011). "Chapter 11: Shock". In Humphries RL, Stone CK (eds.). CURRENT Diagnosis and Treatment Emergency Medicine,. LANGE CURRENT Series (Seventh ed.). McGraw–Hill Professional. ISBN 978-0-07-170107-5.

[Cochrane2007rev-2] Sheikh A, ten Broek VM, Brown SG, Simons FE (January 2007). "H1-antihistamines for the treatment of anaphylaxis with and without shock". The Cochrane Database of Systematic Reviews (1): CD006160. doi:10.1002/14651858.CD006160.pub2. PMID 17253584.

[AHSF2016-3] American Society of Health-System Pharmacists. "Diphenhydramine Hydrochloride". Drugs.com. Archived from the original on 15 September 2016. Retrieved 2 August 2016. {{cite web}}: Unknown parameter |deadurl= ignored (|url-status= suggested) (help)

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 Several allergy medications are described as being substitutes in beer. This is misleading and does not make sense.
 [[Special:Contributions/72.134.116.163|72.134.116.163]] ([[User talk:72.134.116.163|talk]]) 00:51, 2 September 2020 (UTC)
+:The word "beer" does not occur in the text - I think you might have misread! [[User:Jfdwolff|JFW]]&nbsp;&#124;&nbsp;[[User_talk:Jfdwolff|<small>T@lk</small>]] 15:00, 2 September 2020 (UTC)